"Profile","Id","Path","Slice Name","Alias(s)","Label","Min","Max","Must Support?","Is Modifier?","Is Summary?","Type(s)","Short","Definition","Comments","Requirements","Default Value","Meaning When Missing","Fixed Value","Pattern","Example","Minimum Value","Maximum Value","Maximum Length","Binding Strength","Binding Description","Binding Value Set","Code","Slicing Discriminator","Slicing Description","Slicing Ordered","Slicing Rules","Base Path","Base Min","Base Max","Condition(s)","Constraint(s)"
"AdvanceDirective","Consent","Consent","","Wilsverklaring
","",0,*,"","","","null {[]} {[]}
","LivingWill","A record of a healthcare consumer’s policy choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.","Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}ppc-1:Either a Policy or PolicyRule {policy.exists() or policyRule.exists()}"
"AdvanceDirective","Consent.id","Consent.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"AdvanceDirective","Consent.meta","Consent.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"AdvanceDirective","Consent.implicitRules","Consent.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"AdvanceDirective","Consent.language","Consent.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"AdvanceDirective","Consent.text","Consent.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"AdvanceDirective","Consent.contained","Consent.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"AdvanceDirective","Consent.extension","Consent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"",""
"AdvanceDirective","Consent.extension:disorder","Consent.extension","disorder","extensions
user contentAandoening","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective-Disorder]]} {[]}
","Disorder","The problem or disorder to which the living will applies.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"AdvanceDirective","Consent.extension:comment","Consent.extension","comment","Toelichting
","",0,1,"Y","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/Comment]]} {[]}
","Comment","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"AdvanceDirective","Consent.modifierExtension","Consent.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"AdvanceDirective","Consent.identifier","Consent.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Identifier for this record (external references)","Unique identifier for this copy of the Consent Statement.","This identifier is identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.","","","","","","<valueIdentifier xmlns=""http://hl7.org/fhir"">
  <system value=""urn:ietf:rfc:3986""/>
  <value value=""Local eCMS identifier""/>
</valueIdentifier>","","",,,,,"",,,,"Consent.identifier",0,1,"",""
"AdvanceDirective","Consent.status","Consent.status","","","",1,1,"","Y","Y","code {[]} {[]}
","draft | proposed | active | rejected | inactive | entered-in-error","Indicates the current state of this consent.","This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.","The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.","","","","","","","",,"required","Indicates the state of the consent","http://hl7.org/fhir/ValueSet/consent-state-codes","",,,,"Consent.status",1,1,"",""
"AdvanceDirective","Consent.category","Consent.category","","","",2,*,"","","Y","CodeableConcept {[]} {[]}
","Classification of the consent statement - for indexing/retrieval","A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.","","","","","","","","","",,"example","A classification of the type of consents found in a consent statement","http://hl7.org/fhir/ValueSet/consent-category","","value:$this}
","",,"open","Consent.category",0,*,"",""
"AdvanceDirective","Consent.category:livingWill","Consent.category","livingWill","","",1,1,"","","Y","CodeableConcept {[]} {[]}
","Living will and advance directive record","Category SNOMED code used for indexing/retrieval of the HCIM AdvanceDirective.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://snomed.info/sct""/>
    <code value=""11341000146107""/>
  </coding>
</valueCodeableConcept>","","","",,"example","A classification of the type of consents found in a consent statement","http://hl7.org/fhir/ValueSet/consent-category","",,,,"Consent.category",0,*,"",""
"AdvanceDirective","Consent.category:livingWill.id","Consent.category.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.category:livingWill.extension","Consent.category.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AdvanceDirective","Consent.category:livingWill.coding","Consent.category.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"AdvanceDirective","Consent.category:livingWill.coding.id","Consent.category.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.category:livingWill.coding.extension","Consent.category.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AdvanceDirective","Consent.category:livingWill.coding.system","Consent.category.coding.system","","","",0,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AdvanceDirective","Consent.category:livingWill.coding.version","Consent.category.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AdvanceDirective","Consent.category:livingWill.coding.code","Consent.category.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AdvanceDirective","Consent.category:livingWill.coding.display","Consent.category.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","<valueString xmlns=""http://hl7.org/fhir"" value=""Living will and advance directive record (record artifact)""/>","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AdvanceDirective","Consent.category:livingWill.coding.userSelected","Consent.category.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AdvanceDirective","Consent.category:livingWill.text","Consent.category.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill","Consent.category","typeOfLivingWill","WilsverklaringType
","",1,1,"Y","","Y","CodeableConcept {[]} {[]}
","TypeOfLivingWill","List of the different types of living wills.","","","","","","","","","",,"required","List of the different types of living wills.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.15.1--20171231000000","",,,,"Consent.category",0,*,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill.id","Consent.category.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill.extension","Consent.category.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill.coding","Consent.category.coding","","","",1,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill.coding.id","Consent.category.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill.coding.extension","Consent.category.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill.coding.system","Consent.category.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill.coding.version","Consent.category.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill.coding.code","Consent.category.coding.code","","","",1,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill.coding.display","Consent.category.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill.coding.userSelected","Consent.category.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AdvanceDirective","Consent.category:typeOfLivingWill.text","Consent.category.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"AdvanceDirective","Consent.patient","Consent.patient","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient]]}
","Who the consent applies to","The patient/healthcare consumer to whom this consent applies.","Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.","","","","","","","","",,,,,"",,,,"Consent.patient",1,1,"",""
"AdvanceDirective","Consent.period","Consent.period","","","",0,1,"","","Y","Period {[]} {[]}
","Period that this consent applies","Relevant time or time-period when this Consent is applicable.","This can be a subset of the period of the original statement.","","","all date ranges included","","","","","",,,,,"",,,,"Consent.period",0,1,"",""
"AdvanceDirective","Consent.dateTime","Consent.dateTime","","WilsverklaringDatum
","",1,1,"Y","","Y","dateTime {[]} {[]}
","LivingWillDate","The date on which the living will was recorded.","This is not the time of the original consent, but the time that this statement was made or derived.","","","","","","","","",,,,,"",,,,"Consent.dateTime",0,1,"",""
"AdvanceDirective","Consent.consentingParty","Consent.consentingParty","","consentor
Vertegenwoordiger","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson]]}
","Representative","The person who is the legal representative or is appointed as the authorized representative in the signed authorization.","Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.","","","","","","","","",,,,,"",,,,"Consent.consentingParty",0,*,"",""
"AdvanceDirective","Consent.actor","Consent.actor","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Who|what controlled by this consent (or group, by role)","Who or what is controlled by this consent. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","There is no specific actor associated with the consent","","","","","",,,,,"",,,,"Consent.actor",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"AdvanceDirective","Consent.actor.id","Consent.actor.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.actor.extension","Consent.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AdvanceDirective","Consent.actor.modifierExtension","Consent.actor.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AdvanceDirective","Consent.actor.role","Consent.actor.role","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How the actor is involved","How the individual is involved in the resources content that is described in the consent.","","","","","","","","","",,"extensible","How an actor is involved in the consent considerations","http://hl7.org/fhir/ValueSet/security-role-type","",,,,"Consent.actor.role",1,1,"",""
"AdvanceDirective","Consent.actor.reference","Consent.actor.reference","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson]]}
","Resource for the actor (or group, by role)","The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","","","","","","",,,,,"",,,,"Consent.actor.reference",1,1,"",""
"AdvanceDirective","Consent.actor.reference.id","Consent.actor.reference.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.actor.reference.extension","Consent.actor.reference.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AdvanceDirective","Consent.actor.reference.extension:practitionerRole","Consent.actor.reference.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"AdvanceDirective","Consent.actor.reference.reference","Consent.actor.reference.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"AdvanceDirective","Consent.actor.reference.identifier","Consent.actor.reference.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"AdvanceDirective","Consent.actor.reference.display","Consent.actor.reference.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"AdvanceDirective","Consent.action","Consent.action","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Actions controlled by this consent","Actions controlled by this consent.","Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.","","","all actions","","","","","",,"example","Detailed codes for the consent action.","http://hl7.org/fhir/ValueSet/consent-action","",,,,"Consent.action",0,*,"",""
"AdvanceDirective","Consent.organization","Consent.organization","","custodian
","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization]]}
","Custodian of the consent","The organization that manages the consent, and the framework within which it is executed.","","","","","","","","","",,,,,"",,,,"Consent.organization",0,*,"",""
"AdvanceDirective","Consent.source[x]","Consent.source[x]","","WilsverklaringDocument
","",0,1,"","","Y","Attachment {[]} {[]}
","LivingWillDocument","The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.","The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.","","","","","","","","",,,,,"","type:$this}
","",,"closed","Consent.source[x]",0,1,"",""
"AdvanceDirective","Consent.source[x]:sourceAttachment","Consent.source[x]","sourceAttachment","WilsverklaringDocument
","",0,1,"Y","","Y","Attachment {[]} {[]}
","LivingWillDocument","The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.","The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.","","","","","","","","",,,,,"",,,,"Consent.source[x]",0,1,"",""
"AdvanceDirective","Consent.source[x]:sourceAttachment.id","Consent.source[x].id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.source[x]:sourceAttachment.extension","Consent.source[x].extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AdvanceDirective","Consent.source[x]:sourceAttachment.contentType","Consent.source[x].contentType","","","",0,1,"","","Y","code {[]} {[]}
","Mime type of the content, with charset etc.","Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.","","Processors of the data need to be able to know how to interpret the data.","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""text/plain; charset=UTF-8, image/png""/>","","",,"required","The mime type of an attachment. Any valid mime type is allowed.","http://hl7.org/fhir/ValueSet/mimetypes","",,,,"Attachment.contentType",0,1,"",""
"AdvanceDirective","Consent.source[x]:sourceAttachment.language","Consent.source[x].language","","","",0,1,"","","Y","code {[]} {[]}
","Human language of the content (BCP-47)","The human language of the content. The value can be any valid value according to BCP 47.","","Users need to be able to choose between the languages in a set of attachments.","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""en-AU""/>","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages|3.0.2","",,,,"Attachment.language",0,1,"",""
"AdvanceDirective","Consent.source[x]:sourceAttachment.data","Consent.source[x].data","","","",0,1,"Y","","","base64Binary {[]} {[]}
","Data inline, base64ed","The actual data of the attachment - a sequence of bytes. In XML, represented using base64.","The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.","The data needs to able to be transmitted inline.","","","","","","","",,,,,"",,,,"Attachment.data",0,1,"",""
"AdvanceDirective","Consent.source[x]:sourceAttachment.url","Consent.source[x].url","","","",0,1,"","","Y","uri {[]} {[]}
","Uri where the data can be found","An alternative location where the data can be accessed.","If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.","The data needs to be transmitted by reference.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/logo-small.png""/>","","",,,,,"",,,,"Attachment.url",0,1,"",""
"AdvanceDirective","Consent.source[x]:sourceAttachment.size","Consent.source[x].size","","","",0,1,"","","Y","unsignedInt {[]} {[]}
","Number of bytes of content (if url provided)","The number of bytes of data that make up this attachment (before base64 encoding, if that is done).","The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.","Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.","","","","","","","",,,,,"",,,,"Attachment.size",0,1,"",""
"AdvanceDirective","Consent.source[x]:sourceAttachment.hash","Consent.source[x].hash","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Hash of the data (sha-1, base64ed)","The calculated hash of the data using SHA-1. Represented using base64.","The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded.","Included so that applications can verify that the contents of a location have not changed and so that a signature of the content can implicitly sign the content of an image without having to include the data in the instance or reference the url in the signature.","","","","","","","",,,,,"",,,,"Attachment.hash",0,1,"",""
"AdvanceDirective","Consent.source[x]:sourceAttachment.title","Consent.source[x].title","","","",0,1,"","","Y","string {[]} {[]}
","Label to display in place of the data","A label or set of text to display in place of the data.","","Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""Official Corporate Logo""/>","","",,,,,"",,,,"Attachment.title",0,1,"",""
"AdvanceDirective","Consent.source[x]:sourceAttachment.creation","Consent.source[x].creation","","","",0,1,"","","Y","dateTime {[]} {[]}
","Date attachment was first created","The date that the attachment was first created.","","This is often tracked as an integrity issue for use of the attachment.","","","","","","","",,,,,"",,,,"Attachment.creation",0,1,"",""
"AdvanceDirective","Consent.policy","Consent.policy","","","",0,*,"","","","BackboneElement {[]} {[]}
","Policies covered by this consent","The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.","","","","","","","","","",,,,,"",,,,"Consent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"AdvanceDirective","Consent.policy.id","Consent.policy.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.policy.extension","Consent.policy.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AdvanceDirective","Consent.policy.modifierExtension","Consent.policy.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AdvanceDirective","Consent.policy.authority","Consent.policy.authority","","","",0,1,"","","","uri {[]} {[]}
","Enforcement source for policy","Entity or Organization having regulatory jurisdiction or accountability for  enforcing policies pertaining to Consent Directives.","","","","","","","","","",,,,,"",,,,"Consent.policy.authority",0,1,"ppc-1
",""
"AdvanceDirective","Consent.policy.uri","Consent.policy.uri","","","",0,1,"","","","uri {[]} {[]}
","Specific policy covered by this consent","The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.","Either `.policy` or `.policyRule` should exist following core constraint ppc-1. If no explicit value is recorded, a fallback is to populate `.policy.uri` with <https://wetten.overheid.nl/> if the advance directive is recorded following Dutch law and regulations.","","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://wetten.overheid.nl/""/>","","",,,,,"",,,,"Consent.policy.uri",0,1,"ppc-1
",""
"AdvanceDirective","Consent.policyRule","Consent.policyRule","","","",0,1,"","","Y","uri {[]} {[]}
","Policy that this consents to","A referece to the specific computable policy.","If the policy reference is not known, the resource cannot be processed. Where the reference is absent, there is no particular policy other than what is expressed directly in the consent resource.","Might be a unique identifier of a policy set in XACML, or other rules engine.","","","","","","","",,,,,"",,,,"Consent.policyRule",0,1,"ppc-1
",""
"AdvanceDirective","Consent.securityLabel","Consent.securityLabel","","","",0,*,"","","Y","Coding {[]} {[]}
","Security Labels that define affected resources","A set of security labels that define which resources are controlled by this consent. If more than one label is specified, all resources must have all the specified labels.","If the consent specifies a security label of ""R"" then it applies to all resources that are labeled ""R"" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?).","","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels","",,,,"Consent.securityLabel",0,*,"",""
"AdvanceDirective","Consent.purpose","Consent.purpose","","","",0,*,"","","Y","Coding {[]} {[]}
","Context of activities for which the agreement is made","The context of the activities a user is taking - why the user is accessing the data - that are controlled by this consent.","This element is for discoverability / documentation, and does not modify or qualify the policy (e.g. the policy itself describes the purposes for which it applies).","","","","","","","","",,"extensible","What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels","http://hl7.org/fhir/ValueSet/v3-PurposeOfUse","",,,,"Consent.purpose",0,*,"",""
"AdvanceDirective","Consent.dataPeriod","Consent.dataPeriod","","","",0,1,"","","Y","Period {[]} {[]}
","Timeframe for data controlled by this consent","Clinical or Operational Relevant period of time that bounds the data controlled by this consent.","This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.","","","","","","","","",,,,,"",,,,"Consent.dataPeriod",0,1,"",""
"AdvanceDirective","Consent.data","Consent.data","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Data controlled by this consent","The resources controlled by this consent, if specific resources are referenced.","","","","all data","","","","","",,,,,"",,,,"Consent.data",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"AdvanceDirective","Consent.data.id","Consent.data.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.data.extension","Consent.data.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AdvanceDirective","Consent.data.modifierExtension","Consent.data.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AdvanceDirective","Consent.data.meaning","Consent.data.meaning","","","",1,1,"","","Y","code {[]} {[]}
","instance | related | dependents | authoredby","How the resource reference is interpreted when testing consent restrictions.","","","","","","","","","",,"required","How a resource reference is interpreted when testing consent restrictions","http://hl7.org/fhir/ValueSet/consent-data-meaning","",,,,"Consent.data.meaning",1,1,"",""
"AdvanceDirective","Consent.data.reference","Consent.data.reference","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","The actual data reference","A reference to a specific resource that defines which resources are covered by this consent.","","","","","","","","","",,,,,"",,,,"Consent.data.reference",1,1,"",""
"AdvanceDirective","Consent.except","Consent.except","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Additional rule -  addition or removal of permissions","An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.","","","","","","","","","",,,,,"",,,,"Consent.except",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"AdvanceDirective","Consent.except.id","Consent.except.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.except.extension","Consent.except.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AdvanceDirective","Consent.except.modifierExtension","Consent.except.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AdvanceDirective","Consent.except.type","Consent.except.type","","","",1,1,"","","Y","code {[]} {[]}
","deny | permit","Action  to take - permit or deny - when the exception conditions are met.","","","","","","","","","",,"required","How an exception statement is applied, such as adding additional consent or removing consent","http://hl7.org/fhir/ValueSet/consent-except-type","",,,,"Consent.except.type",1,1,"",""
"AdvanceDirective","Consent.except.period","Consent.except.period","","","",0,1,"","","Y","Period {[]} {[]}
","Timeframe for this exception","The timeframe in this exception is valid.","","","","","","","","","",,,,,"",,,,"Consent.except.period",0,1,"",""
"AdvanceDirective","Consent.except.actor","Consent.except.actor","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Who|what controlled by this exception (or group, by role)","Who or what is controlled by this Exception. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","There is no specific actor associated with the exception","","","","","",,,,,"",,,,"Consent.except.actor",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"AdvanceDirective","Consent.except.actor.id","Consent.except.actor.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.except.actor.extension","Consent.except.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AdvanceDirective","Consent.except.actor.modifierExtension","Consent.except.actor.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AdvanceDirective","Consent.except.actor.role","Consent.except.actor.role","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How the actor is involved","How the individual is involved in the resources content that is described in the exception.","","","","","","","","","",,"extensible","How an actor is involved in the consent considerations","http://hl7.org/fhir/ValueSet/security-role-type","",,,,"Consent.except.actor.role",1,1,"",""
"AdvanceDirective","Consent.except.actor.reference","Consent.except.actor.reference","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson]]}
","Resource for the actor (or group, by role)","The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","","","","","","",,,,,"",,,,"Consent.except.actor.reference",1,1,"",""
"AdvanceDirective","Consent.except.actor.reference.id","Consent.except.actor.reference.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.except.actor.reference.extension","Consent.except.actor.reference.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AdvanceDirective","Consent.except.actor.reference.extension:practitionerRole","Consent.except.actor.reference.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"AdvanceDirective","Consent.except.actor.reference.reference","Consent.except.actor.reference.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"AdvanceDirective","Consent.except.actor.reference.identifier","Consent.except.actor.reference.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"AdvanceDirective","Consent.except.actor.reference.display","Consent.except.actor.reference.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"AdvanceDirective","Consent.except.action","Consent.except.action","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Actions controlled by this exception","Actions controlled by this Exception.","Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.","","","all actions","","","","","",,"example","Detailed codes for the consent action.","http://hl7.org/fhir/ValueSet/consent-action","",,,,"Consent.except.action",0,*,"",""
"AdvanceDirective","Consent.except.securityLabel","Consent.except.securityLabel","","","",0,*,"","","Y","Coding {[]} {[]}
","Security Labels that define affected resources","A set of security labels that define which resources are controlled by this exception. If more than one label is specified, all resources must have all the specified labels.","If the consent specifies a security label of ""R"" then it applies to all resources that are labeled ""R"" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?).","","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels","",,,,"Consent.except.securityLabel",0,*,"",""
"AdvanceDirective","Consent.except.purpose","Consent.except.purpose","","","",0,*,"","","Y","Coding {[]} {[]}
","Context of activities covered by this exception","The context of the activities a user is taking - why the user is accessing the data - that are controlled by this exception.","E.g. if the purpose is 'research', then the operational context must be research, in order for the consent to apply. Not all of the security labels make sense for use in this element (may define a narrower value set?).","","","","","","","","",,"extensible","What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels","http://hl7.org/fhir/ValueSet/v3-PurposeOfUse","",,,,"Consent.except.purpose",0,*,"",""
"AdvanceDirective","Consent.except.class","Consent.except.class","","","",0,*,"","","Y","Coding {[]} {[]}
","e.g. Resource Type, Profile, or CDA etc","The class of information covered by this exception. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.","Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.","","","","","","","","",,"extensible","The class (type) of information a consent rule covers","http://hl7.org/fhir/ValueSet/consent-content-class","",,,,"Consent.except.class",0,*,"",""
"AdvanceDirective","Consent.except.code","Consent.except.code","","","",0,*,"","","Y","Coding {[]} {[]}
","e.g. LOINC or SNOMED CT code, etc in the content","If this code is found in an instance, then the exception applies.","Typical use of this is a Document code with class = CDA.","","","","","","","","",,"example","If this code is found in an instance, then the exception applies","http://hl7.org/fhir/ValueSet/consent-content-code","",,,,"Consent.except.code",0,*,"",""
"AdvanceDirective","Consent.except.dataPeriod","Consent.except.dataPeriod","","","",0,1,"","","Y","Period {[]} {[]}
","Timeframe for data controlled by this exception","Clinical or Operational Relevant period of time that bounds the data controlled by this exception.","This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.","","","","","","","","",,,,,"",,,,"Consent.except.dataPeriod",0,1,"",""
"AdvanceDirective","Consent.except.data","Consent.except.data","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Data controlled by this exception","The resources controlled by this exception, if specific resources are referenced.","","","","all data","","","","","",,,,,"",,,,"Consent.except.data",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"AdvanceDirective","Consent.except.data.id","Consent.except.data.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AdvanceDirective","Consent.except.data.extension","Consent.except.data.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AdvanceDirective","Consent.except.data.modifierExtension","Consent.except.data.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AdvanceDirective","Consent.except.data.meaning","Consent.except.data.meaning","","","",1,1,"","","Y","code {[]} {[]}
","instance | related | dependents | authoredby","How the resource reference is interpreted when testing consent restrictions.","","","","","","","","","",,"required","How a resource reference is interpreted when testing consent restrictions","http://hl7.org/fhir/ValueSet/consent-data-meaning","",,,,"Consent.except.data.meaning",1,1,"",""
"AdvanceDirective","Consent.except.data.reference","Consent.except.data.reference","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","The actual data reference","A reference to a specific resource that defines which resources are covered by this consent.","","","","","","","","","",,,,,"",,,,"Consent.except.data.reference",1,1,"",""
"AllergyIntolerance","AllergyIntolerance","AllergyIntolerance","","Allergy
IntoleranceAdverse ReactionAllergieIntolerantie","",0,*,"","","","null {[]} {[]}
","AllergyIntolerance","Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.","Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}ait-1:AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error. {verificationStatus='entered-in-error' or clinicalStatus.exists()}ait-2:AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error {verificationStatus!='entered-in-error' or clinicalStatus.empty()}"
"AllergyIntolerance","AllergyIntolerance.id","AllergyIntolerance.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.meta","AllergyIntolerance.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.implicitRules","AllergyIntolerance.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.language","AllergyIntolerance.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.text","AllergyIntolerance.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"AllergyIntolerance","AllergyIntolerance.contained","AllergyIntolerance.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.extension","AllergyIntolerance.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.modifierExtension","AllergyIntolerance.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.identifier","AllergyIntolerance.identifier","","Identificatie
","",0,*,"","","Y","Identifier {[]} {[]}
","Identifier","This records identifiers associated with this allergy/intolerance concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).","","","","","","","","","",,,,,"",,,,"AllergyIntolerance.identifier",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.clinicalStatus","AllergyIntolerance.clinicalStatus","","AllergieStatus
","",0,1,"Y","Y","Y","code {[]} {[]}
","AllergyStatus","The clinical status of the allergy or intolerance.","Zie voor mappings [AllergieStatusCodelijst-to-allergy-status](https://simplifier.net/packages/nictiz.fhir.nl.stu3.zib2017/2.2.18/files/2316940)","","","","","","","","",,"required","The clinical status of the allergy or intolerance.","http://hl7.org/fhir/ValueSet/allergy-clinical-status","",,,,"AllergyIntolerance.clinicalStatus",0,1,"ait-1
ait-2",""
"AllergyIntolerance","AllergyIntolerance.clinicalStatus.id","AllergyIntolerance.clinicalStatus.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.clinicalStatus.extension","AllergyIntolerance.clinicalStatus.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst","AllergyIntolerance.clinicalStatus.extension","AllergieStatusCodelijst","extensions
user contentBevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.AllergieStatus","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]} {[]}
","AllergyStatus","Statement on the status of the patient’s hypersensitivity.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"AllergyIntolerance","AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst.id","AllergyIntolerance.clinicalStatus.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst.extension","AllergyIntolerance.clinicalStatus.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst.url","AllergyIntolerance.clinicalStatus.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/code-specification""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"AllergyIntolerance","AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst.value[x]:valueCodeableConcept","AllergyIntolerance.clinicalStatus.extension.value[x]","valueCodeableConcept","","",1,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","AllergieStatusCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.3--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.clinicalStatus.value","AllergyIntolerance.clinicalStatus.value","","","",0,1,"","","","code {[]} {[]}
","Primitive value for code","Primitive value for code","","","","","","","","","",,,,,"",,,,"string.value",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.verificationStatus","AllergyIntolerance.verificationStatus","","AllergieStatus
","",1,1,"","Y","Y","code {[]} {[]}
","AllergyStatus","Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).","When HCIM AllergyStatus = _Nullified_, `.verificationStatus` should be set to _entered-in-error_. In all other cases it is up to the sending system to populate this element with the correct value.","","","","","","","","",,"required","Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.","http://hl7.org/fhir/ValueSet/allergy-verification-status","",,,,"AllergyIntolerance.verificationStatus",1,1,"ait-1
ait-2",""
"AllergyIntolerance","AllergyIntolerance.type","AllergyIntolerance.type","","Category
Class","",0,1,"","","Y","code {[]} {[]}
","allergy | intolerance - Underlying mechanism (if known)","Identification of the underlying physiological mechanism for the reaction risk.","Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians may not be in a position to distinguish the mechanism of a particular reaction. Often the term ""allergy"" is used rather generically and may overlap with the use of ""intolerance"" - in practice the boundaries between these two concepts may not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.","","","","","","","","",,"required","Identification of the underlying physiological mechanism for a Reaction Risk.","http://hl7.org/fhir/ValueSet/allergy-intolerance-type","",,,,"AllergyIntolerance.type",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.category","AllergyIntolerance.category","","Category
TypeReaction TypeClass","",0,*,"Y","","Y","code {[]} {[]}
","food | medication | environment | biologic","Category of the identified substance.","This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation.  When searching on category, consider the implications of AllergyIntolerance resources without a category.  For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned.  Refer to [search](http://hl7.org/fhir/STU3/search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category.  Additionally, category should be used with caution because category can be subjective based on the sender.","","","","","","","","",,"required","Category of an identified substance.","http://hl7.org/fhir/ValueSet/allergy-intolerance-category","",,,,"AllergyIntolerance.category",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.category.id","AllergyIntolerance.category.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.category.extension","AllergyIntolerance.category.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.category.extension:AllergieCategorieCodelijst","AllergyIntolerance.category.extension","AllergieCategorieCodelijst","extensions
user contentBevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.AllergieCategorie","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]} {[]}
","AllergyCategory","Identifies the allergy category such as medication, food or environment.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"AllergyIntolerance","AllergyIntolerance.category.extension:AllergieCategorieCodelijst.id","AllergyIntolerance.category.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.category.extension:AllergieCategorieCodelijst.extension","AllergyIntolerance.category.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.category.extension:AllergieCategorieCodelijst.url","AllergyIntolerance.category.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/code-specification""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"AllergyIntolerance","AllergyIntolerance.category.extension:AllergieCategorieCodelijst.value[x]:valueCodeableConcept","AllergyIntolerance.category.extension.value[x]","valueCodeableConcept","","",1,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","AllergieCategorieCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.2--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.category.value","AllergyIntolerance.category.value","","","",0,1,"","","","code {[]} {[]}
","Primitive value for code","Primitive value for code","","","","","","","","","",,,,,"",,,,"string.value",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.criticality","AllergyIntolerance.criticality","","Severity
SeriousnessContra-indicationRisk","",0,1,"","","Y","code {[]} {[]}
","low | high | unable-to-assess","Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.","The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere).

Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity.  Existing systems that are capturing both condition criticality and reaction severity may use the term ""severity"" to represent both.  Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.","","","","","","","","",,"required","Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.","http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality","",,,,"AllergyIntolerance.criticality",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.criticality.id","AllergyIntolerance.criticality.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.criticality.extension","AllergyIntolerance.criticality.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.criticality.extension:CriticalExtentCodelist","AllergyIntolerance.criticality.extension","CriticalExtentCodelist","extensions
user contentBevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.MateVanKritiekZijn","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]} {[]}
","Criticality","Critical extent is defined as “the potential severity of future reactions.” 
This represents a clinical evaluation of the worst case scenario for a future reaction. It can be based on the severity of past reactions, the dose and manner of exposure which caused reactions in the past, and the life-threatening potential of the type of reaction. Critical extent is a property of the allergy, and not of the reaction itself.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"AllergyIntolerance","AllergyIntolerance.criticality.extension:CriticalExtentCodelist.id","AllergyIntolerance.criticality.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.criticality.extension:CriticalExtentCodelist.extension","AllergyIntolerance.criticality.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.criticality.extension:CriticalExtentCodelist.url","AllergyIntolerance.criticality.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/code-specification""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"AllergyIntolerance","AllergyIntolerance.criticality.extension:CriticalExtentCodelist.value[x]:valueCodeableConcept","AllergyIntolerance.criticality.extension.value[x]","valueCodeableConcept","","",1,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","CriticalExtentCodelist","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.4--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.criticality.value","AllergyIntolerance.criticality.value","","","",0,1,"","","","code {[]} {[]}
","Primitive value for code","Primitive value for code","","","","","","","","","",,,,,"",,,,"string.value",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code","AllergyIntolerance.code","","Code
VeroorzakendeStof","",1,1,"Y","","Y","CodeableConcept {[]} {[]}
","CausativeAgent","Code for an allergy or intolerance statement (either a positive or a negated/excluded statement).  This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., ""Latex""), an allergy or intolerance condition (e.g., ""Latex allergy""), or a negated/excluded code for a specific substance or class (e.g., ""No latex allergy"") or a general or categorical negated statement (e.g.,  ""No known allergy"", ""No known drug allergies"").","It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNI, ATC and CPT. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.

When a substance or product code is specified for the 'code' element, the ""default"" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product.  In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the ""Causative agent"" relationship.

The 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements.  This extension provides the capability to make ""no known allergy"" (or ""no risk of adverse reaction"") statements regarding any coded substance/product (including cases when a pre-coordinated ""no allergy to x"" concept for that substance/product does not exist).  If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.","","","","","","","","",,"example","Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.","http://hl7.org/fhir/ValueSet/allergyintolerance-code","",,,,"AllergyIntolerance.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.id","AllergyIntolerance.code.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.extension","AllergyIntolerance.code.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding","AllergyIntolerance.code.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:system}
","",,"open","CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding.id","AllergyIntolerance.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding.extension","AllergyIntolerance.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding.system","AllergyIntolerance.code.coding.system","","","",0,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding.version","AllergyIntolerance.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding.code","AllergyIntolerance.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding.display","AllergyIntolerance.code.coding.display","","","",0,1,"Y","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding.userSelected","AllergyIntolerance.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist","AllergyIntolerance.code.coding","causativeAgentAllergicAgentCodelist","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","SNOMED CT - Alle waarden","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.17--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist.id","AllergyIntolerance.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist.extension","AllergyIntolerance.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist.system","AllergyIntolerance.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://snomed.info/sct""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist.version","AllergyIntolerance.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist.code","AllergyIntolerance.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist.display","AllergyIntolerance.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentAllergicAgentCodelist.userSelected","AllergyIntolerance.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentHPKCodelist","AllergyIntolerance.code.coding","causativeAgentHPKCodelist","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","G-Standaard Handels Product Kode (HPK) - Alle waarden","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.19--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentHPKCodelist.id","AllergyIntolerance.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentHPKCodelist.extension","AllergyIntolerance.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentHPKCodelist.system","AllergyIntolerance.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.7""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentHPKCodelist.version","AllergyIntolerance.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentHPKCodelist.code","AllergyIntolerance.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentHPKCodelist.display","AllergyIntolerance.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentHPKCodelist.userSelected","AllergyIntolerance.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSNKCodelist","AllergyIntolerance.code.coding","causativeAgentSNKCodelist","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","G-standaard Stofnaamcode (SNK) - Alle waarden","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.14--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSNKCodelist.id","AllergyIntolerance.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSNKCodelist.extension","AllergyIntolerance.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSNKCodelist.system","AllergyIntolerance.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.1.750""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSNKCodelist.version","AllergyIntolerance.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSNKCodelist.code","AllergyIntolerance.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSNKCodelist.display","AllergyIntolerance.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSNKCodelist.userSelected","AllergyIntolerance.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSSKCodelist","AllergyIntolerance.code.coding","causativeAgentSSKCodelist","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) - Alle waarden","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.13--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSSKCodelist.id","AllergyIntolerance.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSSKCodelist.extension","AllergyIntolerance.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSSKCodelist.system","AllergyIntolerance.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.1.725""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSSKCodelist.version","AllergyIntolerance.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSSKCodelist.code","AllergyIntolerance.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSSKCodelist.display","AllergyIntolerance.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentSSKCodelist.userSelected","AllergyIntolerance.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist","AllergyIntolerance.code.coding","causativeAgentThesaurus122Codelist","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","G-standaard Ongewenste medicatiegroepen - Alle waarden","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.15--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist.id","AllergyIntolerance.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist.extension","AllergyIntolerance.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist.system","AllergyIntolerance.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.1.902.122""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist.version","AllergyIntolerance.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist.code","AllergyIntolerance.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist.display","AllergyIntolerance.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.coding:causativeAgentThesaurus122Codelist.userSelected","AllergyIntolerance.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.code.text","AllergyIntolerance.code.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.patient","AllergyIntolerance.patient","","Patient
Patiënt","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient]]}
","Patient","The patient who has the allergy or intolerance.","","","","","","","","","",,,,,"",,,,"AllergyIntolerance.patient",1,1,"",""
"AllergyIntolerance","AllergyIntolerance.onset[x]","AllergyIntolerance.onset[x]","","","",0,1,"Y","","","dateTime {[]} {[]}
Period {[]} {[]}","When allergy or intolerance was identified","Estimated or actual date,  date-time, or age when allergy or intolerance was identified.","","","","","","","","","",,,,,"","type:$this}
","",,"closed","AllergyIntolerance.onset[x]",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.onset[x]:onsetDateTime","AllergyIntolerance.onset[x]","onsetDateTime","BeginDatumTijd
","",0,1,"Y","","","dateTime {[]} {[]}
","StartDateTime","The date and time at which the allergy or undesired reaction was determined.  
This can be an exact date and time, or a rough indication of the date (such as only the year, or the month and the year).","","","","","","","","","",,,,,"",,,,"AllergyIntolerance.onset[x]",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.onset[x]:onsetPeriod","AllergyIntolerance.onset[x]","onsetPeriod","","",0,1,"Y","","","Period {[]} {[]}
","When allergy or intolerance was identified","Estimated or actual date,  date-time, or age when allergy or intolerance was identified.","","","","","","","","","",,,,,"",,,,"AllergyIntolerance.onset[x]",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.assertedDate","AllergyIntolerance.assertedDate","","","",0,1,"","","","dateTime {[]} {[]}
","Date record was believed accurate","The date on which the existance of the AllergyIntolerance was first asserted or acknowledged.","","","","","","","","","",,,,,"",,,,"AllergyIntolerance.assertedDate",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.recorder","AllergyIntolerance.recorder","","Author
Auteur","",0,1,"","","","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient]]}
","Recorder","Individual who recorded the record and takes responsibility for its content.","","","","","","","","","",,,,,"",,,,"AllergyIntolerance.recorder",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.recorder.id","AllergyIntolerance.recorder.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.recorder.extension","AllergyIntolerance.recorder.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.recorder.extension:practitionerRole","AllergyIntolerance.recorder.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"AllergyIntolerance","AllergyIntolerance.recorder.reference","AllergyIntolerance.recorder.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"AllergyIntolerance","AllergyIntolerance.recorder.identifier","AllergyIntolerance.recorder.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.recorder.display","AllergyIntolerance.recorder.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.asserter","AllergyIntolerance.asserter","","Source
Informant","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner]]}
","Informant","The source of the information about the allergy that is recorded.","The recorder takes repsonsibility for the content, but can reference the source from where they got it.","","","","","","","","",,,,,"",,,,"AllergyIntolerance.asserter",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.asserter.id","AllergyIntolerance.asserter.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.asserter.extension","AllergyIntolerance.asserter.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.asserter.extension:practitionerRole","AllergyIntolerance.asserter.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"AllergyIntolerance","AllergyIntolerance.asserter.reference","AllergyIntolerance.asserter.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"AllergyIntolerance","AllergyIntolerance.asserter.identifier","AllergyIntolerance.asserter.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.asserter.display","AllergyIntolerance.asserter.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.lastOccurrence","AllergyIntolerance.lastOccurrence","","LaatsteReactieDatumTijd
","",0,1,"","","","dateTime {[]} {[]}
","LastReactionDateTime","Entry of the last time a hypersensitive reaction took place.","This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.","","","","","","","","",,,,,"",,,,"AllergyIntolerance.lastOccurrence",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.note","AllergyIntolerance.note","","","",0,*,"Y","","","Annotation {[]} {[]}
","Additional text not captured in other fields","Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.","For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and  AllergyIntolerance.event.notes.","","","","","","","","",,,,,"",,,,"AllergyIntolerance.note",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.note.id","AllergyIntolerance.note.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.note.extension","AllergyIntolerance.note.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.note.author[x]","AllergyIntolerance.note.author[x]","","Auteur
","",0,1,"","","Y","string {[]} {[]}
Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson]]}","Author","The individual responsible for making the annotation.","","","","","","","","","",,,,,"","type:$this}
","",,"closed","Annotation.author[x]",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.note.author[x]:authorReference","AllergyIntolerance.note.author[x]","authorReference","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]}
","Individual responsible for the annotation","The individual responsible for making the annotation.","","","","","","","","","",,,,,"",,,,"Annotation.author[x]",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.note.author[x]:authorReference.id","AllergyIntolerance.note.author[x].id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.note.author[x]:authorReference.extension","AllergyIntolerance.note.author[x].extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.note.author[x]:authorReference.extension:practitionerRole","AllergyIntolerance.note.author[x].extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","Relevant only in combination with Reference(Practitioner)","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"AllergyIntolerance","AllergyIntolerance.note.author[x]:authorReference.reference","AllergyIntolerance.note.author[x].reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"AllergyIntolerance","AllergyIntolerance.note.author[x]:authorReference.identifier","AllergyIntolerance.note.author[x].identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.note.author[x]:authorReference.display","AllergyIntolerance.note.author[x].display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.note.author[x]:authorString","AllergyIntolerance.note.author[x]","authorString","","",0,1,"","","Y","string {[]} {[]}
","Individual responsible for the annotation","The individual responsible for making the annotation.","","","","","","","","","",,,,,"",,,,"Annotation.author[x]",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.note.time","AllergyIntolerance.note.time","","","",0,1,"","","Y","dateTime {[]} {[]}
","When the annotation was made","Indicates when this particular annotation was made.","","","","","","","","","",,,,,"",,,,"Annotation.time",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.note.text","AllergyIntolerance.note.text","","Toelichting
","",1,1,"Y","","","string {[]} {[]}
","Comment","Textual explanation of the hypersensitivity which cannot be entered in any of the other fields.","","","","","","","","","",,,,,"",,,,"Annotation.text",1,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction","AllergyIntolerance.reaction","","Reactie
","",0,*,"","","","BackboneElement {[]} {[]}
","Reaction","Details about each adverse reaction event linked to exposure to the identified substance.","","","","","","","","","",,,,,"",,,,"AllergyIntolerance.reaction",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"AllergyIntolerance","AllergyIntolerance.reaction.id","AllergyIntolerance.reaction.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.extension","AllergyIntolerance.reaction.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.modifierExtension","AllergyIntolerance.reaction.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance","AllergyIntolerance.reaction.substance","","SpecifiekeStof
","",0,1,"","","","CodeableConcept {[]} {[]}
","SpecificSubstance","More specific indication of the substance that caused the reaction. This can be a specific substance from a group of substances to which the patient is allergic or hypersensitive.","Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible.  The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, ""penicillins""), the 'reaction.substance' element could be used to code the specific substance that was identifed as having caused the reaction (for example, ""amoxycillin""). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.","","","","","","","","",,"example","Codes defining the type of the substance (including pharmaceutical products).","http://hl7.org/fhir/ValueSet/substance-code","",,,,"AllergyIntolerance.reaction.substance",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.id","AllergyIntolerance.reaction.substance.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.extension","AllergyIntolerance.reaction.substance.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding","AllergyIntolerance.reaction.substance.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:system}
","",,"open","CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist","AllergyIntolerance.reaction.substance.coding","specificSubstanceAllergicAgentCodelist","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","SNOMED refset ^42931000146101 has been deprecated in favor of refset ^98061000146100. For compatibility reasons, this original refset has been re-activated, but its contents have been replaced with that of the new refset.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","SNOMED CT - SNOMED CT: ^42931000146101| Dutch non-drug allergen simple reference set (foundation metadata concept)","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.16--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist.id","AllergyIntolerance.reaction.substance.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist.extension","AllergyIntolerance.reaction.substance.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist.system","AllergyIntolerance.reaction.substance.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://snomed.info/sct""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist.version","AllergyIntolerance.reaction.substance.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist.code","AllergyIntolerance.reaction.substance.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist.display","AllergyIntolerance.reaction.substance.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceAllergicAgentCodelist.userSelected","AllergyIntolerance.reaction.substance.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist","AllergyIntolerance.reaction.substance.coding","specificSubstanceHPKCodelist","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","G-Standaard Handels Product Kode (HPK) - Alle waarden","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.18--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist.id","AllergyIntolerance.reaction.substance.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist.extension","AllergyIntolerance.reaction.substance.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist.system","AllergyIntolerance.reaction.substance.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.7""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist.version","AllergyIntolerance.reaction.substance.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist.code","AllergyIntolerance.reaction.substance.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist.display","AllergyIntolerance.reaction.substance.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceHPKCodelist.userSelected","AllergyIntolerance.reaction.substance.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist","AllergyIntolerance.reaction.substance.coding","specificSubstanceSNKCodelist","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","G-standaard Stofnaamcode (SNK) - Alle waarden","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.10--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist.id","AllergyIntolerance.reaction.substance.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist.extension","AllergyIntolerance.reaction.substance.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist.system","AllergyIntolerance.reaction.substance.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.1.750""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist.version","AllergyIntolerance.reaction.substance.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist.code","AllergyIntolerance.reaction.substance.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist.display","AllergyIntolerance.reaction.substance.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSNKCodelist.userSelected","AllergyIntolerance.reaction.substance.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist","AllergyIntolerance.reaction.substance.coding","specificSubstanceSSKCodelist","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","SpecifiekeStofSSKCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.9--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist.id","AllergyIntolerance.reaction.substance.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist.extension","AllergyIntolerance.reaction.substance.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist.system","AllergyIntolerance.reaction.substance.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.1.725""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist.version","AllergyIntolerance.reaction.substance.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist.code","AllergyIntolerance.reaction.substance.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist.display","AllergyIntolerance.reaction.substance.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceSSKCodelist.userSelected","AllergyIntolerance.reaction.substance.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist","AllergyIntolerance.reaction.substance.coding","specificSubstanceThesaurus122Codelist","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","G-standaard Ongewenste medicatiegroepen - Alle waarden","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.11--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist.id","AllergyIntolerance.reaction.substance.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist.extension","AllergyIntolerance.reaction.substance.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist.system","AllergyIntolerance.reaction.substance.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.1.902.122""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist.version","AllergyIntolerance.reaction.substance.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist.code","AllergyIntolerance.reaction.substance.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist.display","AllergyIntolerance.reaction.substance.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.coding:specificSubstanceThesaurus122Codelist.userSelected","AllergyIntolerance.reaction.substance.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.substance.text","AllergyIntolerance.reaction.substance.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.manifestation","AllergyIntolerance.reaction.manifestation","","Symptoms
SignsSymptoom","",1,*,"Y","","","CodeableConcept {[]} {[]}
","Symptom","The content specifications of the reaction that takes place when the patient is exposed to the causative substance.","Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines.  Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.","","","","","","","","",,"required","Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.5--20171231000000","",,,,"AllergyIntolerance.reaction.manifestation",1,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.manifestation.id","AllergyIntolerance.reaction.manifestation.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.manifestation.extension","AllergyIntolerance.reaction.manifestation.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.manifestation.coding","AllergyIntolerance.reaction.manifestation.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.manifestation.text","AllergyIntolerance.reaction.manifestation.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.description","AllergyIntolerance.reaction.description","","Narrative
TextReactieBeschrijving","",0,1,"","","","string {[]} {[]}
","ReactionDescription","Text description about the reaction as a whole, including details of the manifestation if required.","Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.","","","","","","","","",,,,,"",,,,"AllergyIntolerance.reaction.description",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.onset","AllergyIntolerance.reaction.onset","","ReactieTijdstip
","",0,1,"","","","dateTime {[]} {[]}
","ReactionTime","Date and time at which the reaction took place. This may also be just the date or a partial date, in the event that the exact date is unknown.","","","","","","","","","",,,,,"",,,,"AllergyIntolerance.reaction.onset",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.severity","AllergyIntolerance.reaction.severity","","Ernst
","",0,1,"Y","","","code {[]} {[]}
","Severity","The severity of the reaction as a result of exposure to the causative substance.","It is acknowledged that this assessment is very subjective. There may be some some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.","","","","","","","","",,"required","Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.","http://hl7.org/fhir/ValueSet/reaction-event-severity","",,,,"AllergyIntolerance.reaction.severity",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.severity.id","AllergyIntolerance.reaction.severity.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.severity.extension","AllergyIntolerance.reaction.severity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.severity.extension:SeverityCodelist","AllergyIntolerance.reaction.severity.extension","SeverityCodelist","extensions
user contentBevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]} {[]}
","Provides the specific HCIM code for a FHIR element that has a required binding to a FHIR ValueSet","Defines a more specific coded value for a code or string. Especially useful for FHIR's required ValueSets. These extensions are primarily used on codes bound to a required value set, where you would like to use a more specific code than the codes in the bounded value set.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"AllergyIntolerance","AllergyIntolerance.reaction.severity.extension:SeverityCodelist.id","AllergyIntolerance.reaction.severity.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.severity.extension:SeverityCodelist.extension","AllergyIntolerance.reaction.severity.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.severity.extension:SeverityCodelist.url","AllergyIntolerance.reaction.severity.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/code-specification""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.severity.extension:SeverityCodelist.value[x]:valueCodeableConcept","AllergyIntolerance.reaction.severity.extension.value[x]","valueCodeableConcept","","",1,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","ErnstCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.6--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.severity.value","AllergyIntolerance.reaction.severity.value","","","",0,1,"","","","code {[]} {[]}
","Primitive value for code","Primitive value for code","","","","","","","","","",,,,,"",,,,"string.value",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.exposureRoute","AllergyIntolerance.reaction.exposureRoute","","WijzeVanBlootstelling
","",0,1,"","","","CodeableConcept {[]} {[]}
","MannerOfExposure","Way in which the patient came into contact with the causative agent or the way in which the agent was administered.","Coding of the route of exposure with a terminology should be used wherever possible.","","","","","","","","",,"extensible","A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.2.12--20171231000000","",,,,"AllergyIntolerance.reaction.exposureRoute",0,1,"",""
"AllergyIntolerance","AllergyIntolerance.reaction.note","AllergyIntolerance.reaction.note","","","",0,*,"","","","Annotation {[]} {[]}
","Text about event not captured in other fields","Additional text about the adverse reaction event not captured in other fields.","Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.","","","","","","","","",,,,,"",,,,"AllergyIntolerance.reaction.note",0,*,"",""
"Appointment","Appointment","Appointment","","","",0,*,"","","","null {[]} {[]}
","A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)","A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s).","","","","","","","","","",,,,,"",,,,"Appointment",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}app-3:Only proposed or cancelled appointments can be missing start/end dates {(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled'))}app-2:Either start and end are specified, or neither {start.empty() xor end.exists()}"
"Appointment","Appointment.id","Appointment.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Appointment","Appointment.meta","Appointment.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Appointment","Appointment.implicitRules","Appointment.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Appointment","Appointment.language","Appointment.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages|3.0.2","",,,,"Resource.language",0,1,"",""
"Appointment","Appointment.text","Appointment.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Appointment","Appointment.contained","Appointment.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Appointment","Appointment.extension","Appointment.extension","","","",0,*,"","","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"",""
"Appointment","Appointment.extension:PatientInstructions","Appointment.extension","PatientInstructions","ContactPatiëntInstructie
","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/eAfspraak-Appointment-PatientInstructions]]} {[]}
","ContactPatientInstructions","Remarks associated with the appointment that are not part of the appointment and as such are not influenced by third party edits of the appointment.","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Appointment","Appointment.extension:OnlineEditable","Appointment.extension","OnlineEditable","","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/eAfspraak-Appointment-OnlineEditable]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Appointment","Appointment.extension:OnlineEditable.id","Appointment.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.extension:OnlineEditable.extension","Appointment.extension.extension","","","",0,*,"","","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:Indicator","Appointment.extension.extension","Indicator","OnlineWijzigbaarIndicator
","",0,1,"","","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:Indicator.id","Appointment.extension.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:Indicator.extension","Appointment.extension.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:Indicator.url","Appointment.extension.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""Indicator""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:Indicator.value[x]","Appointment.extension.extension.value[x]","","","",0,1,"","","","boolean {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"","type:$this}
","",,"closed","Extension.value[x]",0,1,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:Indicator.value[x]:valueBoolean","Appointment.extension.extension.value[x]","valueBoolean","","",0,1,"","","","boolean {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:OnlineEditableUntil","Appointment.extension.extension","OnlineEditableUntil","OnlineWijzigbaarTot
","",0,1,"","","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:OnlineEditableUntil.id","Appointment.extension.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:OnlineEditableUntil.extension","Appointment.extension.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:OnlineEditableUntil.url","Appointment.extension.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""OnlineEditableUntil""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:OnlineEditableUntil.value[x]","Appointment.extension.extension.value[x]","","","",0,1,"","","","dateTime {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"","type:$this}
","",,"closed","Extension.value[x]",0,1,"",""
"Appointment","Appointment.extension:OnlineEditable.extension:OnlineEditableUntil.value[x]:valueDateTime","Appointment.extension.extension.value[x]","valueDateTime","","",0,1,"","","","dateTime {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Appointment","Appointment.extension:OnlineEditable.url","Appointment.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/eAfspraak-Appointment-OnlineEditable""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Appointment","Appointment.extension:OnlineEditable.value[x]","Appointment.extension.value[x]","","","",0,0,"","","","base64Binary {[]} {[]}
boolean {[]} {[]}code {[]} {[]}date {[]} {[]}dateTime {[]} {[]}decimal {[]} {[]}id {[]} {[]}instant {[]} {[]}integer {[]} {[]}markdown {[]} {[]}oid {[]} {[]}positiveInt {[]} {[]}string {[]} {[]}time {[]} {[]}unsignedInt {[]} {[]}uri {[]} {[]}Address {[]} {[]}Age {[]} {[]}Annotation {[]} {[]}Attachment {[]} {[]}CodeableConcept {[]} {[]}Coding {[]} {[]}ContactPoint {[]} {[]}Count {[]} {[]}Distance {[]} {[]}Duration {[]} {[]}HumanName {[]} {[]}Identifier {[]} {[]}Money {[]} {[]}Period {[]} {[]}Quantity {[]} {[]}Range {[]} {[]}Ratio {[]} {[]}Reference {[]} {[]}SampledData {[]} {[]}Signature {[]} {[]}Timing {[]} {[]}Meta {[]} {[]}","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Appointment","Appointment.modifierExtension","Appointment.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Appointment","Appointment.identifier","Appointment.identifier","","Identificatienummer
","",1,*,"","","Y","Identifier {[]} {[]}
","IdentificationNumber","Globally unique number that identifies the instantiation of the information model. The number is composed of an identification of the issuer organization and a unique number assigned by this organization","","","","","","","","","",,,,,"",,,,"Appointment.identifier",0,*,"",""
"Appointment","Appointment.status","Appointment.status","","ContactStatus
","",1,1,"","Y","Y","code {[]} {[]}
","ContactStatus","The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.","If the Appointment's status is ""cancelled"" then all participants are expected to have their calendars released for the appointment period, and as such any Slots that were marked as BUSY can be re-set to FREE.

This element is labeled as a modifier because the status contains the code entered-in-error that mark the Appointment as not currently valid.","","","","","","","","",,"required","The free/busy status of an appointment.","http://hl7.org/fhir/ValueSet/appointmentstatus|3.0.2","",,,,"Appointment.status",1,1,"",""
"Appointment","Appointment.status.id","Appointment.status.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.status.extension","Appointment.status.extension","","","",0,*,"","","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"Appointment","Appointment.status.extension:OrderStatus","Appointment.status.extension","OrderStatus","Bevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.
","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]} {[]}
","OrderStatus","Defines a more specific coded value for a code or string. Especially useful for FHIR's required ValueSets. These extensions are primarily used on codes bound to a required value set, where you would like to use a more specific code than the codes in the bounded value set.","","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Appointment","Appointment.status.extension:OrderStatus.id","Appointment.status.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.status.extension:OrderStatus.extension","Appointment.status.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Appointment","Appointment.status.extension:OrderStatus.url","Appointment.status.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/code-specification""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Appointment","Appointment.status.extension:OrderStatus.value[x]","Appointment.status.extension.value[x]","","","",1,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"","type:$this}
","",,"closed","Extension.value[x]",0,1,"",""
"Appointment","Appointment.status.extension:OrderStatus.value[x]:valueCodeableConcept","Appointment.status.extension.value[x]","valueCodeableConcept","","",1,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","The status of the order.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"Appointment","Appointment.status.value","Appointment.status.value","","","",0,1,"","","","code {[]} {[]}
","Primitive value for code","Primitive value for code","","","","","","","","","",,,,,"",,,,"string.value",0,1,"",""
"Appointment","Appointment.serviceCategory","Appointment.serviceCategory","","ContactCategorie
","",0,1,"","","Y","CodeableConcept {[]} {[]}
","ContactCategory","A broad categorisation of the service that is to be performed during this appointment","","","","","","","","","",,"example","","http://hl7.org/fhir/ValueSet/service-category|3.0.2","",,,,"Appointment.serviceCategory",0,1,"",""
"Appointment","Appointment.serviceType","Appointment.serviceType","","ContactVerrichtingType
","",0,*,"","","Y","CodeableConcept {[]} {[]}
","ContactProcedureType","Type of procedure or service that is performed or is scheduled to be performed during the contract","","","","","","","","","",,"example","","http://hl7.org/fhir/ValueSet/service-type|3.0.2","",,,,"Appointment.serviceType",0,*,"",""
"Appointment","Appointment.specialty","Appointment.specialty","","Specialisme
","",0,*,"","","Y","CodeableConcept {[]} {[]}
","The specialty of a practitioner that would be required to perform the service requested in this appointment","The specialty of a practitioner that would be required to perform the service requested in this appointment.","","","","","","","","","",,"preferred","","http://hl7.org/fhir/ValueSet/c80-practice-codes|20091109","","value:coding.system}
","",,"open","Appointment.specialty",0,*,"",""
"Appointment","Appointment.specialty:specialtyAGB","Appointment.specialty","specialtyAGB","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","The specialty of a practitioner that would be required to perform the service requested in this appointment","The specialty of a practitioner that would be required to perform the service requested in this appointment.","","","","","","","","","",,"required","Specific specialty associated with the agency","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.7--20171231000000","",,,,"Appointment.specialty",0,*,"",""
"Appointment","Appointment.specialty:specialtyAGB.id","Appointment.specialty.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.specialty:specialtyAGB.extension","Appointment.specialty.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Appointment","Appointment.specialty:specialtyAGB.coding","Appointment.specialty.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Appointment","Appointment.specialty:specialtyAGB.coding.id","Appointment.specialty.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.specialty:specialtyAGB.coding.extension","Appointment.specialty.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Appointment","Appointment.specialty:specialtyAGB.coding.system","Appointment.specialty.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.6.7""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Appointment","Appointment.specialty:specialtyAGB.coding.version","Appointment.specialty.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Appointment","Appointment.specialty:specialtyAGB.coding.code","Appointment.specialty.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Appointment","Appointment.specialty:specialtyAGB.coding.display","Appointment.specialty.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Appointment","Appointment.specialty:specialtyAGB.coding.userSelected","Appointment.specialty.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Appointment","Appointment.specialty:specialtyAGB.text","Appointment.specialty.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Appointment","Appointment.specialty:specialtyUZI","Appointment.specialty","specialtyUZI","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","The specialty of a practitioner that would be required to perform the service requested in this appointment","The specialty of a practitioner that would be required to perform the service requested in this appointment.","","","","","","","","","",,"required","Specific specialty associated with the agency","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.6--20171231000000","",,,,"Appointment.specialty",0,*,"",""
"Appointment","Appointment.specialty:specialtyUZI.id","Appointment.specialty.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.specialty:specialtyUZI.extension","Appointment.specialty.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Appointment","Appointment.specialty:specialtyUZI.coding","Appointment.specialty.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Appointment","Appointment.specialty:specialtyUZI.coding.id","Appointment.specialty.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.specialty:specialtyUZI.coding.extension","Appointment.specialty.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Appointment","Appointment.specialty:specialtyUZI.coding.system","Appointment.specialty.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://fhir.nl/fhir/NamingSystem/uzi-rolcode""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Appointment","Appointment.specialty:specialtyUZI.coding.version","Appointment.specialty.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Appointment","Appointment.specialty:specialtyUZI.coding.code","Appointment.specialty.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Appointment","Appointment.specialty:specialtyUZI.coding.display","Appointment.specialty.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Appointment","Appointment.specialty:specialtyUZI.coding.userSelected","Appointment.specialty.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Appointment","Appointment.specialty:specialtyUZI.text","Appointment.specialty.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Appointment","Appointment.appointmentType","Appointment.appointmentType","","ContactType
","",0,1,"","","Y","CodeableConcept {[]} {[]}
","ContactType","The type of contact.","The ContactTypeCodelijst is the ValueSet used within an eAfspraak context. A `.coding` from NHG Table 14 SHOULD only be used when a semantically compatible `.coding` from ContactTypeCodelijst is present as well, to further specify the type of contact.","","","","","","","","",,"extensible","ContactType and NHGTable14v7-ContactType","http://nictiz.nl/fhir/ValueSet/ContactTypeCodelijst-en-NHGTable14v7-ContactType","",,,,"Appointment.appointmentType",0,1,"",""
"Appointment","Appointment.reason","Appointment.reason","","AfwijkendeUitslag
","",0,*,"","","Y","CodeableConcept {[]} {[]}
","DeviatingResult","A deviating result which serves as the reason for the contact.","The three child elements of ContactReason (Problem, Procedure and DeviatingResult) are mapped to the FHIR elements reason and indication. The container concept ContactReason is omitted in the mapping. Both FHIR elements convey the information on the reason the appointment as been scheduled to take place, either as a Reference or a CodeableConcept. This is clarified in FHIR R4 becasue the element indication is renamed to reasonReference.","","","","","","","","",,"preferred","The Reason for the appointment to take place.","http://hl7.org/fhir/ValueSet/encounter-reason|3.0.2","",,,,"Appointment.reason",0,*,"",""
"Appointment","Appointment.indication","Appointment.indication","","Verrichting
Probleem","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Condition], CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure]]}
","Procedure | Problem","Reason the appointment has been scheduled to take place, as specified using information from another resource. According to the dataset, this is either a Procedure or Problem.","The three child elements of ContactReason (Problem, Procedure and DeviatingResult) are mapped to the FHIR elements reason and indication. The container concept ContactReason is omitted in the mapping. Both FHIR elements convey the information on the reason the appointment as been scheduled to take place, either as a Reference or a CodeableConcept. This is clarified in FHIR R4 becasue the element indication is renamed to reasonReference.","","","","","","","","",,,,,"",,,,"Appointment.indication",0,*,"",""
"Appointment","Appointment.priority","Appointment.priority","","","",0,1,"","","","unsignedInt {[]} {[]}
","Used to make informed decisions if needing to re-prioritize","The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority).","Seeking implementer feedback on this property and how interoperable it is.

Using an extension to record a codeableconcept for named values may be tested at a future connectathon.","","","","","","","","",,,,,"",,,,"Appointment.priority",0,1,"",""
"Appointment","Appointment.description","Appointment.description","","ContactOnderwerp
","",0,1,"","","","string {[]} {[]}
","ContactSubject","The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field.","","","","","","","","","",,,,,"",,,,"Appointment.description",0,1,"",""
"Appointment","Appointment.supportingInformation","Appointment.supportingInformation","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","Additional information to support the appointment","Additional information to support the appointment provided when making the appointment.","","","","","","","","","",,,,,"",,,,"Appointment.supportingInformation",0,*,"",""
"Appointment","Appointment.start","Appointment.start","","BeginDatumTijd
","",0,1,"","","Y","instant {[]} {[]}
","StartDateTime","The date and time at which the contact took place.","","","","","","","","","",,,,,"",,,,"Appointment.start",0,1,"",""
"Appointment","Appointment.end","Appointment.end","","EindDatumTijd
","",0,1,"","","Y","instant {[]} {[]}
","EndDateTime","The date and time at which the contact ended. If the contact takes place over a period of time, this indicates the end of the period, in the case of an admission, for example.","","","","","","","","","",,,,,"",,,,"Appointment.end",0,1,"",""
"Appointment","Appointment.minutesDuration","Appointment.minutesDuration","","ContactDuur
","",0,1,"","","","positiveInt {[]} {[]}
","ContactDuration","Appointment duration. The duration of a clinical appointment usually equals the difference between EndDateTime and StartDateTime. This is usually not the case in the care, e.g. home health. In a care setting there is usually a time range, for example between 12 and 2PM, for performing certain services within a maximum timespan of e.g. 15 minutes. The difference between end and Start of the appointment may be longer than the actual appointment, for example because of an extended visit at the previous client and/or busy traffic.","","","","","","","","","",,,,,"",,,,"Appointment.minutesDuration",0,1,"",""
"Appointment","Appointment.slot","Appointment.slot","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Slot]]}
","The slots that this appointment is filling","The slots from the participants' schedules that will be filled by the appointment.","","","","","","","","","",,,,,"",,,,"Appointment.slot",0,*,"",""
"Appointment","Appointment.created","Appointment.created","","DatumTijd
","",0,1,"","","","dateTime {[]} {[]}
","DateTime","The date/time stamp that this appointment was initially created","This property is required for many use cases where the age of an appointment is considered in processing workflows for scheduling and billing of appointments.","","","","","","","","",,,,,"",,,,"Appointment.created",0,1,"",""
"Appointment","Appointment.comment","Appointment.comment","","ContactOmschrijving
","",0,1,"","","","string {[]} {[]}
","ContactDescription","Additional description about the appointment in free text.","Additional text to aid in facilitating the appointment. For instance, a comment might be, ""patient should proceed immediately to infusion room upon arrival""

Where this is a planned appointment and the start/end dates are not set then this field can be used to provide additional guidance on the details of the appointment request, including any restrictions on when to book it.","","","","","","","","",,,,,"",,,,"Appointment.comment",0,1,"",""
"Appointment","Appointment.incomingReferral","Appointment.incomingReferral","","Verwijzing
","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/ReferralRequest]]}
","The ReferralRequest provided as information to allocate to the Encounter","Referral that is the basis for requesting an appointment or planning one. A referral is required in some contexts to be eligible for a specific type of care. In a lot of cases this referral will be from the general practitioner.","","","","","","","","","",,,,,"",,,,"Appointment.incomingReferral",0,*,"",""
"Appointment","Appointment.participant","Appointment.participant","","ContactMet
","",1,*,"","","","BackboneElement {[]} {[]}
","ContactWith","Participants involved in appointment. These may include persons, locations and means (devices and services). The specialty and role of the healthcare provider can be entered in the HealthcareProvider building block as well.","","","","","","","","","",,,,,"",,,,"Appointment.participant",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
app-1:Either the type or actor on the participant SHALL be specified {type.exists() or actor.exists()}"
"Appointment","Appointment.participant.id","Appointment.participant.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.participant.extension","Appointment.participant.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Appointment","Appointment.participant.modifierExtension","Appointment.participant.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Appointment","Appointment.participant.type","Appointment.participant.type","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Role of participant in the appointment","Role of participant in the appointment.","The role of the participant can be used to declare what the actor will be doing in the scope of this appointment.

If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning.

This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.","","","","","","","","",,"extensible","Role of participant in encounter.","http://hl7.org/fhir/ValueSet/encounter-participant-type|3.0.2","",,,,"Appointment.participant.type",0,*,"",""
"Appointment","Appointment.participant.type.id","Appointment.participant.type.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.participant.type.extension","Appointment.participant.type.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Appointment","Appointment.participant.type.coding","Appointment.participant.type.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:$this}
","",,"open","CodeableConcept.coding",0,*,"",""
"Appointment","Appointment.participant.type.coding:healthProfessionalRole","Appointment.participant.type.coding","healthProfessionalRole","ZorgverlenerRol
","",0,*,"","","Y","Coding {[]} {[]}
","HealthProfessionalRole","The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Appointment","Appointment.participant.type.text","Appointment.participant.type.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Appointment","Appointment.participant.actor","Appointment.participant.actor","","Contactpersoon
PatientZorgverlenerLocatie","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/HealthcareService], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-location]]}
","Person, Location/HealthcareService or Device","A Person, Location/HealthcareService or Device that is participating in the appointment.","","","","","","","","","",,,,,"",,,,"Appointment.participant.actor",0,1,"",""
"Appointment","Appointment.participant.actor.id","Appointment.participant.actor.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Appointment","Appointment.participant.actor.extension","Appointment.participant.actor.extension","","","",0,*,"","","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Appointment","Appointment.participant.actor.extension:practitionerRole","Appointment.participant.actor.extension","practitionerRole","","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Appointment","Appointment.participant.actor.reference","Appointment.participant.actor.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"Appointment","Appointment.participant.actor.identifier","Appointment.participant.actor.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"Appointment","Appointment.participant.actor.display","Appointment.participant.actor.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"Appointment","Appointment.participant.required","Appointment.participant.required","","ContactMetVereist
","",0,1,"","","Y","code {[]} {[]}
","ContactWithRequired","Is this participant required to be present at the meeting. This covers a use-case where 2 doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.","","","","","","","","","",,"required","Is the Participant required to attend the appointment.","http://hl7.org/fhir/ValueSet/participantrequired|3.0.2","",,,,"Appointment.participant.required",0,1,"",""
"Appointment","Appointment.participant.status","Appointment.participant.status","","ContactMetStatus
","",1,1,"","","","code {[]} {[]}
","ContactWithStatus","Indicated presence of the ContactParty.","","","","","","","","","",,"required","The Participation status of an appointment.","http://hl7.org/fhir/ValueSet/participationstatus|3.0.2","",,,,"Appointment.participant.status",1,1,"",""
"Appointment","Appointment.requestedPeriod","Appointment.requestedPeriod","","","",0,*,"","","","Period {[]} {[]}
","Potential date/time interval(s) requested to allocate the appointment within","A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within. When using these values, the minutes duration should be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time.","This does not introduce a capacity for recurring appointments.","","","","","","","","",,,,,"",,,,"Appointment.requestedPeriod",0,*,"",""
"AuditEvent","AuditEvent","AuditEvent","","","",0,*,"","","","null {[]} {[]}
","Event record kept for security purposes","A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.","Based on ATNA (RFC 3881).","","","","","","","","",,,,,"",,,,"AuditEvent",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}"
"AuditEvent","AuditEvent.id","AuditEvent.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"AuditEvent","AuditEvent.meta","AuditEvent.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"AuditEvent","AuditEvent.implicitRules","AuditEvent.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"AuditEvent","AuditEvent.language","AuditEvent.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages|3.0.2","",,,,"Resource.language",0,1,"",""
"AuditEvent","AuditEvent.text","AuditEvent.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"AuditEvent","AuditEvent.contained","AuditEvent.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"AuditEvent","AuditEvent.extension","AuditEvent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"AuditEvent","AuditEvent.modifierExtension","AuditEvent.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"AuditEvent","AuditEvent.type","AuditEvent.type","","","",1,1,"Y","","Y","Coding {[]} {[]}
","Type/identifier of event","Identifier for a family of the event.  For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.","","This identifies the performed function. For ""Execute"" Event Action Code audit records, this identifies the application function performed.","","","","","","","",,"extensible","Type of event.","http://hl7.org/fhir/ValueSet/audit-event-type|20150326","",,,,"AuditEvent.type",1,1,"",""
"AuditEvent","AuditEvent.subtype","AuditEvent.subtype","","","",0,*,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|20100826","",,,,"AuditEvent.subtype",0,*,"",""
"AuditEvent","AuditEvent.action","AuditEvent.action","","","",0,1,"Y","","Y","code {[]} {[]}
","Type of action performed during the event","Indicator for type of action performed during the event that generated the audit.","","This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.","","","","","","","",,"required","Indicator for type of action performed during the event that generated the event","http://hl7.org/fhir/ValueSet/audit-event-action|3.0.2","",,,,"AuditEvent.action",0,1,"",""
"AuditEvent","AuditEvent.recorded","AuditEvent.recorded","","","",1,1,"Y","","Y","instant {[]} {[]}
","Time when the event occurred on source","The time when the event occurred on the source.","In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.","This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.","","","","","","","",,,,,"",,,,"AuditEvent.recorded",1,1,"",""
"AuditEvent","AuditEvent.outcome","AuditEvent.outcome","","","",0,1,"","","Y","code {[]} {[]}
","Whether the event succeeded or failed","Indicates whether the event succeeded or failed.","In some cases a ""success"" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.","","","","","","","","",,"required","Indicates whether the event succeeded or failed","http://hl7.org/fhir/ValueSet/audit-event-outcome|3.0.2","",,,,"AuditEvent.outcome",0,1,"",""
"AuditEvent","AuditEvent.outcomeDesc","AuditEvent.outcomeDesc","","","",0,1,"","","Y","string {[]} {[]}
","Description of the event outcome","A free text description of the outcome of the event.","","","","","","","","","",,,,,"",,,,"AuditEvent.outcomeDesc",0,1,"",""
"AuditEvent","AuditEvent.purposeOfEvent","AuditEvent.purposeOfEvent","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","The purposeOfUse of the event","The purposeOfUse (reason) that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that it is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://hl7.org/fhir/ValueSet/v3-PurposeOfUse|2014-03-26","",,,,"AuditEvent.purposeOfEvent",0,*,"",""
"AuditEvent","AuditEvent.agent","AuditEvent.agent","","ActiveParticipant
","",1,*,"Y","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"AuditEvent","AuditEvent.agent.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AuditEvent","AuditEvent.agent.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AuditEvent","AuditEvent.agent.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AuditEvent","AuditEvent.agent.role","AuditEvent.agent.role","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"extensible","What security role enabled the agent to participate in the event","http://hl7.org/fhir/ValueSet/security-role-type|1.8.0","",,,,"AuditEvent.agent.role",0,*,"",""
"AuditEvent","AuditEvent.agent.reference","AuditEvent.agent.reference","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]}
","Direct reference to resource","Direct reference to a resource that identifies the agent.","","This field ties an audit event to a specific resource.","","","","","","","",,,,,"",,,,"AuditEvent.agent.reference",0,1,"",""
"AuditEvent","AuditEvent.agent.userId","AuditEvent.agent.userId","","","",0,1,"Y","","Y","Identifier {[]} {[]}
","Unique identifier for the user","Unique identifier for the user actively participating in the event.","A unique value within the Audit Source ID. For node-based authentication -- where only the system hardware or process, but not a human user, is identified -- User ID would be the node name.","This field ties an audit event to a specific user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.userId",0,1,"",""
"AuditEvent","AuditEvent.agent.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User id e.g. authentication","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"",""
"AuditEvent","AuditEvent.agent.name","AuditEvent.agent.name","","","",0,1,"Y","","","string {[]} {[]}
","Human-meaningful name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"",""
"AuditEvent","AuditEvent.agent.requestor","AuditEvent.agent.requestor","","","",1,1,"","","","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"",""
"AuditEvent","AuditEvent.agent.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"",""
"AuditEvent","AuditEvent.agent.policy","AuditEvent.agent.policy","","","",0,*,"Y","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""https://rivo-noord.nl/zorgviewer/toestemming""/>","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"",""
"AuditEvent","AuditEvent.agent.media","AuditEvent.agent.media","","","",0,1,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|20100826","",,,,"AuditEvent.agent.media",0,1,"",""
"AuditEvent","AuditEvent.agent.network","AuditEvent.agent.network","","","",0,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"AuditEvent","AuditEvent.agent.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AuditEvent","AuditEvent.agent.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AuditEvent","AuditEvent.agent.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AuditEvent","AuditEvent.agent.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"",""
"AuditEvent","AuditEvent.agent.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event","http://hl7.org/fhir/ValueSet/network-type|3.0.2","",,,,"AuditEvent.agent.network.type",0,1,"",""
"AuditEvent","AuditEvent.agent.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://hl7.org/fhir/ValueSet/v3-PurposeOfUse|2014-03-26","",,,,"AuditEvent.agent.purposeOfUse",0,*,"",""
"AuditEvent","AuditEvent.source","AuditEvent.source","","","",1,1,"","","","BackboneElement {[]} {[]}
","Audit Event Reporter","The system that is reporting the event.","Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.","The event is reported by one source.","","","","","","","",,,,,"",,,,"AuditEvent.source",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"AuditEvent","AuditEvent.source.id","AuditEvent.source.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AuditEvent","AuditEvent.source.extension","AuditEvent.source.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AuditEvent","AuditEvent.source.modifierExtension","AuditEvent.source.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AuditEvent","AuditEvent.source.site","AuditEvent.source.site","","","",0,1,"","","","string {[]} {[]}
","Logical source location within the enterprise","Logical source location within the healthcare enterprise network.  For example, a hospital or other provider location within a multi-entity provider group.","","This value differentiates among the sites in a multi-site enterprise health information system.","","","","","","","",,,,,"",,,,"AuditEvent.source.site",0,1,"",""
"AuditEvent","AuditEvent.source.identifier","AuditEvent.source.identifier","","","",1,1,"Y","","Y","Identifier {[]} {[]}
","The identity of source detecting the event","Identifier of the source where the event was detected.","","This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.","","","","","","","",,,,,"",,,,"AuditEvent.source.identifier",1,1,"",""
"AuditEvent","AuditEvent.source.type","AuditEvent.source.type","","","",0,*,"","","","Coding {[]} {[]}
","The type of source where event originated","Code specifying the type of source where event originated.","","This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.","","","","","","","",,"extensible","Code specifying the type of system that detected and recorded the event.","http://hl7.org/fhir/ValueSet/audit-source-type|20100826","",,,,"AuditEvent.source.type",0,*,"",""
"AuditEvent","AuditEvent.entity","AuditEvent.entity","","ParticipantObject
","",0,*,"Y","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"AuditEvent","AuditEvent.entity.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AuditEvent","AuditEvent.entity.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AuditEvent","AuditEvent.entity.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AuditEvent","AuditEvent.entity.identifier","AuditEvent.entity.identifier","","","",0,1,"Y","","Y","Identifier {[]} {[]}
","Specific instance of object","Identifies a specific instance of the entity. The reference should always be version specific.","Identifier detail depends on entity type.","","","","","","","","",,,,,"",,,,"AuditEvent.entity.identifier",0,1,"",""
"AuditEvent","AuditEvent.entity.reference","AuditEvent.entity.reference","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.reference",0,1,"",""
"AuditEvent","AuditEvent.entity.type","AuditEvent.entity.type","","","",0,1,"Y","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","","","","",,"extensible","Code for the entity type involved in the audit event","http://hl7.org/fhir/ValueSet/audit-entity-type|3.0.2","",,,,"AuditEvent.entity.type",0,1,"",""
"AuditEvent","AuditEvent.entity.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event","http://hl7.org/fhir/ValueSet/object-role|3.0.2","",,,,"AuditEvent.entity.role",0,1,"",""
"AuditEvent","AuditEvent.entity.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity","http://hl7.org/fhir/ValueSet/object-lifecycle-events|1.1.0","",,,,"AuditEvent.entity.lifecycle",0,1,"",""
"AuditEvent","AuditEvent.entity.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|3.0.2","",,,,"AuditEvent.entity.securityLabel",0,*,"",""
"AuditEvent","AuditEvent.entity.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
",""
"AuditEvent","AuditEvent.entity.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"",""
"AuditEvent","AuditEvent.entity.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
",""
"AuditEvent","AuditEvent.entity.detail","AuditEvent.entity.detail","","","",0,*,"Y","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
zv-ae-1:At least 1 detail with name 'X-Request-Id' containing the associated HTTP Header value must exist. {type='X-Request-Id'}"
"AuditEvent","AuditEvent.entity.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"AuditEvent","AuditEvent.entity.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"AuditEvent","AuditEvent.entity.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"AuditEvent","AuditEvent.entity.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"",""
"AuditEvent","AuditEvent.entity.detail.value","AuditEvent.entity.detail.value","","","",1,1,"","","","base64Binary {[]} {[]}
","Property value","The details, base64 encoded. Used to carry bulk information.","The value is base64 encoded to enable various encodings or binary content.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value",1,1,"",""
"Condition","Condition","Condition","","Concern
Probleem","",0,*,"","","","null {[]} {[]}
","Problem","A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint) or by their healthcare provider (in the form of a diagnosis, for example).","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}con-4:If condition is abated, then clinicalStatus must be either inactive, resolved, or remission {abatement.empty() or (abatement as boolean).not()  or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'}con-3:Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error {verificationStatus='entered-in-error' or clinicalStatus.exists()}zv-con-1:At least one of Condition.onsetDateTime or Condition.onsetPeriod SHALL be present {onsetDateTime.exists() or onsetPeriod.exists()}"
"Condition","Condition.id","Condition.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Condition","Condition.meta","Condition.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Condition","Condition.implicitRules","Condition.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Condition","Condition.language","Condition.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"Condition","Condition.text","Condition.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Condition","Condition.contained","Condition.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Condition","Condition.extension","Condition.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"Condition","Condition.modifierExtension","Condition.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Condition","Condition.identifier","Condition.identifier","","","",0,*,"","","Y","Identifier {[]} {[]}
","External Ids for this condition","This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).","","Need to allow connection to a wider workflow.","","","","","","","",,,,,"",,,,"Condition.identifier",0,*,"",""
"Condition","Condition.clinicalStatus","Condition.clinicalStatus","","ProbleemStatus
","",1,1,"Y","Y","Y","code {[]} {[]}
","ProblemStatus","The problem status describes the condition of the problem: 

* Active problems are problems of which the patient experiences symptoms or for which evidence exists.
* Problems with the status 'Inactive' refer to problems that don't affect the patient anymore or that of which there is no evidence of existence anymore..","This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern.","","","","","","","","",,"required","The clinical status of the condition or diagnosis.","http://hl7.org/fhir/ValueSet/condition-clinical","",,,,"Condition.clinicalStatus",0,1,"con-3
con-4",""
"Condition","Condition.clinicalStatus.id","Condition.clinicalStatus.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Condition","Condition.clinicalStatus.extension","Condition.clinicalStatus.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"Condition","Condition.clinicalStatus.extension:ProblemStatusCodelist","Condition.clinicalStatus.extension","ProblemStatusCodelist","extensions
user contentBevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.Probleemstatus","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]} {[]}
","clinicalstatus","Describes the condition of the problem, use this extension to include the original HCIM code","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Condition","Condition.clinicalStatus.extension:ProblemStatusCodelist.id","Condition.clinicalStatus.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Condition","Condition.clinicalStatus.extension:ProblemStatusCodelist.extension","Condition.clinicalStatus.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Condition","Condition.clinicalStatus.extension:ProblemStatusCodelist.url","Condition.clinicalStatus.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/code-specification""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Condition","Condition.clinicalStatus.extension:ProblemStatusCodelist.value[x]","Condition.clinicalStatus.extension.value[x]","","","",1,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","ProbleemStatusCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"Condition","Condition.clinicalStatus.value","Condition.clinicalStatus.value","","","",0,1,"","","","code {[]} {[]}
","Primitive value for code","Primitive value for code","","","","","","","","","",,,,,"",,,,"string.value",0,1,"",""
"Condition","Condition.verificationStatus","Condition.verificationStatus","","VerificatieStatus
","",0,1,"","Y","Y","code {[]} {[]}
","VerificationStatus","Clinical status of the problem or the diagnosis.","verificationStatus is not required.  For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.

This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.","","<valueCode xmlns=""http://hl7.org/fhir"" value=""unknown""/>","","","","","","",,"required","The verification status to support or decline the clinical status of the condition or diagnosis.","http://hl7.org/fhir/ValueSet/condition-ver-status","",,,,"Condition.verificationStatus",0,1,"con-3
",""
"Condition","Condition.verificationStatus.id","Condition.verificationStatus.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Condition","Condition.verificationStatus.extension","Condition.verificationStatus.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"Condition","Condition.verificationStatus.extension:VerificatieStatusCodelijst","Condition.verificationStatus.extension","VerificatieStatusCodelijst","extensions
user contentBevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.VerificatieStatusCodelijst","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]} {[]}
","Verificationstatus","Describes the verification status of the problem, use this extension to include the original HCIM code","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Condition","Condition.verificationStatus.extension:VerificatieStatusCodelijst.id","Condition.verificationStatus.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Condition","Condition.verificationStatus.extension:VerificatieStatusCodelijst.extension","Condition.verificationStatus.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Condition","Condition.verificationStatus.extension:VerificatieStatusCodelijst.url","Condition.verificationStatus.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/code-specification""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Condition","Condition.verificationStatus.extension:VerificatieStatusCodelijst.value[x]","Condition.verificationStatus.extension.value[x]","","","",1,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","VerificatieStatusCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"Condition","Condition.verificationStatus.value","Condition.verificationStatus.value","","","",0,1,"","","","code {[]} {[]}
","Primitive value for code","Primitive value for code","","","","","","","","","",,,,,"",,,,"string.value",0,1,"",""
"Condition","Condition.category","Condition.category","","ProbleemType
","",0,*,"","","","CodeableConcept {[]} {[]}
","ProblemType","The type of problem; see the profile description.","The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.","","","","","","","","",,"extensible","The type of problem.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20171231000000","",,,,"Condition.category",0,*,"",""
"Condition","Condition.severity","Condition.severity","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Subjective severity of condition","A subjective assessment of the severity of the condition as evaluated by the clinician.","Coding of the severity with a terminology is preferred, where possible.","","","","","","","","",,"preferred","A subjective assessment of the severity of the condition as evaluated by the clinician.","http://hl7.org/fhir/ValueSet/condition-severity","",,,,"Condition.severity",0,1,"",""
"Condition","Condition.code","Condition.code","","type
ProbleemNaam","",1,1,"Y","","Y","CodeableConcept {[]} {[]}
","ProblemName","The problem name defines the problem. Depending on the setting, different code systems can be used. The ProblemNameCodelist provides an overview of the possible code systems.","","0..1 to account for primarily narrative only resources.","","","","","","","",,"extensible","","http://fhir.hl7.nl/zorgviewer/ValueSet/ProbleemNaamCodelist","",,,,"Condition.code",0,1,"",""
"Condition","Condition.code.id","Condition.code.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Condition","Condition.code.extension","Condition.code.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Condition","Condition.code.coding","Condition.code.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Condition","Condition.code.text","Condition.code.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Condition","Condition.bodySite","Condition.bodySite","","ProbleemAnatomischeLocatie
","",0,*,"","","Y","CodeableConcept {[]} {[]}
","ProblemAnatomicalLocation","Anatomical location which is the focus of the procedure.","Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html).  May be a summary code, or a reference to a very precise definition of the location, or both.","","","","","","","","",,"extensible","ProbleemAnatomischeLocatieCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.5--20171231000000","",,,,"Condition.bodySite",0,*,"",""
"Condition","Condition.bodySite.id","Condition.bodySite.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Condition","Condition.bodySite.extension","Condition.bodySite.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Condition","Condition.bodySite.extension:Laterality","Condition.bodySite.extension","Laterality","extensions
user contentProbleemLateraliteit","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier]]} {[]}
","ProblemLaterality","Laterality adds information about body side to the anatomic location, e.g. left","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Condition","Condition.bodySite.extension:Laterality.id","Condition.bodySite.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Condition","Condition.bodySite.extension:Laterality.extension","Condition.bodySite.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Condition","Condition.bodySite.extension:Laterality.url","Condition.bodySite.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Condition","Condition.bodySite.extension:Laterality.value[x]","Condition.bodySite.extension.value[x]","","","",0,1,"","","","CodeableConcept {[]} {[]}
","BodySite qualifier","Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.","","","","","","","","","",,"extensible","ProblemLateralityCodelist","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.6--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"Condition","Condition.bodySite.coding","Condition.bodySite.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Condition","Condition.bodySite.text","Condition.bodySite.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Condition","Condition.subject","Condition.subject","","patient
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient]]}
","Who has the condition?","Indicates the patient or group who the condition record is associated with.","","Group is typically used for veterinary or public health use cases.","","","","","","","",,,,,"",,,,"Condition.subject",1,1,"",""
"Condition","Condition.context","Condition.context","","encounter
","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Encounter], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare]]}
","Encounter or episode when condition first asserted","Encounter during which the condition was first asserted.","This record indicates the encounter this particular record is associated with.  In the case of a ""new"" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first ""known"".","","","","","","","","",,,,,"",,,,"Condition.context",0,1,"",""
"Condition","Condition.onsetDateTime:onsetDateTime","Condition.onsetDateTime","onsetDateTime","ProbleemBeginDatum
","",0,1,"Y","","Y","dateTime {[]} {[]}
","ProblemStartDate","Start of the disorder to which the problem applies. Especially in symptoms in which it takes longer for the final diagnosis, it is important to know not only the date of the diagnosis, but also how long the patient has had the disorder. A ‘vague’ date, such as only the year or the month and the year, is permitted.","Age is generally used when the patient reports an age at which the Condition began to occur.","","","","","","","","",,,,,"",,,,"Condition.onset[x]",0,1,"",""
"Condition","Condition.abatementDateTime:abatementDateTime","Condition.abatementDateTime","abatementDateTime","ProbleemEindDatum
","",0,1,"","","","dateTime {[]} {[]}
","ProblemEndDate","Date on which the disorder to which the problem applies, is considered not to be present anymore. This date does not need to be the same as the date of the change in problem status. A ‘vague’ date, such as only the year or the month and the year, is permitted.","There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated.  If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid.  When abatementString exists, it implies the condition is abated.","","","","","","","","",,,,,"",,,,"Condition.abatement[x]",0,1,"con-4
",""
"Condition","Condition.assertedDate","Condition.assertedDate","","","",0,1,"","","Y","dateTime {[]} {[]}
","Date record was believed accurate","The date on which the existance of the Condition was first asserted or acknowledged.","The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified.  The date of the last record modification can be retrieved from the resource metadata.","","","","","","","","",,,,,"",,,,"Condition.assertedDate",0,1,"",""
"Condition","Condition.asserter","Condition.asserter","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner]]}
","Person who asserts this condition","Individual who is making the condition statement.","","","","","","","","","",,,,,"",,,,"Condition.asserter",0,1,"",""
"Condition","Condition.asserter.id","Condition.asserter.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Condition","Condition.asserter.extension","Condition.asserter.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Condition","Condition.asserter.extension:practitionerRole","Condition.asserter.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Condition","Condition.asserter.reference","Condition.asserter.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"Condition","Condition.asserter.identifier","Condition.asserter.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"Condition","Condition.asserter.display","Condition.asserter.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"Condition","Condition.stage","Condition.stage","","","",0,1,"","","","BackboneElement {[]} {[]}
","Stage/grade, usually assessed formally","Clinical stage or grade of a condition. May include formal severity assessments.","","","","","","","","","",,,,,"",,,,"Condition.stage",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
con-1:Stage SHALL have summary or assessment {summary.exists() or assessment.exists()}"
"Condition","Condition.stage.id","Condition.stage.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Condition","Condition.stage.extension","Condition.stage.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Condition","Condition.stage.modifierExtension","Condition.stage.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Condition","Condition.stage.summary","Condition.stage.summary","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Simple summary (disease specific)","A simple summary of the stage such as ""Stage 3"". The determination of the stage is disease-specific.","","","","","","","","","",,"example","Codes describing condition stages (e.g. Cancer stages).","http://hl7.org/fhir/ValueSet/condition-stage","",,,,"Condition.stage.summary",0,1,"con-1
",""
"Condition","Condition.stage.assessment","Condition.stage.assessment","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/ClinicalImpression], CanonicalType[http://hl7.org/fhir/StructureDefinition/DiagnosticReport], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation]]}
","Formal record of assessment","Reference to a formal record of the evidence on which the staging assessment is based.","","","","","","","","","",,,,,"",,,,"Condition.stage.assessment",0,*,"con-1
",""
"Condition","Condition.evidence","Condition.evidence","","","",0,*,"","","","BackboneElement {[]} {[]}
","Supporting evidence","Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.","The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.","","","","","","","","",,,,,"",,,,"Condition.evidence",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
con-2:evidence SHALL have code or details {code.exists() or detail.exists()}"
"Condition","Condition.evidence.id","Condition.evidence.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Condition","Condition.evidence.extension","Condition.evidence.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Condition","Condition.evidence.modifierExtension","Condition.evidence.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Condition","Condition.evidence.code","Condition.evidence.code","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Manifestation/symptom","A manifestation or symptom that led to the recording of this condition.","","","","","","","","","",,"example","Codes that describe the manifestation or symptoms of a condition.","http://hl7.org/fhir/ValueSet/manifestation-or-symptom","",,,,"Condition.evidence.code",0,*,"con-2
",""
"Condition","Condition.evidence.detail","Condition.evidence.detail","","","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","Supporting information found elsewhere","Links to other relevant information, including pathology reports.","","","","","","","","","",,,,,"",,,,"Condition.evidence.detail",0,*,"con-2
",""
"Condition","Condition.note","Condition.note","","Toelichting
","",0,*,"Y","","","Annotation {[]} {[]}
","Comment","Comment by the one who determined or updated the Problem.","","","","","","","","","",,,,,"",,,,"Condition.note",0,*,"",""
"DocumentReference","DocumentReference","DocumentReference","","","",0,*,"","","","null {[]} {[]}
","A reference to a document","A reference to a document.","Usually, this is used for documents other than those defined by FHIR.","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}zv-dr-1:Only documents with status 'current' (final documents) are expected. {status='current'}"
"DocumentReference","DocumentReference.id","DocumentReference.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"DocumentReference","DocumentReference.meta","DocumentReference.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"DocumentReference","DocumentReference.implicitRules","DocumentReference.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"DocumentReference","DocumentReference.language","DocumentReference.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"DocumentReference","DocumentReference.text","DocumentReference.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"DocumentReference","DocumentReference.contained","DocumentReference.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"DocumentReference","DocumentReference.extension","DocumentReference.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"DocumentReference","DocumentReference.modifierExtension","DocumentReference.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"DocumentReference","DocumentReference.masterIdentifier","DocumentReference.masterIdentifier","","","",1,1,"Y","","Y","Identifier {[]} {[]}
","Master Version Specific Identifier","Document identifier as assigned by the source of the document. This identifier is specific to this version of the document. This unique identifier may be used elsewhere to identify this version of the document.","See ITI TF-2x: Z.9.1.1 Identifier and CDA root plus extension.","The structure and format of this Id shall be consistent with the specification corresponding to the formatCode attribute. (e.g. for a DICOM standard document a 64-character numeric UID, for an HL7 CDA format a serialization of the CDA Document Id extension and root in the form ""oid^extension"", where OID is a 64 digits max, and the Id is a 16 UTF-8 char max. If the OID is coded without the extension then the '^' character shall not be included.).","","","","","","","",,,,,"",,,,"DocumentReference.masterIdentifier",0,1,"",""
"DocumentReference","DocumentReference.identifier","DocumentReference.identifier","","","",0,*,"Y","","Y","Identifier {[]} {[]}
","Other identifiers for the document","Other identifiers associated with the document, including version independent identifiers.","When the DocumentReference.identifier carries the entryUUID then the DocumentReference.identifier use shall be ‘official’.","","","","","","","","",,,,,"",,,,"DocumentReference.identifier",0,*,"",""
"DocumentReference","DocumentReference.status","DocumentReference.status","","","",1,1,"Y","Y","Y","code {[]} {[]}
","current | superseded | entered-in-error","The status of this document reference.","approved -> status=current
deprecated -> status=superseded","","","","","","","","",,"required","The status of the document reference.","http://hl7.org/fhir/ValueSet/document-reference-status","",,,,"DocumentReference.status",1,1,"",""
"DocumentReference","DocumentReference.docStatus","DocumentReference.docStatus","","","",0,0,"","","Y","code {[]} {[]}
","preliminary | final | appended | amended | entered-in-error","The status of the underlying document.","These HL7 FHIR STU3 elements are not used in XDS, therefore would not be present.","","","","","","","","",,"required","Status of the underlying document.","http://hl7.org/fhir/ValueSet/composition-status","",,,,"DocumentReference.docStatus",0,1,"",""
"DocumentReference","DocumentReference.type","DocumentReference.type","","","",1,1,"Y","","Y","CodeableConcept {[]} {[]}
","Kind of document (LOINC if possible)","Specifies the particular kind of document referenced  (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced.","Key metadata element describing the document, used in searching/filtering.","","","","","","","","",,"extensible","","http://fhir.hl7.nl/zorgviewer/ValueSet/DocumentLOINCCodelist","",,,,"DocumentReference.type",1,1,"",""
"DocumentReference","DocumentReference.class","DocumentReference.class","","kind
","",0,1,"Y","","Y","CodeableConcept {[]} {[]}
","Categorization of document","A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type.","This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).","Helps humans to assess whether the document is of interest when viewing a list of documents.","","","","","","","",,"extensible","","http://fhir.hl7.nl/zorgviewer/ValueSet/DocumentLOINCCodelist","",,,,"DocumentReference.class",0,1,"",""
"DocumentReference","DocumentReference.subject","DocumentReference.subject","","","",0,1,"Y","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient]]} (referenced
bundled)
","Who/what is the subject of the document","Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure).","Not a contained resource. URL Points to an existing Patient Resource representing the XDS Affinity Domain Patient.","","","","","","","","",,,,,"",,,,"DocumentReference.subject",0,1,"",""
"DocumentReference","DocumentReference.created","DocumentReference.created","","","",0,0,"","","Y","dateTime {[]} {[]}
","Document creation time","When the document was created.","Creation time is used for tracking, organizing versions and searching. This is the creation time of the document, not the source material on which it is based.","","","","","","","","",,,,,"",,,,"DocumentReference.created",0,1,"",""
"DocumentReference","DocumentReference.indexed","DocumentReference.indexed","","","",1,1,"Y","","Y","instant {[]} {[]}
","When this document reference was created","When the document reference was created.","Referencing/indexing time is used for tracking, organizing versions and searching.","","","","","","","","",,,,,"",,,,"DocumentReference.indexed",1,1,"",""
"DocumentReference","DocumentReference.author","DocumentReference.author","","","",0,*,"Y","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]} (contained
)
","Who and/or what authored the document","Identifies who is responsible for adding the information to the document.","Expect the references Practitioner to have his Organization","","","","","","","","",,,,,"",,,,"DocumentReference.author",0,*,"",""
"DocumentReference","DocumentReference.authenticator","DocumentReference.authenticator","","","",0,1,"","","Y","Reference {[]} {[]} (contained
)
","Who/what authenticated the document","Which person or organization authenticates that this document is valid.","Contained resource","","","","","","","","",,,,,"",,,,"DocumentReference.authenticator",0,1,"",""
"DocumentReference","DocumentReference.custodian","DocumentReference.custodian","","","",0,0,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization which maintains the document","Identifies the organization or group who is responsible for ongoing maintenance of and access to the document.","These HL7 FHIR STU3 elements are not used in XDS, therefore would not be present.","","","","","","","","",,,,,"",,,,"DocumentReference.custodian",0,1,"",""
"DocumentReference","DocumentReference.relatesTo","DocumentReference.relatesTo","","","",0,*,"Y","Y","Y","BackboneElement {[]} {[]}
","Relationships to other documents","Relationships that this document has with other document references that already exist.","See ITI TF-2c: 3.65.4.1.2.3","","","","","","","","",,,,,"",,,,"DocumentReference.relatesTo",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"DocumentReference","DocumentReference.relatesTo.id","DocumentReference.relatesTo.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"DocumentReference","DocumentReference.relatesTo.extension","DocumentReference.relatesTo.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"DocumentReference","DocumentReference.relatesTo.modifierExtension","DocumentReference.relatesTo.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"DocumentReference","DocumentReference.relatesTo.code","DocumentReference.relatesTo.code","","","",1,1,"","","Y","code {[]} {[]}
","replaces | transforms | signs | appends","The type of relationship that this document has with anther document.","If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.","","","","","","","","",,"required","The type of relationship between documents.","http://hl7.org/fhir/ValueSet/document-relationship-type","",,,,"DocumentReference.relatesTo.code",1,1,"",""
"DocumentReference","DocumentReference.relatesTo.target","DocumentReference.relatesTo.target","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference]]}
","Target of the relationship","The target document of this relationship.","","","","","","","","","",,,,,"",,,,"DocumentReference.relatesTo.target",1,1,"",""
"DocumentReference","DocumentReference.description","DocumentReference.description","","","",0,1,"Y","","Y","string {[]} {[]}
","Human-readable description (title)","Human-readable description of the source document. This is sometimes known as the ""title"".","What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a ""consultation"" or ""progress note"").","Helps humans to assess whether the document is of interest.","","","","","","","",,,,,"",,,,"DocumentReference.description",0,1,"",""
"DocumentReference","DocumentReference.securityLabel","DocumentReference.securityLabel","","","",0,*,"Y","","Y","CodeableConcept {[]} {[]}
","Document security-tags","A set of Security-Tag codes specifying the level of privacy/security of the Document. Note that DocumentReference.meta.security contains the security labels of the ""reference"" to the document, while DocumentReference.securityLabel contains a snapshot of the security labels on the document the reference refers to.","Note: This is NOT the DocumentReference.meta, as that holds the meta tags for the DocumentReference itself.","Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels","",,,,"DocumentReference.securityLabel",0,*,"",""
"DocumentReference","DocumentReference.content","DocumentReference.content","","","",1,1,"Y","","Y","BackboneElement {[]} {[]}
","Document referenced","The document and format referenced. There may be multiple content element repetitions, each with a different format.","","","","","","","","","",,,,,"",,,,"DocumentReference.content",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"DocumentReference","DocumentReference.content.id","DocumentReference.content.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"DocumentReference","DocumentReference.content.extension","DocumentReference.content.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"DocumentReference","DocumentReference.content.modifierExtension","DocumentReference.content.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"DocumentReference","DocumentReference.content.attachment","DocumentReference.content.attachment","","","",1,1,"Y","","Y","Attachment {[]} {[]}
","Where to access the document","The document or URL of the document along with critical metadata to prove content has integrity.","","","","","","","","","",,,,,"",,,,"DocumentReference.content.attachment",1,1,"","zv-dr-2:Only pdf documents are expected through the url {contentType='application/pdf'}
"
"DocumentReference","DocumentReference.content.attachment.id","DocumentReference.content.attachment.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"DocumentReference","DocumentReference.content.attachment.extension","DocumentReference.content.attachment.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"DocumentReference","DocumentReference.content.attachment.contentType","DocumentReference.content.attachment.contentType","","","",1,1,"Y","","Y","code {[]} {[]}
","Mime type of the content, with charset etc.","Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.","","Processors of the data need to be able to know how to interpret the data.","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""text/plain; charset=UTF-8, image/png""/>","","",,"required","The mime type of an attachment. Any valid mime type is allowed.","http://hl7.org/fhir/ValueSet/mimetypes","",,,,"Attachment.contentType",0,1,"",""
"DocumentReference","DocumentReference.content.attachment.language","DocumentReference.content.attachment.language","","","",0,1,"Y","","Y","code {[]} {[]}
","Human language of the content (BCP-47)","The human language of the content. The value can be any valid value according to BCP 47.","","Users need to be able to choose between the languages in a set of attachments.","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""en-AU""/>","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Attachment.language",0,1,"",""
"DocumentReference","DocumentReference.content.attachment.data","DocumentReference.content.attachment.data","","","",0,0,"","","","base64Binary {[]} {[]}
","Data inline, base64ed","The actual data of the attachment - a sequence of bytes. In XML, represented using base64.","These HL7 FHIR STU3 elements are not used in XDS, therefore would not be present.","The data needs to able to be transmitted inline.","","","","","","","",,,,,"",,,,"Attachment.data",0,1,"",""
"DocumentReference","DocumentReference.content.attachment.url","DocumentReference.content.attachment.url","","","",1,1,"Y","","Y","uri {[]} {[]}
","Uri where the data can be found","An alternative location where the data can be accessed.","If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.","The data needs to be transmitted by reference.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/logo-small.png""/>","","",,,,,"",,,,"Attachment.url",0,1,"",""
"DocumentReference","DocumentReference.content.attachment.size","DocumentReference.content.attachment.size","","","",0,1,"","","Y","unsignedInt {[]} {[]}
","Number of bytes of content (if url provided)","The number of bytes of data that make up this attachment (before base64 encoding, if that is done).","The size is calculated on the data prior to base64 encoding, if the data is base64 encoded.","Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.","","","","","","","",,,,,"",,,,"Attachment.size",0,1,"",""
"DocumentReference","DocumentReference.content.attachment.hash","DocumentReference.content.attachment.hash","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Hash of the data (sha-1, base64ed)","The calculated hash of the data using SHA-1. Represented using base64.","The IHE Document Sharing metadata element hash holds the SHA1 hash of the document. The hash is encoded in FHIR in base64Binary, whereas in XDS hexbinary is used. The hash is calculated on the data prior to base64 encoding, if the data is base64 encoded.","Included so that applications can verify that the contents of a location have not changed and so that a signature of the content can implicitly sign the content of an image without having to include the data in the instance or reference the url in the signature.","","","","","","","",,,,,"",,,,"Attachment.hash",0,1,"",""
"DocumentReference","DocumentReference.content.attachment.title","DocumentReference.content.attachment.title","","","",0,1,"","","Y","string {[]} {[]}
","Label to display in place of the data","A label or set of text to display in place of the data.","","Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""Official Corporate Logo""/>","","",,,,,"",,,,"Attachment.title",0,1,"",""
"DocumentReference","DocumentReference.content.attachment.creation","DocumentReference.content.attachment.creation","","","",0,0,"","","Y","dateTime {[]} {[]}
","Date attachment was first created","The date that the attachment was first created.","These HL7 FHIR STU3 elements are not used in XDS, therefore would not be present.","This is often tracked as an integrity issue for use of the attachment.","","","","","","","",,,,,"",,,,"Attachment.creation",0,1,"",""
"DocumentReference","DocumentReference.content.format","DocumentReference.content.format","","","",0,1,"Y","","Y","Coding {[]} {[]}
","Format/content rules for the document","An identifier of the document encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.","Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI.","","","","","","","","",,"preferred","Document Format Codes.","http://ihe.net/fhir/ValueSet/IHE.formatcode.vs","",,,,"DocumentReference.content.format",0,1,"",""
"DocumentReference","DocumentReference.context","DocumentReference.context","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Clinical context of document","The clinical context in which the document was prepared.","These values are primarily added to help with searching for interesting/relevant documents.","","","","","","","","",,,,,"",,,,"DocumentReference.context",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"DocumentReference","DocumentReference.context.id","DocumentReference.context.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"DocumentReference","DocumentReference.context.extension","DocumentReference.context.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"DocumentReference","DocumentReference.context.modifierExtension","DocumentReference.context.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"DocumentReference","DocumentReference.context.encounter","DocumentReference.context.encounter","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Encounter]]}
","Context of the document  content","Describes the clinical encounter or type of care that the document content is associated with.","When referenceIdList contains an encounter, and a FHIR Encounter is available, it may be referenced.","","","","","","","","",,,,,"",,,,"DocumentReference.context.encounter",0,1,"",""
"DocumentReference","DocumentReference.context.event","DocumentReference.context.event","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Main clinical acts documented","This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a ""History and Physical Report"" in which the procedure being documented is necessarily a ""History and Physical"" act.","An event can further specialize the act inherent in the type, such as  where it is simply ""Procedure Report"" and the procedure was a ""colonoscopy"". If one or more event codes are included, they shall not conflict with the values inherent in the class or type elements as such a conflict would create an ambiguous situation.","","","","","","","","",,"example","This list of codes represents the main clinical acts being documented.","http://hl7.org/fhir/ValueSet/v3-ActCode","",,,,"DocumentReference.context.event",0,*,"",""
"DocumentReference","DocumentReference.context.period","DocumentReference.context.period","","","",0,1,"Y","","Y","Period {[]} {[]}
","Time of service that is being documented","The time period over which the service that is described by the document was provided.","","","","","","","","","",,,,,"",,,,"DocumentReference.context.period",0,1,"",""
"DocumentReference","DocumentReference.context.period.id","DocumentReference.context.period.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"DocumentReference","DocumentReference.context.period.extension","DocumentReference.context.period.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"DocumentReference","DocumentReference.context.period.start","DocumentReference.context.period.start","","","",0,1,"Y","","Y","dateTime {[]} {[]}
","Starting time with inclusive boundary","The start of the period. The boundary is inclusive.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"per-1
",""
"DocumentReference","DocumentReference.context.period.end","DocumentReference.context.period.end","","","",0,1,"","","Y","dateTime {[]} {[]}
","End time with inclusive boundary, if not ongoing","The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"per-1
",""
"DocumentReference","DocumentReference.context.facilityType","DocumentReference.context.facilityType","","","",0,1,"Y","","Y","CodeableConcept {[]} {[]}
","Kind of facility where patient was seen","The kind of facility where the patient was seen.","","","","","","","","","",,"example","XDS Facility Type.","http://hl7.org/fhir/ValueSet/c80-facilitycodes","",,,,"DocumentReference.context.facilityType",0,1,"",""
"DocumentReference","DocumentReference.context.practiceSetting","DocumentReference.context.practiceSetting","","","",0,1,"Y","","Y","CodeableConcept {[]} {[]}
","Additional details about where the content was created (e.g. clinical specialty)","This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.","The value set for this content has an example binding because it is a value set decided by community policy. Other examples exist for consideration: * HITSP created the table HITSP/C80 Table 2-148 Clinical Specialty Value Set (a value set based upon SNOMED CT which is referenced by Direct (XDR and XDM for Direct Messaging Specification, Version 1), as well as Nationwide Health Information Network (NHIN).  Query for Documents, Web Service Interface Specification, V 3.0, 07/27/2011 * ELGA (Austria) (ELGA CDA Implementie-rungsleitfäden Registrierung von CDA Dokumenten für ELGA mit IHE Cross-Enterprise Document Sharing: XDS Metadaten (XDSDocumentEntry), [1.2.40.0.34.7.6.3] * XDS Connect-a-thon practiceSettingCode.","This is an important piece of metadata that providers often rely upon to quickly sort and/or filter out to find specific content.","","","","","","","",,"example","Additional details about where the content was created (e.g. clinical specialty).","http://hl7.org/fhir/ValueSet/c80-practice-codes","",,,,"DocumentReference.context.practiceSetting",0,1,"",""
"DocumentReference","DocumentReference.context.sourcePatientInfo","DocumentReference.context.sourcePatientInfo","","","",0,1,"Y","","Y","Reference {[]} {[]} (contained
)
","Patient demographics from source","The Patient Information as known when the document was published. May be a reference to a version specific, or contained.","Contained Patient resource with Patient.identifier.use element set to ‘usual’.

Indicates that the data within the XDS document entry be represented as a contained resource. See Section 4.5.4.4.7","","","","","","","","",,,,,"",,,,"DocumentReference.context.sourcePatientInfo",0,1,"",""
"DocumentReference","DocumentReference.context.related","DocumentReference.context.related","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Related identifiers or resources","Related identifiers or resources associated with the DocumentReference.","May be identifiers or resources that caused the DocumentReference or referenced Document to be created.","","","","","","","","",,,,,"",,,,"DocumentReference.context.related",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"DocumentReference","DocumentReference.context.related.id","DocumentReference.context.related.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"DocumentReference","DocumentReference.context.related.extension","DocumentReference.context.related.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"DocumentReference","DocumentReference.context.related.modifierExtension","DocumentReference.context.related.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"DocumentReference","DocumentReference.context.related.identifier","DocumentReference.context.related.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Identifier of related objects or events","Related identifier to this DocumentReference. If both id and ref are present they shall refer to the same thing.","See ITI TF-2x: Appendix E.3.1 on CXi mapping to FHIR Identifier","","","","","","","","",,,,,"",,,,"DocumentReference.context.related.identifier",0,1,"",""
"DocumentReference","DocumentReference.context.related.ref","DocumentReference.context.related.ref","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","Related Resource","Related Resource to this DocumentReference. If both id and ref are present they shall refer to the same thing.","May be filled with URL pointers to Resources found in referenceIdList","","","","","","","","",,,,,"",,,,"DocumentReference.context.related.ref",0,1,"",""
"Encounter","Encounter","Encounter","","Visit
Contact","",0,*,"","","","null {[]} {[]}
","Encounter","An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}"
"Encounter","Encounter.id","Encounter.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Encounter","Encounter.meta","Encounter.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Encounter","Encounter.implicitRules","Encounter.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Encounter","Encounter.language","Encounter.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"Encounter","Encounter.text","Encounter.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Encounter","Encounter.contained","Encounter.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Encounter","Encounter.extension","Encounter.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"Encounter","Encounter.modifierExtension","Encounter.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Encounter","Encounter.identifier","Encounter.identifier","","","",0,*,"","","Y","Identifier {[]} {[]}
","Identifier(s) by which this encounter is known","Identifier(s) by which this encounter is known.","","","","","","","","","",,,,,"",,,,"Encounter.identifier",0,*,"",""
"Encounter","Encounter.status","Encounter.status","","","",1,1,"","Y","Y","code {[]} {[]}
","planned | arrived | triaged | in-progress | onleave | finished | cancelled +","planned | arrived | triaged | in-progress | onleave | finished | cancelled +.","Note that internal business rules will detemine the appropraite transitions that may occur between statuses (and also classes).

This element is labeled as a modifier because the status contains codes that mark the encounter as not currently valid.","","","","","","","","",,"required","Current state of the encounter","http://hl7.org/fhir/ValueSet/encounter-status","",,,,"Encounter.status",1,1,"",""
"Encounter","Encounter.statusHistory","Encounter.statusHistory","","","",0,*,"","","","BackboneElement {[]} {[]}
","List of past encounter statuses","The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.","The current status is always found in the current version of the resource, not the status history.","","","","","","","","",,,,,"",,,,"Encounter.statusHistory",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Encounter","Encounter.statusHistory.id","Encounter.statusHistory.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Encounter","Encounter.statusHistory.extension","Encounter.statusHistory.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Encounter","Encounter.statusHistory.modifierExtension","Encounter.statusHistory.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Encounter","Encounter.statusHistory.status","Encounter.statusHistory.status","","","",1,1,"","","","code {[]} {[]}
","planned | arrived | triaged | in-progress | onleave | finished | cancelled +","planned | arrived | triaged | in-progress | onleave | finished | cancelled +.","","","","","","","","","",,"required","Current state of the encounter","http://hl7.org/fhir/ValueSet/encounter-status","",,,,"Encounter.statusHistory.status",1,1,"",""
"Encounter","Encounter.statusHistory.period","Encounter.statusHistory.period","","","",1,1,"","","","Period {[]} {[]}
","The time that the episode was in the specified status","The time that the episode was in the specified status.","","","","","","","","","",,,,,"",,,,"Encounter.statusHistory.period",1,1,"",""
"Encounter","Encounter.class","Encounter.class","","ContactType
","",1,1,"","","Y","Coding {[]} {[]}
","ContactType","The type of contact.","","","","","","","","","",,"extensible","ContactTypeCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1--20171231000000","",,,,"Encounter.class",0,1,"",""
"Encounter","Encounter.classHistory","Encounter.classHistory","","","",0,*,"","","","BackboneElement {[]} {[]}
","List of past encounter classes","The class history permits the tracking of the encounters transitions without needing to go  through the resource history.

This would be used for a case where an admission starts of as an emergency encounter, then transisions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kindof discharge from emergency to inpatient.","","","","","","","","","",,,,,"",,,,"Encounter.classHistory",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Encounter","Encounter.classHistory.id","Encounter.classHistory.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Encounter","Encounter.classHistory.extension","Encounter.classHistory.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Encounter","Encounter.classHistory.modifierExtension","Encounter.classHistory.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Encounter","Encounter.classHistory.class","Encounter.classHistory.class","","","",1,1,"","","","Coding {[]} {[]}
","inpatient | outpatient | ambulatory | emergency +","inpatient | outpatient | ambulatory | emergency +.","","","","","","","","","",,"extensible","Classification of the encounter","http://hl7.org/fhir/ValueSet/v3-ActEncounterCode","",,,,"Encounter.classHistory.class",1,1,"",""
"Encounter","Encounter.classHistory.period","Encounter.classHistory.period","","","",1,1,"","","","Period {[]} {[]}
","The time that the episode was in the specified class","The time that the episode was in the specified class.","","","","","","","","","",,,,,"",,,,"Encounter.classHistory.period",1,1,"",""
"Encounter","Encounter.type","Encounter.type","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Specific type of encounter","Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).","Since there are many ways to further classify encounters, this element is 0..*.","","","","","","","","",,"example","The type of encounter","http://hl7.org/fhir/ValueSet/encounter-type","",,,,"Encounter.type",0,*,"",""
"Encounter","Encounter.priority","Encounter.priority","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Indicates the urgency of the encounter","Indicates the urgency of the encounter.","","","","","","","","","",,"example","Indicates the urgency of the encounter.","http://hl7.org/fhir/ValueSet/v3-ActPriority","",,,,"Encounter.priority",0,1,"",""
"Encounter","Encounter.subject","Encounter.subject","","patient
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient]]}
","The patient ro group present at the encounter","The patient ro group present at the encounter.","While the encounter is always about the patient, the patient may not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).","","","","","","","","",,,,,"",,,,"Encounter.subject",0,1,"",""
"Encounter","Encounter.episodeOfCare","Encounter.episodeOfCare","","","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare]]}
","Episode(s) of care that this encounter should be recorded against","Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem.  The association is recorded on the encounter as these are typically created after the episode of care, and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).","","","","","","","","","",,,,,"",,,,"Encounter.episodeOfCare",0,*,"",""
"Encounter","Encounter.incomingReferral","Encounter.incomingReferral","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/ReferralRequest]]}
","The ReferralRequest that initiated this encounter","The referral request this encounter satisfies (incoming referral).","","","","","","","","","",,,,,"",,,,"Encounter.incomingReferral",0,*,"",""
"Encounter","Encounter.participant","Encounter.participant","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","List of participants involved in the encounter","The list of people responsible for providing the service.","","","","","","","","","",,,,,"",,,,"Encounter.participant",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Encounter","Encounter.participant.id","Encounter.participant.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Encounter","Encounter.participant.extension","Encounter.participant.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Encounter","Encounter.participant.modifierExtension","Encounter.participant.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Encounter","Encounter.participant.type","Encounter.participant.type","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Role of participant in encounter","Role of participant in encounter.","The participant type indicates how an individual partitipates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.","","","","","","","","",,"extensible","Role of participant in encounter","http://hl7.org/fhir/ValueSet/encounter-participant-type","",,,,"Encounter.participant.type",0,*,"",""
"Encounter","Encounter.participant.type.id","Encounter.participant.type.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Encounter","Encounter.participant.type.extension","Encounter.participant.type.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Encounter","Encounter.participant.type.coding","Encounter.participant.type.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:$this}
","",,"open","CodeableConcept.coding",0,*,"",""
"Encounter","Encounter.participant.type.coding:healthProfessionalRole","Encounter.participant.type.coding","healthProfessionalRole","ZorgverlenerRol
","",0,*,"","","Y","Coding {[]} {[]}
","HealthProfessionalRole","The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Encounter","Encounter.participant.type.text","Encounter.participant.type.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Encounter","Encounter.participant.period","Encounter.participant.period","","","",0,1,"","","","Period {[]} {[]}
","Period of time during the encounter that the participant participated","The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.","","","","","","","","","",,,,,"",,,,"Encounter.participant.period",0,1,"",""
"Encounter","Encounter.participant.individual","Encounter.participant.individual","","ContactMet
","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner]]}
","ContactWith","The healthcare provider with whom the contact took place. The specialty and role of the healthcare provider can be entered in the HealthcareProvider information model as well.","","","","","","","","","",,,,,"",,,,"Encounter.participant.individual",0,1,"",""
"Encounter","Encounter.participant.individual.id","Encounter.participant.individual.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Encounter","Encounter.participant.individual.extension","Encounter.participant.individual.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Encounter","Encounter.participant.individual.extension:practitionerRole","Encounter.participant.individual.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Encounter","Encounter.participant.individual.reference","Encounter.participant.individual.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"Encounter","Encounter.participant.individual.identifier","Encounter.participant.individual.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"Encounter","Encounter.participant.individual.display","Encounter.participant.individual.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"Encounter","Encounter.appointment","Encounter.appointment","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Appointment]]}
","The appointment that scheduled this encounter","The appointment that scheduled this encounter.","","","","","","","","","",,,,,"",,,,"Encounter.appointment",0,1,"",""
"Encounter","Encounter.period","Encounter.period","","","",0,1,"","","","Period {[]} {[]}
","The start and end time of the encounter","The start and end time of the encounter.","If not (yet) known, the end of the Period may be omitted.","","","","","","","","",,,,,"",,,,"Encounter.period",0,1,"",""
"Encounter","Encounter.period.id","Encounter.period.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Encounter","Encounter.period.extension","Encounter.period.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Encounter","Encounter.period.start","Encounter.period.start","","BeginDatumTijd
","",1,1,"","","Y","dateTime {[]} {[]}
","StartDateTime","The date and time at which the contact took place.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"per-1
",""
"Encounter","Encounter.period.end","Encounter.period.end","","EindDatumTijd
","",0,1,"","","Y","dateTime {[]} {[]}
","EndDateTime","The date and time at which the contact ended. If the contact takes place over a period of time, this indicates the end of the period, in the case of an admission, for example.

If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"per-1
",""
"Encounter","Encounter.length","Encounter.length","","","",0,1,"","","","Duration {[]} {[]}
","Quantity of time the encounter lasted (less time absent)","Quantity of time the encounter lasted. This excludes the time during leaves of absence.","May differ from the time the Encounter.period lasted because of leave of absence.","","","","","","","","",,,,,"",,,,"Encounter.length",0,1,"",""
"Encounter","Encounter.reason","Encounter.reason","","Indication
Admission diagnosisAfwijkendeUitslag","",0,*,"","","Y","CodeableConcept {[]} {[]}
","DeviatingResult","A deviating result which serves as the reason for the contact.","For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).","","","","","","","","",,"preferred","Reason why the encounter takes place.","http://hl7.org/fhir/ValueSet/encounter-reason","",,,,"Encounter.reason",0,*,"",""
"Encounter","Encounter.reason.id","Encounter.reason.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Encounter","Encounter.reason.extension","Encounter.reason.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Encounter","Encounter.reason.coding","Encounter.reason.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Encounter","Encounter.reason.text","Encounter.reason.text","","AfwijkendeUitslag
","",0,1,"","","Y","string {[]} {[]}
","DeviatingResult","A deviating result which serves as the reason for the contact.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Encounter","Encounter.diagnosis","Encounter.diagnosis","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","The list of diagnosis relevant to this encounter","The list of diagnosis relevant to this encounter.","","","","","","","","","",,,,,"",,,,"Encounter.diagnosis",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Encounter","Encounter.diagnosis.id","Encounter.diagnosis.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Encounter","Encounter.diagnosis.extension","Encounter.diagnosis.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Encounter","Encounter.diagnosis.modifierExtension","Encounter.diagnosis.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Encounter","Encounter.diagnosis.condition","Encounter.diagnosis.condition","","Admission diagnosis
discharge diagnosisindicationProbleemProcedure","",1,1,"","","","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Procedure], CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Problem]]}
","ContactReason","The problem that led to the contact or the procedure carried out during the contact.

Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.","For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).","","","","","","","","",,,,,"",,,,"Encounter.diagnosis.condition",1,1,"",""
"Encounter","Encounter.diagnosis.role","Encounter.diagnosis.role","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)","Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).","","","","","","","","","",,"preferred","The type of diagnosis this condition represents","http://hl7.org/fhir/ValueSet/diagnosis-role","",,,,"Encounter.diagnosis.role",0,1,"",""
"Encounter","Encounter.diagnosis.rank","Encounter.diagnosis.rank","","","",0,1,"","","","positiveInt {[]} {[]}
","Ranking of the diagnosis (for each role type)","Ranking of the diagnosis (for each role type).","","","","","","","","","",,,,,"",,,,"Encounter.diagnosis.rank",0,1,"",""
"Encounter","Encounter.account","Encounter.account","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Account]]}
","The set of accounts that may be used for billing for this Encounter","The set of accounts that may be used for billing for this Encounter.","The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.","","","","","","","","",,,,,"",,,,"Encounter.account",0,*,"",""
"Encounter","Encounter.hospitalization","Encounter.hospitalization","","","",0,1,"","","","BackboneElement {[]} {[]}
","Details about the admission to a healthcare service","Details about the admission to a healthcare service.","An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.

The duration recorded in the period of this encounter covers the entire scope of this hospitalization record.","","","","","","","","",,,,,"",,,,"Encounter.hospitalization",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Encounter","Encounter.hospitalization.id","Encounter.hospitalization.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Encounter","Encounter.hospitalization.extension","Encounter.hospitalization.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Encounter","Encounter.hospitalization.modifierExtension","Encounter.hospitalization.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Encounter","Encounter.hospitalization.preAdmissionIdentifier","Encounter.hospitalization.preAdmissionIdentifier","","","",0,1,"","","","Identifier {[]} {[]}
","Pre-admission identifier","Pre-admission identifier.","","","","","","","","","",,,,,"",,,,"Encounter.hospitalization.preAdmissionIdentifier",0,1,"",""
"Encounter","Encounter.hospitalization.origin","Encounter.hospitalization.origin","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]]}
","The location from which the patient came before admission","The location from which the patient came before admission.","","","","","","","","","",,,,,"",,,,"Encounter.hospitalization.origin",0,1,"",""
"Encounter","Encounter.hospitalization.admitSource","Encounter.hospitalization.admitSource","","Herkomst
","",0,1,"","","","CodeableConcept {[]} {[]}
","Origin","Location from which the patient came before the encounter. In most cases this will only be used when the patient is admitted.","","","","","","","","","",,"extensible","HerkomstCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2--20171231000000","",,,,"Encounter.hospitalization.admitSource",0,1,"",""
"Encounter","Encounter.hospitalization.reAdmission","Encounter.hospitalization.reAdmission","","","",0,1,"","","","CodeableConcept {[]} {[]}
","The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission","Whether this hospitalization is a readmission and why if known.","","","","","","","","","",,"example","The reason for re-admission of this hospitalization encounter.","http://hl7.org/fhir/ValueSet/v2-0092","",,,,"Encounter.hospitalization.reAdmission",0,1,"",""
"Encounter","Encounter.hospitalization.dietPreference","Encounter.hospitalization.dietPreference","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Diet preferences reported by the patient","Diet preferences reported by the patient.","For example a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).","Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.","","","","","","","",,"example","Medical, cultural or ethical food preferences to help with catering requirements.","http://hl7.org/fhir/ValueSet/encounter-diet","",,,,"Encounter.hospitalization.dietPreference",0,*,"",""
"Encounter","Encounter.hospitalization.specialCourtesy","Encounter.hospitalization.specialCourtesy","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Special courtesies (VIP, board member)","Special courtesies (VIP, board member).","","","","","","","","","",,"preferred","Special courtesies","http://hl7.org/fhir/ValueSet/encounter-special-courtesy","",,,,"Encounter.hospitalization.specialCourtesy",0,*,"",""
"Encounter","Encounter.hospitalization.specialArrangement","Encounter.hospitalization.specialArrangement","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Wheelchair, translator, stretcher, etc.","Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.","","","","","","","","","",,"preferred","Special arrangements","http://hl7.org/fhir/ValueSet/encounter-special-arrangements","",,,,"Encounter.hospitalization.specialArrangement",0,*,"",""
"Encounter","Encounter.hospitalization.destination","Encounter.hospitalization.destination","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]]}
","Location to which the patient is discharged","Location to which the patient is discharged.","","","","","","","","","",,,,,"",,,,"Encounter.hospitalization.destination",0,1,"",""
"Encounter","Encounter.hospitalization.dischargeDisposition","Encounter.hospitalization.dischargeDisposition","","Bestemming
","",0,1,"","","","CodeableConcept {[]} {[]}
","Destination","Location to which the patient will go after the encounter. In most cases this will only be used when the patient is discharged.","","","","","","","","","",,"extensible","BestemmingCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3--20171231000000","",,,,"Encounter.hospitalization.dischargeDisposition",0,1,"",""
"Encounter","Encounter.location","Encounter.location","","","",0,*,"","","","BackboneElement {[]} {[]}
","List of locations where the patient has been","List of locations where  the patient has been during this encounter.","Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type ""kind"" such as ""client's home"" and an encounter.class = ""virtual"".","","","","","","","","",,,,,"",,,,"Encounter.location",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Encounter","Encounter.location.id","Encounter.location.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Encounter","Encounter.location.extension","Encounter.location.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Encounter","Encounter.location.modifierExtension","Encounter.location.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Encounter","Encounter.location.location","Encounter.location.location","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]]}
","Location the encounter takes place","The location where the encounter takes place.","","","","","","","","","",,,,,"",,,,"Encounter.location.location",1,1,"",""
"Encounter","Encounter.location.status","Encounter.location.status","","","",0,1,"","","","code {[]} {[]}
","planned | active | reserved | completed","The status of the participants' presence at the specified location during the period specified. If the participant is is no longer at the location, then the period will have an end date/time.","When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.","","","","","","","","",,"required","The status of the location.","http://hl7.org/fhir/ValueSet/encounter-location-status","",,,,"Encounter.location.status",0,1,"",""
"Encounter","Encounter.location.period","Encounter.location.period","","","",0,1,"","","","Period {[]} {[]}
","Time period during which the patient was present at the location","Time period during which the patient was present at the location.","","","","","","","","","",,,,,"",,,,"Encounter.location.period",0,1,"",""
"Encounter","Encounter.serviceProvider","Encounter.serviceProvider","","Locatie
","",0,1,"","","","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization]]}
","Location","The physical location at which the contact took place.","","","","","","","","","",,,,,"",,,,"Encounter.serviceProvider",0,1,"",""
"Encounter","Encounter.partOf","Encounter.partOf","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Encounter]]}
","Another Encounter this encounter is part of","Another Encounter of which this encounter is a part of (administratively or in time).","This is also used for associating a child's encounter back to the mother's encounter.

Refer to the Notes section in the Patient resource for further details.","","","","","","","","",,,,,"",,,,"Encounter.partOf",0,1,"",""
"Endpoint","Endpoint","Endpoint","","","",0,*,"","","","null {[]} {[]}
","The technical details of an endpoint that can be used for electronic services","The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b or a REST endpoint for another FHIR server. This may include any security context information.","","","","","","","","","",,,,,"",,,,"Endpoint",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}"
"Endpoint","Endpoint.id","Endpoint.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Endpoint","Endpoint.meta","Endpoint.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Endpoint","Endpoint.implicitRules","Endpoint.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Endpoint","Endpoint.language","Endpoint.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages|3.0.2","",,,,"Resource.language",0,1,"",""
"Endpoint","Endpoint.text","Endpoint.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Endpoint","Endpoint.contained","Endpoint.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Endpoint","Endpoint.extension","Endpoint.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"Endpoint","Endpoint.modifierExtension","Endpoint.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Endpoint","Endpoint.identifier","Endpoint.identifier","","","",0,*,"","","Y","Identifier {[]} {[]}
","Identifies this endpoint across multiple systems","Identifier for the organization that is used to identify the endpoint across multiple disparate systems.","","","","","","","","","",,,,,"",,,,"Endpoint.identifier",0,*,"",""
"Endpoint","Endpoint.status","Endpoint.status","","","",1,1,"","Y","Y","code {[]} {[]}
","active | suspended | error | off | entered-in-error | test","active | suspended | error | off | test.","This element is labeled as a modifier because the status contains codes that mark the endpoint as not currently valid.","","","","","","","","",,"required","The status of the endpoint","http://hl7.org/fhir/ValueSet/endpoint-status|3.0.2","",,,,"Endpoint.status",1,1,"",""
"Endpoint","Endpoint.connectionType","Endpoint.connectionType","","","",1,1,"","","Y","Coding {[]} {[]}
","Protocol/Profile/Standard to be used with this endpoint connection","A coded value that represents the technical details of the usage of this endpoint, such as what WSDLs should be used in what way. (e.g. XDS.b/DICOM/cds-hook).","For additional connectivity details for the protocol, extensions will be used at this point, as in the XDS example.","","","","","","","","",,"extensible","","http://hl7.org/fhir/ValueSet/endpoint-connection-type|3.0.2","",,,,"Endpoint.connectionType",1,1,"",""
"Endpoint","Endpoint.name","Endpoint.name","","","",0,1,"","","Y","string {[]} {[]}
","A name that this endpoint can be identified by","A friendly name that this endpoint can be referred to with.","","","","","","","","","",,,,,"",,,,"Endpoint.name",0,1,"",""
"Endpoint","Endpoint.managingOrganization","Endpoint.managingOrganization","","","",0,1,"Y","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that manages this endpoint (may not be the organization that exposes the endpoint)","The organization that manages this endpoint (even if technically another organisation is hosting this in the cloud, it is the organisation associated with the data).","This property is not typically used when searching for Endpoint resources for usage. The typical usage is via the reference from an aplicable Organization/Location/Practitioner resource, which is where the context is provided. Multiple Locations may reference a single endpoint, and don't have to be within the same organization resource, but most likely within the same organizational hierarchy.","","","","","","","","",,,,,"",,,,"Endpoint.managingOrganization",0,1,"",""
"Endpoint","Endpoint.contact","Endpoint.contact","","","",0,*,"","","","ContactPoint {[]} {[]}
","Contact details for source (e.g. troubleshooting)","Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting.","","","","","","","","","",,,,,"",,,,"Endpoint.contact",0,*,"",""
"Endpoint","Endpoint.period","Endpoint.period","","","",0,1,"","","Y","Period {[]} {[]}
","Interval the endpoint is expected to be operational","The interval during which the endpoint is expected to be operational.","","","","","","","","","",,,,,"",,,,"Endpoint.period",0,1,"",""
"Endpoint","Endpoint.payloadType","Endpoint.payloadType","","","",1,*,"","","Y","CodeableConcept {[]} {[]}
","The type of content that may be used at this endpoint (e.g. XDS Discharge summaries)","The payload type describes the acceptable content that can be communicated on the endpoint.","The payloadFormat describes the serialization format of the data, where the payloadType indicates the specific document/schema that is being transferred; e.g. DischargeSummary or CarePlan.","","","","","","","","",,"example","","http://hl7.org/fhir/ValueSet/endpoint-payload-type|3.0.2","",,,,"Endpoint.payloadType",1,*,"",""
"Endpoint","Endpoint.payloadMimeType","Endpoint.payloadMimeType","","","",0,*,"","","Y","code {[]} {[]}
","Mimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)","The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).","Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.","","","","","","","","",,"required","The mime type of an attachment. Any valid mime type is allowed.","http://hl7.org/fhir/ValueSet/mimetypes","",,,,"Endpoint.payloadMimeType",0,*,"",""
"Endpoint","Endpoint.address","Endpoint.address","","","",1,1,"Y","","Y","uri {[]} {[]}
","The technical base address for connecting to this endpoint","The uri that describes the actual end-point to connect to.","For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since their may be more than one, clients should avoid using relative URIs)

This address will be to the service base, without any parameters, or sub-services or resources tacked on.

E.g. for a WADO-RS endpoint, the url should be ""https://pacs.hospital.org/wado-rs""

and not ""https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345678.678910/series/1.2.250.1.59.40211.789001276.14556172.67789/instances/..."".","","","","","","","","",,,,,"",,,,"Endpoint.address",1,1,"",""
"Endpoint","Endpoint.header","Endpoint.header","","","",0,*,"","","","string {[]} {[]}
","Usage depends on the channel type","Additional headers / information to send as part of the notification.","Exactly what these mean depend on the channel type. The can convey additional information to the recipient and/or meet security requirements.","","","","","","","","",,,,,"",,,,"Endpoint.header",0,*,"",""
"EpisodeOfCare","EpisodeOfCare","EpisodeOfCare","","Case Program Problem
","",0,*,"","","","null {[]} {[]}
","An association of a Patient with an Organization and  Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility","An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}"
"EpisodeOfCare","EpisodeOfCare.id","EpisodeOfCare.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.meta","EpisodeOfCare.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.implicitRules","EpisodeOfCare.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.language","EpisodeOfCare.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.text","EpisodeOfCare.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"EpisodeOfCare","EpisodeOfCare.contained","EpisodeOfCare.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.extension","EpisodeOfCare.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.extension:dateFirstEncounter","EpisodeOfCare.extension","dateFirstEncounter","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateFirstEncounter]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","For episodes of care it can be relevant when the first encounter was that a problem/concern was discussed. In primary care / general practitioner use cases this date SHOULD be present.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"EpisodeOfCare","EpisodeOfCare.extension:dateLastEncounter","EpisodeOfCare.extension","dateLastEncounter","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateLastEncounter]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","For episodes of care it can be relevant when the last encounter was that a problem/concern was discussed. In primary care / general practitioner use cases this date SHOULD be present.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"EpisodeOfCare","EpisodeOfCare.extension:title","EpisodeOfCare.extension","title","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-Title]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","For episodes of care it can be relevant to carry the title that the episode of care is known as for the physisian. This is standard for general practitioner workflow. Usually it is the common name for the latest associated Condition","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"EpisodeOfCare","EpisodeOfCare.modifierExtension","EpisodeOfCare.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.identifier","EpisodeOfCare.identifier","","","",0,*,"","","","Identifier {[]} {[]}
","Business Identifier(s) relevant for this EpisodeOfCare","The EpisodeOfCare may be known by different identifiers for different contexts of use, such as when an external agency is tracking the Episode for funding purposes.","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.identifier",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.status","EpisodeOfCare.status","","","",1,1,"Y","Y","Y","code {[]} {[]}
","planned | waitlist | active | onhold | finished | cancelled | entered-in-error","planned | waitlist | active | onhold | finished | cancelled.","This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.","","","","","","","","",,"required","The status of the episode of care.","http://hl7.org/fhir/ValueSet/episode-of-care-status","",,,,"EpisodeOfCare.status",1,1,"",""
"EpisodeOfCare","EpisodeOfCare.statusHistory","EpisodeOfCare.statusHistory","","","",0,*,"","","","BackboneElement {[]} {[]}
","Past list of status codes (the current status may be included to cover the start date of the status)","The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.statusHistory",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"EpisodeOfCare","EpisodeOfCare.statusHistory.id","EpisodeOfCare.statusHistory.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.statusHistory.extension","EpisodeOfCare.statusHistory.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.statusHistory.modifierExtension","EpisodeOfCare.statusHistory.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.statusHistory.status","EpisodeOfCare.statusHistory.status","","","",1,1,"","","","code {[]} {[]}
","planned | waitlist | active | onhold | finished | cancelled | entered-in-error","planned | waitlist | active | onhold | finished | cancelled.","","","","","","","","","",,"required","The status of the episode of care.","http://hl7.org/fhir/ValueSet/episode-of-care-status","",,,,"EpisodeOfCare.statusHistory.status",1,1,"",""
"EpisodeOfCare","EpisodeOfCare.statusHistory.period","EpisodeOfCare.statusHistory.period","","","",1,1,"","","","Period {[]} {[]}
","Duration the EpisodeOfCare was in the specified status","The period during this EpisodeOfCare that the specific status applied.","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.statusHistory.period",1,1,"",""
"EpisodeOfCare","EpisodeOfCare.type","EpisodeOfCare.type","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Type/class  - e.g. specialist referral, disease management","A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.","The type can be very important in processing as this could be used in determining if the EpisodeOfCare is relevant to specific government reporting, or other types of classifications.","","","","","","","","",,"example","The type of the episode of care","http://hl7.org/fhir/ValueSet/episodeofcare-type","",,,,"EpisodeOfCare.type",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.type.id","EpisodeOfCare.type.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.type.extension","EpisodeOfCare.type.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.type.coding","EpisodeOfCare.type.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.type.text","EpisodeOfCare.type.text","","ConcernLabel
","",0,1,"","","Y","string {[]} {[]}
","ConcernLabel","If needed, a short, written description of the concern. Mainly in first-line care this will be used for the episode name.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.diagnosis","EpisodeOfCare.diagnosis","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","The list of diagnosis relevant to this episode of care","The list of diagnosis relevant to this episode of care.","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.diagnosis",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"EpisodeOfCare","EpisodeOfCare.diagnosis.id","EpisodeOfCare.diagnosis.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.diagnosis.extension","EpisodeOfCare.diagnosis.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.diagnosis.modifierExtension","EpisodeOfCare.diagnosis.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.diagnosis.condition","EpisodeOfCare.diagnosis.condition","","","",1,1,"Y","","Y","Reference {[]} {[CanonicalType[http://fhir.hl7.nl/zorgviewer/StructureDefinition/Condition]]}
","Conditions/problems/diagnoses this episode of care is for","A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.diagnosis.condition",1,1,"",""
"EpisodeOfCare","EpisodeOfCare.diagnosis.role","EpisodeOfCare.diagnosis.role","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)","Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …).","","","","","","","","","",,"preferred","The type of diagnosis this condition represents","http://hl7.org/fhir/ValueSet/diagnosis-role","",,,,"EpisodeOfCare.diagnosis.role",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.diagnosis.rank","EpisodeOfCare.diagnosis.rank","","","",0,1,"","","Y","positiveInt {[]} {[]}
","Ranking of the diagnosis (for each role type)","Ranking of the diagnosis (for each role type).","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.diagnosis.rank",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.patient","EpisodeOfCare.patient","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient]]}
","The patient who is the focus of this episode of care","The patient who is the focus of this episode of care.","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.patient",1,1,"",""
"EpisodeOfCare","EpisodeOfCare.managingOrganization","EpisodeOfCare.managingOrganization","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization]]}
","Organization that assumes care","The organization that has assumed the specific responsibilities for the specified duration.","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.managingOrganization",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.period","EpisodeOfCare.period","","","",0,1,"","","Y","Period {[]} {[]}
","Interval during responsibility is assumed","The interval during which the managing organization assumes the defined responsibility.","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.period",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.referralRequest","EpisodeOfCare.referralRequest","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/ReferralRequest]]}
","Originating Referral Request(s)","Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.referralRequest",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.careManager","EpisodeOfCare.careManager","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner]]}
","Care manager/care co-ordinator for the patient","The practitioner that is the care manager/care co-ordinator for this patient.","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.careManager",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.careManager.id","EpisodeOfCare.careManager.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.careManager.extension","EpisodeOfCare.careManager.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.careManager.extension:practitionerRole","EpisodeOfCare.careManager.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"EpisodeOfCare","EpisodeOfCare.careManager.reference","EpisodeOfCare.careManager.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"EpisodeOfCare","EpisodeOfCare.careManager.identifier","EpisodeOfCare.careManager.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.careManager.display","EpisodeOfCare.careManager.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"EpisodeOfCare","EpisodeOfCare.team","EpisodeOfCare.team","","CareTeam
","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam]]}
","Other practitioners facilitating this episode of care","The list of practitioners that may be facilitating this episode of care for specific purposes.","","","","","","","","","",,,,,"",,,,"EpisodeOfCare.team",0,*,"",""
"EpisodeOfCare","EpisodeOfCare.account","EpisodeOfCare.account","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Account]]}
","The set of accounts that may be used for billing for this EpisodeOfCare","The set of accounts that may be used for billing for this EpisodeOfCare.","The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.","","","","","","","","",,,,,"",,,,"EpisodeOfCare.account",0,*,"",""
"Flag","Flag","Flag","","Barriers to Care
AlertWarning","",0,*,"","","","null {[]} {[]}
","Alert","Prospective warnings of potential issues when providing care to the patient.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}"
"Flag","Flag.id","Flag.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Flag","Flag.meta","Flag.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Flag","Flag.implicitRules","Flag.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Flag","Flag.language","Flag.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"Flag","Flag.text","Flag.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Flag","Flag.contained","Flag.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Flag","Flag.extension","Flag.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"",""
"Flag","Flag.extension:ConcernReference","Flag.extension","ConcernReference","","",0,1,"Y","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/flag-detail]]} {[]}
","Resource with details for flag","Points to the Observation, AllergyIntolerance or other record that provides additional supporting information about this flag.","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Flag","Flag.extension:ConcernReference.id","Flag.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Flag","Flag.extension:ConcernReference.extension","Flag.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Flag","Flag.extension:ConcernReference.url","Flag.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/flag-detail""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Flag","Flag.extension:ConcernReference.valueReference:valueReference","Flag.extension.valueReference","valueReference","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","Within the context of zib-Alert the concern reference is only supposed to refer to zib-Problem. The reference is unconstrained to allow other use cases.","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Flag","Flag.modifierExtension","Flag.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Flag","Flag.identifier","Flag.identifier","","","",0,*,"","","Y","Identifier {[]} {[]}
","Business identifier","Identifier assigned to the flag for external use (outside the FHIR environment).","","","","","","","","","",,,,,"",,,,"Flag.identifier",0,*,"",""
"Flag","Flag.status","Flag.status","","","",1,1,"","Y","Y","code {[]} {[]}
","active | inactive | entered-in-error","Supports basic workflow.","This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","","","","","","","","",,"required","Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or entered in error.","http://hl7.org/fhir/ValueSet/flag-status","",,,,"Flag.status",1,1,"",""
"Flag","Flag.category","Flag.category","","AlertType
","",0,1,"","","Y","CodeableConcept {[]} {[]}
","AlertType","Indicates the type of alert, meaning a rough description of the cause or origin of the warning.","","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://loinc.org""/>
    <code value=""75323-6""/>
    <display value=""condition""/>
    <userSelected value=""false""/>
  </coding>
</valueCodeableConcept>","","",,"extensible","Indicates the type of alert, meaning a rough description of the cause or origin of the warning.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.3.1--20171231000000","",,,,"Flag.category",0,1,"",""
"Flag","Flag.category.id","Flag.category.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Flag","Flag.category.extension","Flag.category.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Flag","Flag.category.coding","Flag.category.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Flag","Flag.category.text","Flag.category.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Flag","Flag.code","Flag.code","","AlertNaam
","",1,1,"","","Y","CodeableConcept {[]} {[]}
","AlertName","A warning, other than a condition or problem. For example, a patient can be given an ‘Aggressive patient' alert.
The warning can be entered in code (there are codes for frequently used alerts), but seeing the dynamic nature of the warnings cf. SARS and Ebola, these alerts will often be entered as free text.","According to HCIM Alert this element does not need to be filled if a reference to HCIM Problem exists. In that case, instead of leaving this element empty, the NullFlavor with `.coding.code` equal to 'OTH' SHOULD be used.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://snomed.info/sct""/>
    <code value=""432415000""/>
    <display value=""Methicillin resistant staphylococcus aureus carrier""/>
  </coding>
</valueCodeableConcept>","","",,"extensible","Detail codes identifying specific flagged issues.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.3.2--20171231000000","",,,,"Flag.code",1,1,"",""
"Flag","Flag.code.id","Flag.code.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Flag","Flag.code.extension","Flag.code.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Flag","Flag.code.coding","Flag.code.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Flag","Flag.code.text","Flag.code.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Flag","Flag.subject","Flag.subject","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-location], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PlanDefinition], CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Product], CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Procedure]]}
","Who/What is flag about?","The patient, location, group , organization , or practitioner, etc. this is about record this flag is associated with.","","","","","","","","","",,,,,"",,,,"Flag.subject",1,1,"",""
"Flag","Flag.subject.id","Flag.subject.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Flag","Flag.subject.extension","Flag.subject.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Flag","Flag.subject.extension:practitionerRole","Flag.subject.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Flag","Flag.subject.reference","Flag.subject.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"Flag","Flag.subject.identifier","Flag.subject.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"Flag","Flag.subject.display","Flag.subject.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"Flag","Flag.period","Flag.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when flag is active","The period of time from the activation of the flag to inactivation of the flag. If the flag is active, the end of the period should be unspecified.","","","","","","","","","",,,,,"",,,,"Flag.period",0,1,"",""
"Flag","Flag.period.id","Flag.period.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Flag","Flag.period.extension","Flag.period.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Flag","Flag.period.start","Flag.period.start","","BeginDatumTijd
","",0,1,"Y","","Y","dateTime {[]} {[]}
","StartDateTime","The date and time at which the described condition was entered as a warning.
This can be an exact date and time, or a rough indication of the date (such as only the year, or the month and the year).","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","<valueDateTime xmlns=""http://hl7.org/fhir"" value=""2017-02-07""/>","","",,,,,"",,,,"Period.start",0,1,"per-1
",""
"Flag","Flag.period.end","Flag.period.end","","","",0,1,"","","Y","dateTime {[]} {[]}
","End time with inclusive boundary, if not ongoing","The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"per-1
",""
"Flag","Flag.encounter","Flag.encounter","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Encounter]]}
","Alert relevant during encounter","This alert is only relevant during the encounter.","If both Flag.encounter and Flag.period are valued, then Flag.period.start shall not be before Encounter.period.start and Flag.period.end shall not be after Encounter.period.end.","","","","","","","","",,,,,"",,,,"Flag.encounter",0,1,"",""
"Flag","Flag.author","Flag.author","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization]]}
","Flag creator","The person, organization or device that created the flag.","","","","","","","","","",,,,,"",,,,"Flag.author",0,1,"",""
"Flag","Flag.author.id","Flag.author.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Flag","Flag.author.extension","Flag.author.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Flag","Flag.author.extension:practitionerRole","Flag.author.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Flag","Flag.author.reference","Flag.author.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"Flag","Flag.author.identifier","Flag.author.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"Flag","Flag.author.display","Flag.author.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"Immunization","Immunization","Immunization","","Vaccinatie
","",0,*,"","","","null {[]} {[]}
","Vaccination","Describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party and may include vaccine reaction information and what vaccination protocol was followed.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}imm-2:If immunization was administered (notGiven=false) then explanation.reasonNotGiven SHALL be absent. {(notGiven = true) or explanation.reasonNotGiven.empty()}imm-1:If immunization was not administered (notGiven=true) then there SHALL be no reaction nor explanation.reason present {(notGiven = true).not() or (reaction.empty() and explanation.reason.empty())}"
"Immunization","Immunization.id","Immunization.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Immunization","Immunization.meta","Immunization.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Immunization","Immunization.implicitRules","Immunization.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Immunization","Immunization.language","Immunization.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"Immunization","Immunization.text","Immunization.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Immunization","Immunization.contained","Immunization.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Immunization","Immunization.extension","Immunization.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"Immunization","Immunization.modifierExtension","Immunization.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Immunization","Immunization.identifier","Immunization.identifier","","","",0,*,"","","","Identifier {[]} {[]}
","Business identifier","A unique identifier assigned to this immunization record.","","","","","","","","","",,,,,"",,,,"Immunization.identifier",0,*,"",""
"Immunization","Immunization.status","Immunization.status","","","",1,1,"","Y","Y","code {[]} {[]}
","completed | entered-in-error","Indicates the current status of the vaccination event.","Will generally be set to show that the immunization has been completed.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","","","","","","","","",,"required","A set of codes indicating the current status of an Immunization","http://hl7.org/fhir/ValueSet/immunization-status","",,,,"Immunization.status",1,1,"",""
"Immunization","Immunization.notGiven","Immunization.notGiven","","","",1,1,"","Y","Y","boolean {[]} {[]}
","Flag for whether immunization was given","Indicates if the vaccination was or was not given.","This element is labeled as a modifier because it indicates that an immunization didn't happen.","","","","","","","","",,,,,"",,,,"Immunization.notGiven",1,1,"",""
"Immunization","Immunization.vaccineCode","Immunization.vaccineCode","","ProductCode
","",1,1,"","","","CodeableConcept {[]} {[]}
","ProductCode","The product code of the vaccine administered.
There are several possible code systems for documenting the product code. If the vaccination data is registered based on an anamnesis, coding with the ATC code is preferred. In all cases it concerns those products that fall under ATC group J07 (vaccines).","","","","","","","","","",,"example","The code for vaccine product administered","http://hl7.org/fhir/ValueSet/vaccine-code","",,,,"Immunization.vaccineCode",1,1,"",""
"Immunization","Immunization.vaccineCode.id","Immunization.vaccineCode.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.vaccineCode.extension","Immunization.vaccineCode.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Immunization","Immunization.vaccineCode.coding","Immunization.vaccineCode.coding","","","",1,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:system}
","",,"open","CodeableConcept.coding",0,*,"",""
"Immunization","Immunization.vaccineCode.coding.id","Immunization.vaccineCode.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.vaccineCode.coding.extension","Immunization.vaccineCode.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Immunization","Immunization.vaccineCode.coding.system","Immunization.vaccineCode.coding.system","","","",0,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Immunization","Immunization.vaccineCode.coding.version","Immunization.vaccineCode.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Immunization","Immunization.vaccineCode.coding.code","Immunization.vaccineCode.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Immunization","Immunization.vaccineCode.coding.display","Immunization.vaccineCode.coding.display","","","",0,1,"Y","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Immunization","Immunization.vaccineCode.coding.userSelected","Immunization.vaccineCode.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGPKCodelijst","Immunization.vaccineCode.coding","productCodeGPKCodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodeGPKCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.3--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGPKCodelijst.id","Immunization.vaccineCode.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGPKCodelijst.extension","Immunization.vaccineCode.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGPKCodelijst.system","Immunization.vaccineCode.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.1""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGPKCodelijst.version","Immunization.vaccineCode.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGPKCodelijst.code","Immunization.vaccineCode.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGPKCodelijst.display","Immunization.vaccineCode.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGPKCodelijst.userSelected","Immunization.vaccineCode.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeHPKCodelijst","Immunization.vaccineCode.coding","productCodeHPKCodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodeHPKCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.2--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeHPKCodelijst.id","Immunization.vaccineCode.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeHPKCodelijst.extension","Immunization.vaccineCode.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeHPKCodelijst.system","Immunization.vaccineCode.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.7""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeHPKCodelijst.version","Immunization.vaccineCode.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeHPKCodelijst.code","Immunization.vaccineCode.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeHPKCodelijst.display","Immunization.vaccineCode.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeHPKCodelijst.userSelected","Immunization.vaccineCode.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeZICodelijst","Immunization.vaccineCode.coding","productCodeZICodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodeZICodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.6--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeZICodelijst.id","Immunization.vaccineCode.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeZICodelijst.extension","Immunization.vaccineCode.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeZICodelijst.system","Immunization.vaccineCode.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.8""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeZICodelijst.version","Immunization.vaccineCode.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeZICodelijst.code","Immunization.vaccineCode.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeZICodelijst.display","Immunization.vaccineCode.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeZICodelijst.userSelected","Immunization.vaccineCode.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeATCCodelijst","Immunization.vaccineCode.coding","productCodeATCCodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodeATCCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.4--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeATCCodelijst.id","Immunization.vaccineCode.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeATCCodelijst.extension","Immunization.vaccineCode.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeATCCodelijst.system","Immunization.vaccineCode.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.whocc.no/atc""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeATCCodelijst.version","Immunization.vaccineCode.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeATCCodelijst.code","Immunization.vaccineCode.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeATCCodelijst.display","Immunization.vaccineCode.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeATCCodelijst.userSelected","Immunization.vaccineCode.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodePRKCodelijst","Immunization.vaccineCode.coding","productCodePRKCodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodePRKCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.1--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodePRKCodelijst.id","Immunization.vaccineCode.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodePRKCodelijst.extension","Immunization.vaccineCode.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodePRKCodelijst.system","Immunization.vaccineCode.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.10""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodePRKCodelijst.version","Immunization.vaccineCode.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodePRKCodelijst.code","Immunization.vaccineCode.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodePRKCodelijst.display","Immunization.vaccineCode.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodePRKCodelijst.userSelected","Immunization.vaccineCode.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGTINCodelijst","Immunization.vaccineCode.coding","productCodeGTINCodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodeGTINCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.11.1.5--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGTINCodelijst.id","Immunization.vaccineCode.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGTINCodelijst.extension","Immunization.vaccineCode.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGTINCodelijst.system","Immunization.vaccineCode.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:1.3.160""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGTINCodelijst.version","Immunization.vaccineCode.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGTINCodelijst.code","Immunization.vaccineCode.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGTINCodelijst.display","Immunization.vaccineCode.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Immunization","Immunization.vaccineCode.coding:productCodeGTINCodelijst.userSelected","Immunization.vaccineCode.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Immunization","Immunization.vaccineCode.text","Immunization.vaccineCode.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Immunization","Immunization.patient","Immunization.patient","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient]]}
","Who was immunized","The patient who either received or did not receive the immunization.","","","","","","","","","",,,,,"",,,,"Immunization.patient",1,1,"",""
"Immunization","Immunization.encounter","Immunization.encounter","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Encounter]]}
","Encounter administered as part of","The visit or admission or other contact between patient and health care provider the immunization was performed as part of.","","","","","","","","","",,,,,"",,,,"Immunization.encounter",0,1,"",""
"Immunization","Immunization.date","Immunization.date","","VaccinatieDatum
","",1,1,"Y","","","dateTime {[]} {[]}
","VaccinationDate","Date (and if possible time) that the vaccine was administered.","When immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given.","","","","","","","","",,,,,"",,,,"Immunization.date",0,1,"",""
"Immunization","Immunization.primarySource","Immunization.primarySource","","","",1,1,"","","","boolean {[]} {[]}
","Indicates context the data was recorded in","An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.","Reflects the “reliability” of the content.","","","","","","","","",,,,,"",,,,"Immunization.primarySource",1,1,"",""
"Immunization","Immunization.reportOrigin","Immunization.reportOrigin","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Indicates the source of a secondarily reported record","The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine.","Should not be populated if primarySource = True, will not be required even if primarySource = False.","","","","","","","","",,"example","The source of the data for a record which is not from a primary source.","http://hl7.org/fhir/ValueSet/immunization-origin","",,,,"Immunization.reportOrigin",0,1,"",""
"Immunization","Immunization.location","Immunization.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-location]]}
","Where vaccination occurred","The service delivery location where the vaccine administration occurred.","","","","","","","","","",,,,,"",,,,"Immunization.location",0,1,"",""
"Immunization","Immunization.manufacturer","Immunization.manufacturer","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization]]}
","Vaccine manufacturer","Name of vaccine manufacturer.","","","","","","","","","",,,,,"",,,,"Immunization.manufacturer",0,1,"",""
"Immunization","Immunization.lotNumber","Immunization.lotNumber","","","",0,1,"","","","string {[]} {[]}
","Vaccine lot number","Lot number of the  vaccine product.","","","","","","","","","",,,,,"",,,,"Immunization.lotNumber",0,1,"",""
"Immunization","Immunization.expirationDate","Immunization.expirationDate","","","",0,1,"","","","date {[]} {[]}
","Vaccine expiration date","Date vaccine batch expires.","","","","","","","","","",,,,,"",,,,"Immunization.expirationDate",0,1,"",""
"Immunization","Immunization.site","Immunization.site","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Body site vaccine  was administered","Body site where vaccine was administered.","","","","","","","","","",,"example","The site at which the vaccine was administered","http://hl7.org/fhir/ValueSet/immunization-site","",,,,"Immunization.site",0,1,"",""
"Immunization","Immunization.route","Immunization.route","","","",0,1,"","","","CodeableConcept {[]} {[]}
","How vaccine entered body","The path by which the vaccine product is taken into the body.","","","","","","","","","",,"example","The route by which the vaccine was administered","http://hl7.org/fhir/ValueSet/immunization-route","",,,,"Immunization.route",0,1,"",""
"Immunization","Immunization.doseQuantity","Immunization.doseQuantity","","Dosis
","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Dose","The amount of product administered shown in milliliters. In most cases, the entire product is administered; in some cases, a described part of the product is administered.","","","","","","","","","",,,,,"",,,,"Immunization.doseQuantity",0,1,"",""
"Immunization","Immunization.practitioner","Immunization.practitioner","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Who performed event","Indicates who or what performed the event.","","","","","","","","","",,,,,"",,,,"Immunization.practitioner",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Immunization","Immunization.practitioner.id","Immunization.practitioner.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.practitioner.extension","Immunization.practitioner.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Immunization","Immunization.practitioner.modifierExtension","Immunization.practitioner.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Immunization","Immunization.practitioner.role","Immunization.practitioner.role","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","What type of performance was done","Describes the type of performance (e.g. ordering provider, administering provider, etc.).","","","","","","","","","",,"extensible","The role a practitioner plays in the immunization event","http://hl7.org/fhir/ValueSet/immunization-role","",,,,"Immunization.practitioner.role",0,1,"",""
"Immunization","Immunization.practitioner.role.id","Immunization.practitioner.role.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.practitioner.role.extension","Immunization.practitioner.role.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Immunization","Immunization.practitioner.role.coding","Immunization.practitioner.role.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:$this}
","",,"open","CodeableConcept.coding",0,*,"",""
"Immunization","Immunization.practitioner.role.coding:healthProfessionalRole","Immunization.practitioner.role.coding","healthProfessionalRole","ZorgverlenerRol
","",0,*,"","","Y","Coding {[]} {[]}
","HealthProfessionalRole","The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Immunization","Immunization.practitioner.role.text","Immunization.practitioner.role.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Immunization","Immunization.practitioner.actor","Immunization.practitioner.actor","","Toediener
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner]]}
","Administrator","The healthcare provider and/or organization where or by whom the immunization was done.","","","","","","","","","",,,,,"",,,,"Immunization.practitioner.actor",1,1,"",""
"Immunization","Immunization.practitioner.actor.id","Immunization.practitioner.actor.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.practitioner.actor.extension","Immunization.practitioner.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Immunization","Immunization.practitioner.actor.extension:practitionerRole","Immunization.practitioner.actor.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Immunization","Immunization.practitioner.actor.reference","Immunization.practitioner.actor.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"Immunization","Immunization.practitioner.actor.identifier","Immunization.practitioner.actor.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"Immunization","Immunization.practitioner.actor.display","Immunization.practitioner.actor.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"Immunization","Immunization.note","Immunization.note","","","",0,*,"","","Y","Annotation {[]} {[]}
","Vaccination notes","Extra information about the immunization that is not conveyed by the other attributes.","","","","","","","","","",,,,,"",,,,"Immunization.note",0,*,"",""
"Immunization","Immunization.note.id","Immunization.note.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.note.extension","Immunization.note.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Immunization","Immunization.note.author[x]","Immunization.note.author[x]","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]}
string {[]} {[]}","Individual responsible for the annotation","The individual responsible for making the annotation.","","","","","","","","","",,,,,"",,,,"Annotation.author[x]",0,1,"",""
"Immunization","Immunization.note.time","Immunization.note.time","","","",0,1,"","","Y","dateTime {[]} {[]}
","When the annotation was made","Indicates when this particular annotation was made.","","","","","","","","","",,,,,"",,,,"Annotation.time",0,1,"",""
"Immunization","Immunization.note.text","Immunization.note.text","","Toelichting
","",1,1,"Y","","","string {[]} {[]}
","Comment","Free text explanation.
Examples of commonly used explanations are: - ""Vaccination according to the National Immunisation Program"". - ""Not according to the National Immunisation Program"", followed by further explanation. - ""Unknown""","","","","","","","","","",,,,,"",,,,"Annotation.text",1,1,"",""
"Immunization","Immunization.explanation","Immunization.explanation","","","",0,1,"","","","BackboneElement {[]} {[]}
","Administration/non-administration reasons","Reasons why a vaccine was or was not administered.","","","","","","","","","",,,,,"",,,,"Immunization.explanation",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Immunization","Immunization.explanation.id","Immunization.explanation.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.explanation.extension","Immunization.explanation.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Immunization","Immunization.explanation.modifierExtension","Immunization.explanation.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Immunization","Immunization.explanation.reason","Immunization.explanation.reason","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Why immunization occurred","Reasons why a vaccine was administered.","","","","","","","","","",,"example","The reason why a vaccine was administered","http://hl7.org/fhir/ValueSet/immunization-reason","",,,,"Immunization.explanation.reason",0,*,"",""
"Immunization","Immunization.explanation.reasonNotGiven","Immunization.explanation.reasonNotGiven","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Why immunization did not occur","Reason why a vaccine was not administered.","","","","","","","","","",,"example","The reason why a vaccine was not administered","http://hl7.org/fhir/ValueSet/no-immunization-reason","",,,,"Immunization.explanation.reasonNotGiven",0,*,"",""
"Immunization","Immunization.reaction","Immunization.reaction","","","",0,*,"","","","BackboneElement {[]} {[]}
","Details of a reaction that follows immunization","Categorical data indicating that an adverse event is associated in time to an immunization.","A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case,  it should be recorded as a new [AllergyIntolerance](http://hl7.org/fhir/STU3/allergyintolerance.html) resource instance as most systems will not query against  past Immunization.reaction elements.","","","","","","","","",,,,,"",,,,"Immunization.reaction",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Immunization","Immunization.reaction.id","Immunization.reaction.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.reaction.extension","Immunization.reaction.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Immunization","Immunization.reaction.modifierExtension","Immunization.reaction.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Immunization","Immunization.reaction.date","Immunization.reaction.date","","","",0,1,"","","","dateTime {[]} {[]}
","When reaction started","Date of reaction to the immunization.","","","","","","","","","",,,,,"",,,,"Immunization.reaction.date",0,1,"",""
"Immunization","Immunization.reaction.detail","Immunization.reaction.detail","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation]]}
","Additional information on reaction","Details of the reaction.","","","","","","","","","",,,,,"",,,,"Immunization.reaction.detail",0,1,"",""
"Immunization","Immunization.reaction.reported","Immunization.reaction.reported","","","",0,1,"","","","boolean {[]} {[]}
","Indicates self-reported reaction","Self-reported indicator.","","","","","","","","","",,,,,"",,,,"Immunization.reaction.reported",0,1,"",""
"Immunization","Immunization.vaccinationProtocol","Immunization.vaccinationProtocol","","","",0,*,"","","","BackboneElement {[]} {[]}
","What protocol was followed","Contains information about the protocol(s) under which the vaccine was administered.","","","","","","","","","",,,,,"",,,,"Immunization.vaccinationProtocol",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Immunization","Immunization.vaccinationProtocol.id","Immunization.vaccinationProtocol.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Immunization","Immunization.vaccinationProtocol.extension","Immunization.vaccinationProtocol.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Immunization","Immunization.vaccinationProtocol.modifierExtension","Immunization.vaccinationProtocol.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Immunization","Immunization.vaccinationProtocol.doseSequence","Immunization.vaccinationProtocol.doseSequence","","","",0,1,"","","","positiveInt {[]} {[]}
","Dose number within series","Nominal position in a series.","","","","","","","","","",,,,,"",,,,"Immunization.vaccinationProtocol.doseSequence",0,1,"",""
"Immunization","Immunization.vaccinationProtocol.description","Immunization.vaccinationProtocol.description","","","",0,1,"","","","string {[]} {[]}
","Details of vaccine protocol","Contains the description about the protocol under which the vaccine was administered.","","","","","","","","","",,,,,"",,,,"Immunization.vaccinationProtocol.description",0,1,"",""
"Immunization","Immunization.vaccinationProtocol.authority","Immunization.vaccinationProtocol.authority","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Who is responsible for protocol","Indicates the authority who published the protocol.  E.g. ACIP.","","","","","","","","","",,,,,"",,,,"Immunization.vaccinationProtocol.authority",0,1,"",""
"Immunization","Immunization.vaccinationProtocol.series","Immunization.vaccinationProtocol.series","","","",0,1,"","","","string {[]} {[]}
","Name of vaccine series","One possible path to achieve presumed immunity against a disease - within the context of an authority.","","","","","","","","","",,,,,"",,,,"Immunization.vaccinationProtocol.series",0,1,"",""
"Immunization","Immunization.vaccinationProtocol.seriesDoses","Immunization.vaccinationProtocol.seriesDoses","","","",0,1,"","","","positiveInt {[]} {[]}
","Recommended number of doses for immunity","The recommended number of doses to achieve immunity.","","","","","","","","","",,,,,"",,,,"Immunization.vaccinationProtocol.seriesDoses",0,1,"",""
"Immunization","Immunization.vaccinationProtocol.targetDisease","Immunization.vaccinationProtocol.targetDisease","","","",1,*,"","","","CodeableConcept {[]} {[]}
","Disease immunized against","The targeted disease.","","","","","","","","","",,"example","The disease target of the vaccination protocol","http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-target","",,,,"Immunization.vaccinationProtocol.targetDisease",1,*,"",""
"Immunization","Immunization.vaccinationProtocol.doseStatus","Immunization.vaccinationProtocol.doseStatus","","","",1,1,"","","","CodeableConcept {[]} {[]}
","Indicates if dose counts towards immunity","Indicates if the immunization event should ""count"" against  the protocol.","May need to differentiate between status declarations by a provider vs. a CDS engine.","","","","","","","","",,"example","The status of the vaccination protocol (i.e. should this count)","http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status","",,,,"Immunization.vaccinationProtocol.doseStatus",1,1,"",""
"Immunization","Immunization.vaccinationProtocol.doseStatusReason","Immunization.vaccinationProtocol.doseStatusReason","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Why dose does (not) count","Provides an explanation as to why an immunization event should or should not count against the protocol.","","","","","","","","","",,"example","The reason for the determining if a vaccination should count or why vaccination should not count.","http://hl7.org/fhir/ValueSet/vaccination-protocol-dose-status-reason","",,,,"Immunization.vaccinationProtocol.doseStatusReason",0,1,"",""
"LaboratoryTestResult","Observation","Observation","","Vital Signs
MeasurementResultsTestsLaboratoriumUitslag","",0,*,"","","","null {[]} {[]}
","LaboratoryTestResult","A laboratory result describes the result of a laboratory analysis.
These are specimen-oriented tests as performed in laboratories such as Clinical Chemistry, Serology, Microbiology, etc.
In addition to the results of tests with a singular result, this concept can also contain the results of more complex tests with multiple results or a ‘panel’.","This profile is used for two concepts of the HCIM LaboratoryTestResult at the same time: the root concept (NL-CM:13.1.1) and the LaboratoryTest concept (NL-CM:13.1.3). A LaboratoryTestResult can consist of just one LaboratoryTest or can be a panel of multiple LaboratoryTests. If there's just one LaboratoryTest, a single instance of this profile may be used to represent both concepts, but if there are multiple LaboratoryTests, there should be one parent instance representing the LaboratoryTestResult that uses `Observation.related` to link child instances representing individual LaboratoryTests.

Note that the `Observation.related` field in is also used for a third case where there are multiple related LaboratoryTestResults (RelatedResult, NL-CM:13.1.33).

The list below summarizes the different situations:
1. Single LaboratoryTestResult with single LaboratoryTest:
* single instance of this profile
* `.code` represents the HCIM concept TestCode (NL-CM:13.1.8)
2. Single LaboratoryTestResult with multiple LaboratoryTests
* parent instance with child instances in `.related.target`
* `.code` of parent represents the HCIM concept PanelOrBattery (NL-CM:13.1.4)
* `.code` of child represents the HCIM concept TestCode (NL-CM:13.1.8)
* `.related.type` of parent set to ""has-member""
3. Multiple related LaboratoryTestResults
* multiple instances representing the root concept
* `.code` represents the HCIM concept TestCode (NL-CM:13.1.8)
* `.related.target` references the related instances
* `.related.type` set to whichever value is appropriate

Also note that there is the additional profile [zib-LaboratoryTestResult-DiagnosticReport](http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-DiagnosticReport), which is used for (textual) reports on individual (panels of) observations, like conclusions. The DiagnosticReport contains references to instances of this profile and can be used in all three the situations described above.","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}obs-7:If code is the same as a component code then the value element associated with the code SHALL NOT be present {value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()}obs-6:dataAbsentReason SHALL only be present if Observation.value[x] is not present {dataAbsentReason.empty() or value.empty()}"
"LaboratoryTestResult","Observation.id","Observation.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"LaboratoryTestResult","Observation.meta","Observation.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"LaboratoryTestResult","Observation.implicitRules","Observation.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"LaboratoryTestResult","Observation.language","Observation.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"LaboratoryTestResult","Observation.text","Observation.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"LaboratoryTestResult","Observation.contained","Observation.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"LaboratoryTestResult","Observation.extension","Observation.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"LaboratoryTestResult","Observation.modifierExtension","Observation.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"LaboratoryTestResult","Observation.identifier","Observation.identifier","","Identificatie
","",0,*,"","","Y","Identifier {[]} {[]}
","Identifier","A unique identifier assigned to this observation.","","Allows observations to be distinguished and referenced.","","","","","","","",,,,,"",,,,"Observation.identifier",0,*,"",""
"LaboratoryTestResult","Observation.basedOn","Observation.basedOn","","Fulfills
Aanvrager","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/DeviceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder], CanonicalType[http://hl7.org/fhir/StructureDefinition/ProcedureRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ReferralRequest]]}
","Fulfills plan, proposal or order including requester information.","A plan, proposal or order that is fulfilled in whole or in part by this event.","Requester information should be captured and exchanged in the resource ProcedureRequest referenced by `basedOn`. Requester is the healthcare provider and/or organization where or by whom the LaboratoryTestResult was requested. There are a few required elements in ProcedureRequest:
* `ProcedureRequest.status` (use fixed value _active_, unless you know what the actual value is)
* `ProcedureRequest.intent` (use fixed value _order_, unless you know what the actual value is)
* `ProcedureRequest.code` (use extension http://hl7.org/fhir/STU3/extension-iso21090-nullflavor.html with `valueCode` _UNK_, unless you know what the actual value is)
* `ProcedureRequest.subject` (equal to `Observation.subject`)
* `ProcedureRequest.requester.agent` (contains the requesting HealthProfessional)","Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","","","","","","","",,,,,"",,,,"Observation.basedOn",0,*,"",""
"LaboratoryTestResult","Observation.status","Observation.status","","TestUitslagStatus
","",1,1,"Y","Y","Y","code {[]} {[]}
","TestUitslagStatus","The status of the test result of this test. If the laboratory test is an panel/cluster, the overall status is given in the status of the panel/cluster.","This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","Need to track the status of individual results. Some results are finalized before the whole report is finalized.","","","","","","","",,"required","Codes providing the status of an observation.","http://hl7.org/fhir/ValueSet/observation-status","",,,,"Observation.status",1,1,"",""
"LaboratoryTestResult","Observation.status.id","Observation.status.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.status.extension","Observation.status.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.status.extension:TestResultStatus","Observation.status.extension","TestResultStatus","extensions
user contentBevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.TestUitslagStatus","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]} {[]}
","TestResultStatus","Provides the specific HCIM code for TestResultStatus or ResultStatus.

The status of the laboratory test result. If the laboratory test is an panel/cluster,  this status reflects the status of the whole panel/cluster. If the status item per subtest is used too, this status must be in accordance with these status values.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"LaboratoryTestResult","Observation.status.extension:TestResultStatus.id","Observation.status.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.status.extension:TestResultStatus.extension","Observation.status.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.status.extension:TestResultStatus.url","Observation.status.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/code-specification""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"LaboratoryTestResult","Observation.status.extension:TestResultStatus.value[x]:valueCodeableConcept","Observation.status.extension.value[x]","valueCodeableConcept","","",1,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","TestResultStatusCodelist","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"LaboratoryTestResult","Observation.status.value","Observation.status.value","","","",0,1,"","","","code {[]} {[]}
","Primitive value for code","Primitive value for code","","","","","","","","","",,,,,"",,,,"string.value",0,1,"",""
"LaboratoryTestResult","Observation.category","Observation.category","","","",1,*,"","","","CodeableConcept {[]} {[]}
","Classification of  type of observation","A code that classifies the general type of observation being made.","In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.","Used for filtering what observations are retrieved and displayed.","","","","","","","",,"preferred","Codes for high level observation categories.","http://hl7.org/fhir/ValueSet/observation-category","","value:$this}
","",,"open","Observation.category",0,*,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode","Observation.category","LaboratoryTestResultCode","","",1,1,"","","","CodeableConcept {[]} {[]}
","LaboratoryTestResultCode","A code that classifies the general type of observation being made.","In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.","Used for filtering what observations are retrieved and displayed.","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://snomed.info/sct""/>
    <code value=""49581000146104""/>
  </coding>
</valueCodeableConcept>","","","",,"preferred","Codes for high level observation categories.","http://hl7.org/fhir/ValueSet/observation-category","",,,,"Observation.category",0,*,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode.id","Observation.category.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode.extension","Observation.category.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode.coding","Observation.category.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode.coding.id","Observation.category.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode.coding.extension","Observation.category.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode.coding.system","Observation.category.coding.system","","","",0,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode.coding.version","Observation.category.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode.coding.code","Observation.category.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode.coding.display","Observation.category.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","<valueString xmlns=""http://hl7.org/fhir"" value=""Laboratory test finding (finding)""/>","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode.coding.userSelected","Observation.category.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"LaboratoryTestResult","Observation.category:LaboratoryTestResultCode.text","Observation.category.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"LaboratoryTestResult","Observation.category:ResultType","Observation.category","ResultType","ResultaatType
","",0,1,"","","","CodeableConcept {[]} {[]}
","ResultType","The type of result defines the laboratory specialty under which the test is categorized.","In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.","Used for filtering what observations are retrieved and displayed.","","","","","","","",,"required","ResultaatTypeCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000","",,,,"Observation.category",0,*,"",""
"LaboratoryTestResult","Observation.code","Observation.code","","Name
TestCodeOnderzoek","",1,1,"","","Y","CodeableConcept {[]} {[]}
","TestCode or PanelOrBattery","The name and code of the executed test or for laboratory tests comprising multiple subtests and often requested together as a whole, this concept contains the name of the compound request (often indicated as a ‘panel’, ‘battery’ or ‘cluster’). Examples include: blood gases and EBV serology.","This can either be the HCIM concept PanelOrBattery (NL-CM:13.1.4) or TestCode (NL-CM:13.1.8) depending on the use case. See the documentation on the root of this profile for guidance on implementing the different uses cases.","Knowing what kind of observation is being made is essential to understanding the observation.","","","","","","","",,"example","Codes identifying names of simple observations.","http://hl7.org/fhir/ValueSet/observation-codes","",,,,"Observation.code",1,1,"",""
"LaboratoryTestResult","Observation.code.id","Observation.code.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.code.extension","Observation.code.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.code.coding","Observation.code.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"LaboratoryTestResult","Observation.code.coding.id","Observation.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.code.coding.extension","Observation.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.code.coding.system","Observation.code.coding.system","","","",0,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"LaboratoryTestResult","Observation.code.coding.version","Observation.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"LaboratoryTestResult","Observation.code.coding.code","Observation.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"LaboratoryTestResult","Observation.code.coding.display","Observation.code.coding.display","","","",0,1,"Y","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"LaboratoryTestResult","Observation.code.coding.userSelected","Observation.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"LaboratoryTestResult","Observation.code.text","Observation.code.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"LaboratoryTestResult","Observation.subject","Observation.subject","","Patiënt
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-location], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient]]}
","Patient","The patient, or group of patients, location, or device whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed.  Comments: Indirect characteristics may be those of a specimen, fetus, donor,  other observer (for example a relative or EMT), or any observation made about the subject.","One would expect this element to be a cardinality  of 1..1.  The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.

If the target of the observation is different than the subject, the general extension [observation-focal-subject](http://hl7.org/fhir/STU3/extension-observation-focal-subject.html).  may be used.  However, the distinction between the patient's own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code.","Observations have no value if you don't know who or what they're about.","","","","","","","",,,,,"",,,,"Observation.subject",0,1,"",""
"LaboratoryTestResult","Observation.context","Observation.context","","Encounter
","",0,1,"","","","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare], CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Encounter], CanonicalType[http://nictiz.nl/fhir/StructureDefinition/gp-Encounter]]}
","Encounter during which this observation is made","The encounter during which this journal entry was made.","This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests).","For some observations it may be important to know the link between an observation and a particular encounter.","","","","","","","",,,,,"",,,,"Observation.context",0,1,"",""
"LaboratoryTestResult","Observation.effective[x]","Observation.effective[x]","","Occurrence
TestDatumTijd","",0,1,"","","Y","dateTime {[]} {[]}
","TestDateTime","The date and if possible the time at which the test was carried out.","At least a date should be present unless this observation is a historical report.","Knowing when an observation was deemed true is important to its relevance as well as determining trends.","","","","","","","",,,,,"","type:$this}
","",,"closed","Observation.effective[x]",0,1,"",""
"LaboratoryTestResult","Observation.effective[x]:effectiveDateTime","Observation.effective[x]","effectiveDateTime","Occurrence
TestDatumTijd","",0,1,"Y","","Y","dateTime {[]} {[]}
","TestDateTime","The date and if possible the time at which the test was carried out.","At least a date should be present unless this observation is a historical report.","Knowing when an observation was deemed true is important to its relevance as well as determining trends.","","","","","","","",,,,,"",,,,"Observation.effective[x]",0,1,"",""
"LaboratoryTestResult","Observation.issued","Observation.issued","","","",0,1,"","","Y","instant {[]} {[]}
","Date/Time this was made available","The date and time this observation was made available to providers, typically after the results have been reviewed and verified.","Updated when the result is updated.","","","","","","","","",,,,,"",,,,"Observation.issued",0,1,"",""
"LaboratoryTestResult","Observation.performer","Observation.performer","","","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson]]}
","Who is responsible for the observation","Who was responsible for asserting the observed value as ""true"".","","May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","","","","","","","",,,,,"",,,,"Observation.performer",0,*,"",""
"LaboratoryTestResult","Observation.performer.id","Observation.performer.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.performer.extension","Observation.performer.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.performer.extension:practitionerRole","Observation.performer.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"LaboratoryTestResult","Observation.performer.reference","Observation.performer.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"LaboratoryTestResult","Observation.performer.identifier","Observation.performer.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"LaboratoryTestResult","Observation.performer.display","Observation.performer.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"LaboratoryTestResult","Observation.value[x]","Observation.value[x]","","TestUitslag
","",0,1,"","","Y","Quantity {[]} {[]}
","TestResult","The test result. Depending on the type of test, the result will consist of a value with a unit or a coded value (ordinal or nominal).","Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is ""'value' + the type name"" with a capital on the first letter of the type).


If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text.  A value set is bound to the ValueCodeableConcept element.    For further discussion and examples see the  [notes section](http://hl7.org/fhir/STU3/observation.html#notes) below.","An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations.","","","","","","","",,,,,"","type:$this}
","",,"closed","Observation.value[x]",0,1,"obs-7
",""
"LaboratoryTestResult","Observation.value[x]:valueQuantity","Observation.value[x]","valueQuantity","TestUitslag
","",0,1,"Y","","Y","Quantity {[]} {[]}
","TestResult","The test result. Depending on the type of test, the result will consist of a value with a unit or a coded value (ordinal or nominal).","Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is ""'value' + the type name"" with a capital on the first letter of the type).


If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text.  A value set is bound to the ValueCodeableConcept element.    For further discussion and examples see the  [notes section](http://hl7.org/fhir/STU3/observation.html#notes) below.","An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations.","","","","","","","",,,,,"",,,,"Observation.value[x]",0,1,"obs-7
",""
"LaboratoryTestResult","Observation.value[x]:valueQuantity.id","Observation.value[x].id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.value[x]:valueQuantity.extension","Observation.value[x].extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.value[x]:valueQuantity.value","Observation.value[x].value","","","",0,1,"Y","","Y","decimal {[]} {[]}
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the value.","The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"",""
"LaboratoryTestResult","Observation.value[x]:valueQuantity.comparator","Observation.value[x].comparator","","","",0,1,"","Y","Y","code {[]} {[]}
","< | <= | >= | > - how to understand the value","How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is ""<"" , then the real value is < stated value.","This is labeled as ""Is Modifier"" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","http://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2","",,,,"Quantity.comparator",0,1,"",""
"LaboratoryTestResult","Observation.value[x]:valueQuantity.unit","Observation.value[x].unit","","","",0,1,"","","Y","string {[]} {[]}
","Unit representation","A human-readable form of the unit.","","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"",""
"LaboratoryTestResult","Observation.value[x]:valueQuantity.system","Observation.value[x].system","","","",0,1,"","","Y","uri {[]} {[]}
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"qty-3
",""
"LaboratoryTestResult","Observation.value[x]:valueQuantity.code","Observation.value[x].code","","","",0,1,"Y","","Y","code {[]} {[]}
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.","Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"",""
"LaboratoryTestResult","Observation.dataAbsentReason","Observation.dataAbsentReason","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Why the result is missing","Provides a reason why the expected value in the element Observation.value[x] is missing.","Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  ""detected"", ""not detected"", ""inconclusive"", or  ""specimen unsatisfactory"".   The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code ""error"" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0.  Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","For many results it is necessary to handle exceptional values in measurements.","","","","","","","",,"extensible","Codes specifying why the result (Observation.value[x]) is missing.","http://hl7.org/fhir/ValueSet/observation-valueabsentreason","",,,,"Observation.dataAbsentReason",0,1,"obs-6
",""
"LaboratoryTestResult","Observation.interpretation","Observation.interpretation","","Abnormal Flag
","",0,1,"","","","CodeableConcept {[]} {[]}
","High, low, normal, etc.","The assessment made based on the result of the observation.  Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.","","For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","","","","","","","",,"extensible","Codes identifying interpretations of observations.","http://hl7.org/fhir/ValueSet/observation-interpretation","",,,,"Observation.interpretation",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.id","Observation.interpretation.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.extension","Observation.interpretation.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.interpretation.coding","Observation.interpretation.coding","","","",1,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:system}
","",,"open","CodeableConcept.coding",0,*,"","zib-LaboratoryTestResult-Observation-1:If a value from the HCIM ValueSet 'InterpretatieVlaggenCodelijst' is present a mapped code from the FHIR ValueSet 'Observation Interpretation Codes' is also expected. A ConceptMap is available that maps the HCIM values to the FHIR values. {coding.where(system = 'http://snomed.info/sct' and (code = '281302008' or '281300000' or '11896004' or '30714006' or '131196009')  ).exists() implies coding.where(system = 'http://hl7.org/fhir/v2/0078').exists()}
"
"LaboratoryTestResult","Observation.interpretation.coding.id","Observation.interpretation.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding.extension","Observation.interpretation.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.interpretation.coding.system","Observation.interpretation.coding.system","","","",0,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding.version","Observation.interpretation.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding.code","Observation.interpretation.coding.code","","","",0,1,"Y","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding.display","Observation.interpretation.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding.userSelected","Observation.interpretation.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:ObservationInterpretation","Observation.interpretation.coding","ObservationInterpretation","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","Observation Interpretation Codes","http://hl7.org/fhir/ValueSet/observation-interpretation","",,,,"CodeableConcept.coding",0,*,"",""
"LaboratoryTestResult","Observation.interpretation.coding:ObservationInterpretation.id","Observation.interpretation.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:ObservationInterpretation.extension","Observation.interpretation.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.interpretation.coding:ObservationInterpretation.system","Observation.interpretation.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/v2/0078""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:ObservationInterpretation.version","Observation.interpretation.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:ObservationInterpretation.code","Observation.interpretation.coding.code","","","",1,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:ObservationInterpretation.display","Observation.interpretation.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:ObservationInterpretation.userSelected","Observation.interpretation.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:InterpretatieVlaggenCodelijst","Observation.interpretation.coding","InterpretatieVlaggenCodelijst","InterpretatieVlaggen
","",0,*,"","","Y","Coding {[]} {[]}
","ResultFlags","Attention codes indicating whether the result is above or below certain reference values or interpreting the result otherwise. (Resistent)","This slice binds the ValueSet from the HCIM, which overlaps the ValueSet from the core FHIR Observation. To satisfy the FHIR profiling rules, the code from the core FHIR ValueSet SHOULD be included as well if a code from this ValueSet is included. A ConceptMap (https://simplifier.net/resolve?canonical=http://nictiz.nl/fhir/ConceptMap/InterpretatieVlaggenCodelijst-to-observation-interpretation) is available that explains the relationship between the FHIR observation-interpretation value set and the HCIM ResultFlagsCodelist.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","InterpretatieVlaggenCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"LaboratoryTestResult","Observation.interpretation.coding:InterpretatieVlaggenCodelijst.id","Observation.interpretation.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:InterpretatieVlaggenCodelijst.extension","Observation.interpretation.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.interpretation.coding:InterpretatieVlaggenCodelijst.system","Observation.interpretation.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://snomed.info/sct""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:InterpretatieVlaggenCodelijst.version","Observation.interpretation.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:InterpretatieVlaggenCodelijst.code","Observation.interpretation.coding.code","","","",1,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:InterpretatieVlaggenCodelijst.display","Observation.interpretation.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.coding:InterpretatieVlaggenCodelijst.userSelected","Observation.interpretation.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"LaboratoryTestResult","Observation.interpretation.text","Observation.interpretation.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"LaboratoryTestResult","Observation.comment","Observation.comment","","Toelichting
UitslagInterpretatie","",0,1,"","","","string {[]} {[]}
","Comment or ResultInterpretation","Comments, such as a textual interpretation or advice accompanying the result, for example or a comment of the laboratory specialist regarding the interpretation of the results.","","Need to be able to provide free text additional information.","","","","","","","",,,,,"",,,,"Observation.comment",0,1,"",""
"LaboratoryTestResult","Observation.bodySite","Observation.bodySite","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Observed body part","Indicates the site on the subject's body where the observation was made (i.e. the target site).","Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html).","","","","","","","","",,"example","Codes describing anatomical locations. May include laterality.","http://hl7.org/fhir/ValueSet/body-site","",,,,"Observation.bodySite",0,1,"",""
"LaboratoryTestResult","Observation.method","Observation.method","","Testmethode
","",0,1,"","","","CodeableConcept {[]} {[]}
","TestMethod","The test method used to obtain the result.","Only used if not implicit in code for Observation.code.","In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","","","","","","","",,"extensible","SNOMED CT (2.16.840.1.113883.6.96): All values","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4--20171231000000","",,,,"Observation.method",0,1,"",""
"LaboratoryTestResult","Observation.specimen","Observation.specimen","","Monster
","",0,1,"Y","","","Reference {[]} {[CanonicalType[http://fhir.hl7.nl/zorgviewer/StructureDefinition/Specimen]]}
","Specimen","The specimen that was used when this observation was made.","Should only be used if not implicit in code found in `Observation.code`.  Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","","","","","","","","",,,,,"",,,,"Observation.specimen",0,1,"",""
"LaboratoryTestResult","Observation.device","Observation.device","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct]]}
","(Measurement) Device","The device used to generate the observation data.","An extension should be used if further typing of the device is needed.  Devices used to support obtaining an observation can be represented using either an extension or through the Observation.related element.","","","","","","","","",,,,,"",,,,"Observation.device",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange","Observation.referenceRange","","Referentie
","",0,*,"","","","BackboneElement {[]} {[]}
","Reference","Guidance on how to interpret the value by comparison to a normal or recommended range.","Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","Knowing what values are considered ""normal"" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","","","","","","","",,,,,"",,,,"Observation.referenceRange",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
obs-3:Must have at least a low or a high or text {low.exists() or high.exists() or text.exists()}"
"LaboratoryTestResult","Observation.referenceRange.id","Observation.referenceRange.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.extension","Observation.referenceRange.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.referenceRange.modifierExtension","Observation.referenceRange.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"LaboratoryTestResult","Observation.referenceRange.low","Observation.referenceRange.low","","ReferentieOndergrens
","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","ReferenceRangeLowerLimit","The lower reference limit for the patient of the value measured with the test.","","","","","","","","","",,,,,"",,,,"Observation.referenceRange.low",0,1,"obs-3
",""
"LaboratoryTestResult","Observation.referenceRange.low.id","Observation.referenceRange.low.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.low.extension","Observation.referenceRange.low.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.referenceRange.low.value","Observation.referenceRange.low.value","","","",0,1,"Y","","Y","decimal {[]} {[]}
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the value.","The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.low.comparator","Observation.referenceRange.low.comparator","","","",0,0,"","Y","Y","code {[]} {[]}
","< | <= | >= | > - how to understand the value","Not allowed to be used in this context","This is labeled as ""Is Modifier"" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","http://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2","",,,,"Quantity.comparator",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.low.unit","Observation.referenceRange.low.unit","","","",0,1,"","","Y","string {[]} {[]}
","Unit representation","A human-readable form of the unit.","","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.low.system","Observation.referenceRange.low.system","","","",0,1,"","","Y","uri {[]} {[]}
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"qty-3
",""
"LaboratoryTestResult","Observation.referenceRange.low.code","Observation.referenceRange.low.code","","","",0,1,"Y","","Y","code {[]} {[]}
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.","Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.high","Observation.referenceRange.high","","ReferentieBovengrens
","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","ReferenceRangeUpperLimit","The upper reference limit for the patient of the value measured in the test.","","","","","","","","","",,,,,"",,,,"Observation.referenceRange.high",0,1,"obs-3
",""
"LaboratoryTestResult","Observation.referenceRange.high.id","Observation.referenceRange.high.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.high.extension","Observation.referenceRange.high.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.referenceRange.high.value","Observation.referenceRange.high.value","","","",0,1,"Y","","Y","decimal {[]} {[]}
","Numerical value (with implicit precision)","The value of the measured amount. The value includes an implicit precision in the presentation of the value.","The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","Precision is handled implicitly in almost all cases of measurement.","","","","","","","",,,,,"",,,,"Quantity.value",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.high.comparator","Observation.referenceRange.high.comparator","","","",0,0,"","Y","Y","code {[]} {[]}
","< | <= | >= | > - how to understand the value","Not allowed to be used in this context","This is labeled as ""Is Modifier"" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value.","Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","","If there is no comparator, then there is no modification of the value","","","","","",,"required","How the Quantity should be understood and represented.","http://hl7.org/fhir/ValueSet/quantity-comparator|3.0.2","",,,,"Quantity.comparator",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.high.unit","Observation.referenceRange.high.unit","","","",0,1,"","","Y","string {[]} {[]}
","Unit representation","A human-readable form of the unit.","","There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","","","","","","","",,,,,"",,,,"Quantity.unit",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.high.system","Observation.referenceRange.high.system","","","",0,1,"","","Y","uri {[]} {[]}
","System that defines coded unit form","The identification of the system that provides the coded form of the unit.","","Need to know the system that defines the coded form of the unit.","","","","","","","",,,,,"",,,,"Quantity.system",0,1,"qty-3
",""
"LaboratoryTestResult","Observation.referenceRange.high.code","Observation.referenceRange.high.code","","","",0,1,"Y","","Y","code {[]} {[]}
","Coded form of the unit","A computer processable form of the unit in some unit representation system.","The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system.","Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","","","","","","","",,,,,"",,,,"Quantity.code",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.type","Observation.referenceRange.type","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Reference range qualifier","Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","This SHOULD be populated if there is more than one range.  If this element is not present then the normal range is assumed.","Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc,  - for proper interpretation.","","","","","","","",,"extensible","Code for the meaning of a reference range.","http://hl7.org/fhir/ValueSet/referencerange-meaning","",,,,"Observation.referenceRange.type",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.appliesTo","Observation.referenceRange.appliesTo","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reference range population","Codes to indicate the target population this reference range applies to.  For example, a reference range may be based on the normal population or a particular sex or race.","This SHOULD be populated if there is more than one range.  If this element is not present then the normal population is assumed.","Need to be able to identify the target population for proper interpretation.","","","","","","","",,"example","Codes identifying the population the reference range applies to.","http://hl7.org/fhir/ValueSet/referencerange-appliesto","",,,,"Observation.referenceRange.appliesTo",0,*,"",""
"LaboratoryTestResult","Observation.referenceRange.age","Observation.referenceRange.age","","","",0,1,"","","","Range {[]} {[]}
","Applicable age range, if relevant","The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.","","Some analytes vary greatly over age.","","","","","","","",,,,,"",,,,"Observation.referenceRange.age",0,1,"",""
"LaboratoryTestResult","Observation.referenceRange.text","Observation.referenceRange.text","","","",0,1,"","","","string {[]} {[]}
","Text based reference range in an observation","Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of ""Negative"" or a list or table of 'normals'.","","","","","","","","","",,,,,"",,,,"Observation.referenceRange.text",0,1,"",""
"LaboratoryTestResult","Observation.related","Observation.related","","GerelateerdeUitslag
LaboratoriumTest","",0,*,"","","Y","BackboneElement {[]} {[]}
","RelatedResults","Reference to related LaboratoryTestResult instances, or to the LaboratoryTest concept if this is a grouping Observation.","The `Observation.related` field is used for two different HCIM use cases:
1. The LaboratoryTestResult can reference other, related LaboratoryTestResults (RelatedResult, NL-CM:13.1.33).
2. The LaboratoryTestResult can consist of multiple LaboratoryTest concepts (NL-CM:13.1.3)

See the documentation on the root if this profile for guidance on implementing these use cases.","Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes a QuestionnaireResponse from which the measure is derived.","","","","","","","",,,,,"",,,,"Observation.related",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"LaboratoryTestResult","Observation.related.id","Observation.related.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.related.extension","Observation.related.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.related.modifierExtension","Observation.related.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"LaboratoryTestResult","Observation.related.type","Observation.related.type","","","",0,1,"","","","code {[]} {[]}
","has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by","A code specifying the kind of relationship that exists with the target resource.","The ""derived-from"" type is the only logical choice when referencing the QuestionnaireAnswer resource.","A relationship type SHOULD be provided.","","","","","","","",,"required","Codes specifying how two observations are related.","http://hl7.org/fhir/ValueSet/observation-relationshiptypes","",,,,"Observation.related.type",0,1,"",""
"LaboratoryTestResult","Observation.related.target","Observation.related.target","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Sequence], CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation]]}
","Resource that is related to this one","A reference to the observation or [QuestionnaireResponse](http://hl7.org/fhir/STU3/questionnaireresponse.html#) resource that is related to this observation.","","","","","","","","","",,,,,"",,,,"Observation.related.target",1,1,"",""
"LaboratoryTestResult","Observation.component","Observation.component","","LaboratoriumTest
","",0,*,"","","Y","BackboneElement {[]} {[]}
","LaboratoryTest","Container of the LaboratoryTest concept. This container contains all data elements of the LaboratoryTest concept.","For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/STU3/observation.html#notes) below.","Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","","","","","","","",,,,,"",,,,"Observation.component",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"LaboratoryTestResult","Observation.component.id","Observation.component.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"LaboratoryTestResult","Observation.component.extension","Observation.component.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"LaboratoryTestResult","Observation.component.modifierExtension","Observation.component.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"LaboratoryTestResult","Observation.component.code","Observation.component.code","","TestCode
","",1,1,"","","Y","CodeableConcept {[]} {[]}
","TestCode","The TestCode is the name of the executed test.","","Knowing what kind of observation is being made is essential to understanding the observation.","","","","","","","",,"extensible","LOINC (2.16.840.1.113883.6.1): All values","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3--20171231000000","",,,,"Observation.component.code",1,1,"",""
"LaboratoryTestResult","Observation.component.value[x]","Observation.component.value[x]","","TestUitslag
","",0,1,"","","Y","Quantity {[]} {[]}
CodeableConcept {[]} {[]}string {[]} {[]}Range {[]} {[]}Ratio {[]} {[]}SampledData {[]} {[]}Attachment {[]} {[]}time {[]} {[]}dateTime {[]} {[]}Period {[]} {[]}","TestResult","The test result. Depending on the type of test, the result will consist of a value with a unit or a coded value (ordinal or nominal).","Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.   For boolean values use valueCodeableConcept and select codes from <http://hl7.org/fhir/ValueSet/v2-0136> (these ""yes/no"" concepts can be mapped to the display name ""true/false"" or other mutually exclusive terms that may be needed"").  The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is ""'value' + the type name"" with a capital on the first letter of the type).","An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations.","","","","","","","",,,,,"",,,,"Observation.component.value[x]",0,1,"",""
"LaboratoryTestResult","Observation.component.dataAbsentReason","Observation.component.dataAbsentReason","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Why the component result is missing","Provides a reason why the expected value in the element Observation.value[x] is missing.","""Null"" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  ""detected"", ""not detected"", ""inconclusive"", or  ""test not done"".   The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code ""error"" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.","For many results it is necessary to handle exceptional values in measurements.","","","","","","","",,"extensible","Codes specifying why the result (Observation.value[x]) is missing.","http://hl7.org/fhir/ValueSet/observation-valueabsentreason","",,,,"Observation.component.dataAbsentReason",0,1,"obs-6
",""
"LaboratoryTestResult","Observation.component.interpretation","Observation.component.interpretation","","Abnormal Flag
InterpretatieVlaggen","",0,1,"","","","CodeableConcept {[]} {[]}
","ResultFlags","Attention codes indicating whether the result is above or below certain reference values or interpreting the result otherwise. (Resistent)","A ConceptMap (https://simplifier.net/resolve?canonical=http://nictiz.nl/fhir/ConceptMap/InterpretatieVlaggenCodelijst-to-observation-interpretation) is available that maps ResultFlagsCodelist to the observation-interpretation value set.","For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","","","","","","","",,"extensible","InterpretatieVlaggenCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7--20171231000000","",,,,"Observation.component.interpretation",0,1,"",""
"LaboratoryTestResult","Observation.component.referenceRange","Observation.component.referenceRange","","","",0,*,"","","","","Provides guide for interpretation of component result","Guidance on how to interpret the value by comparison to a normal or recommended range.","Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","Knowing what values are considered ""normal"" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","","","","","","","",,,,,"",,,,"Observation.component.referenceRange",0,*,"",""
"Medicatiegegevens","Bundle","Bundle","","","",0,*,"","","","null {[]} {[]}
","Contains a collection of resources","A container for a collection of resources.","","","","","","","","","",,,,,"",,,,"Bundle",0,*,"","bdl-7:FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId {entry.where(fullUrl).select(fullUrl&resource.meta.versionId).isDistinct()}
bdl-9:A document must have an identifier with a system and a value {type = 'document' implies (identifier.system.exists() and identifier.value.exists())}bdl-3:entry.request only for some types of bundles {entry.request.empty() or type = 'batch' or type = 'transaction' or type = 'history'}bdl-4:entry.response only for some types of bundles {entry.response.empty() or type = 'batch-response' or type = 'transaction-response'}bdl-1:total only when a search or history {total.empty() or (type = 'searchset') or (type = 'history')}bdl-2:entry.search only when a search {entry.search.empty() or (type = 'searchset')}"
"Medicatiegegevens","Bundle.id","Bundle.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Medicatiegegevens","Bundle.meta","Bundle.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Medicatiegegevens","Bundle.implicitRules","Bundle.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Medicatiegegevens","Bundle.language","Bundle.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages|3.0.2","",,,,"Resource.language",0,1,"",""
"Medicatiegegevens","Bundle.identifier","Bundle.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Persistent identifier for the bundle","A persistent identifier for the batch that won't change as a batch is copied from server to server.","Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results, and servers ignore Bundle.identifier when processing batches and transactions. For Documents  the .identifier SHALL be populated such that the .identifier is globally unique.","","","","","","","","",,,,,"",,,,"Bundle.identifier",0,1,"",""
"Medicatiegegevens","Bundle.type","Bundle.type","","","",1,1,"","","Y","code {[]} {[]}
","searchset","Indicates the purpose of this bundle - how it was intended to be used.","It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""searchset""/>","","","","",,"required","Indicates the purpose of a bundle - how it was intended to be used.","http://hl7.org/fhir/ValueSet/bundle-type|3.0.2","",,,,"Bundle.type",1,1,"",""
"Medicatiegegevens","Bundle.total","Bundle.total","","","",0,1,"","","Y","unsignedInt {[]} {[]}
","If search, the total number of matches","If a set of search matches, this is the total number of matches for the search (as opposed to the number of results in this bundle).","Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.","","","","","","","","",,,,,"",,,,"Bundle.total",0,1,"bdl-1
",""
"Medicatiegegevens","Bundle.link","Bundle.link","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Links related to this Bundle","A series of links that provide context to this bundle.","","","","","","","","","",,,,,"",,,,"Bundle.link",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medicatiegegevens","Bundle.link.id","Bundle.link.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.link.extension","Bundle.link.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.link.modifierExtension","Bundle.link.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.link.relation","Bundle.link.relation","","","",1,1,"","","Y","string {[]} {[]}
","See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1","A name which details the functional use for this link - see [http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1](http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1).","","","","","","","","","",,,,,"",,,,"Bundle.link.relation",1,1,"",""
"Medicatiegegevens","Bundle.link.url","Bundle.link.url","","","",1,1,"","","Y","uri {[]} {[]}
","Reference details for the link","The reference details for the link.","","","","","","","","","",,,,,"",,,,"Bundle.link.url",1,1,"",""
"Medicatiegegevens","Bundle.entry","Bundle.entry","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Entry in the bundle - will have a resource, or information","An entry in a bundle resource - will either contain a resource, or information about a resource (transactions and history only).","","","","","","","","","",,,,,"","type:resource}
","",,"open","Bundle.entry",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
bdl-8:fullUrl cannot be a version specific reference {fullUrl.contains('/_history/').not()}bdl-5:must be a resource unless there's a request or response {resource.exists() or request.exists() or response.exists()}"
"Medicatiegegevens","Bundle.entry.id","Bundle.entry.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry.extension","Bundle.entry.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry.modifierExtension","Bundle.entry.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry.link","Bundle.entry.link","","","",0,*,"","","Y","null {[]} {[]}
","Links related to this entry","A series of links that provide context to this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.link",0,*,"",""
"Medicatiegegevens","Bundle.entry.fullUrl","Bundle.entry.fullUrl","","","",0,1,"","","Y","uri {[]} {[]}
","Absolute URL for resource (server address, or UUID/OID)","The Absolute URL for the resource.  The fullUrl SHALL not disagree with the id in the resource. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: 
* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
* Results from operations might involve resources that are not identified.","fullUrl may not be [unique in the context of a resource](http://hl7.org/fhir/STU3/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/STU3/references.html), the absolute URL may not end with the logical id of the resource (Resource.id), but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/STU3/references.html#regex), then it SHALL end with the Resource.id.","","","","","","","","",,,,,"",,,,"Bundle.entry.fullUrl",0,1,"",""
"Medicatiegegevens","Bundle.entry.resource","Bundle.entry.resource","","","",0,1,"","","Y","Resource {[]} {[]}
","A resource in the bundle","The Resources for the entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.resource",0,1,"",""
"Medicatiegegevens","Bundle.entry.search","Bundle.entry.search","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Search related information","Information about the search process that lead to the creation of this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.search",0,1,"bdl-2
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medicatiegegevens","Bundle.entry.search.id","Bundle.entry.search.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry.search.extension","Bundle.entry.search.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry.search.modifierExtension","Bundle.entry.search.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry.search.mode","Bundle.entry.search.mode","","","",0,1,"","","Y","code {[]} {[]}
","match | include | outcome - why this is in the result set","Why this entry is in the result set - whether it's included as a match or because of an _include requirement.","There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","","","","","","","","",,"required","Why an entry is in the result set - whether it's included as a match or because of an _include requirement.","http://hl7.org/fhir/ValueSet/search-entry-mode|3.0.2","",,,,"Bundle.entry.search.mode",0,1,"",""
"Medicatiegegevens","Bundle.entry.search.score","Bundle.entry.search.score","","","",0,1,"","","Y","decimal {[]} {[]}
","Search ranking (between 0 and 1)","When searching, the server's search ranking score for the entry.","Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.","","","","","","","","",,,,,"",,,,"Bundle.entry.search.score",0,1,"",""
"Medicatiegegevens","Bundle.entry.request","Bundle.entry.request","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.request",0,1,"bdl-3
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medicatiegegevens","Bundle.entry.request.id","Bundle.entry.request.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry.request.extension","Bundle.entry.request.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry.request.modifierExtension","Bundle.entry.request.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry.request.method","Bundle.entry.request.method","","","",1,1,"","","Y","code {[]} {[]}
","GET | POST | PUT | DELETE","The HTTP verb for this entry in either a change history, or a transaction/ transaction response.","","","","","","","","","",,"required","HTTP verbs (in the HTTP command line).","http://hl7.org/fhir/ValueSet/http-verb|3.0.2","",,,,"Bundle.entry.request.method",1,1,"",""
"Medicatiegegevens","Bundle.entry.request.url","Bundle.entry.request.url","","","",1,1,"","","Y","uri {[]} {[]}
","URL for HTTP equivalent of this entry","The URL for this entry, relative to the root (the address to which the request is posted).","E.g. for a Patient Create, the method would be ""POST"" and the URL would be ""Patient"". For a Patient Update, the method would be PUT, and the URL would be ""Patient/[id]"".","","","","","","","","",,,,,"",,,,"Bundle.entry.request.url",1,1,"",""
"Medicatiegegevens","Bundle.entry.request.ifNoneMatch","Bundle.entry.request.ifNoneMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing cache currency","If the ETag values match, return a 304 Not Modified status. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneMatch",0,1,"",""
"Medicatiegegevens","Bundle.entry.request.ifModifiedSince","Bundle.entry.request.ifModifiedSince","","","",0,1,"","","Y","instant {[]} {[]}
","For managing update contention","Only perform the operation if the last updated date matches. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifModifiedSince",0,1,"",""
"Medicatiegegevens","Bundle.entry.request.ifMatch","Bundle.entry.request.ifMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing update contention","Only perform the operation if the Etag value matches. For more information, see the API section [""Managing Resource Contention""](http://hl7.org/fhir/STU3/http.html#concurrency).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifMatch",0,1,"",""
"Medicatiegegevens","Bundle.entry.request.ifNoneExist","Bundle.entry.request.ifNoneExist","","","",0,1,"","","Y","string {[]} {[]}
","For conditional creates","Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [""Conditional Create""](http://hl7.org/fhir/STU3/http.html#ccreate). This is just the query portion of the URL - what follows the ""?"" (not including the ""?"").","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneExist",0,1,"",""
"Medicatiegegevens","Bundle.entry.response","Bundle.entry.response","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response",0,1,"bdl-4
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medicatiegegevens","Bundle.entry.response.id","Bundle.entry.response.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry.response.extension","Bundle.entry.response.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry.response.modifierExtension","Bundle.entry.response.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry.response.status","Bundle.entry.response.status","","","",1,1,"","","Y","string {[]} {[]}
","Status response code (text optional)","The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.status",1,1,"",""
"Medicatiegegevens","Bundle.entry.response.location","Bundle.entry.response.location","","","",0,1,"","","Y","uri {[]} {[]}
","The location, if the operation returns a location","The location header created by processing this operation.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.location",0,1,"",""
"Medicatiegegevens","Bundle.entry.response.etag","Bundle.entry.response.etag","","","",0,1,"","","Y","string {[]} {[]}
","The etag for the resource (if relevant)","The etag for the resource, it the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/STU3/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/STU3/http.html#concurrency)).","Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.etag",0,1,"",""
"Medicatiegegevens","Bundle.entry.response.lastModified","Bundle.entry.response.lastModified","","","",0,1,"","","Y","instant {[]} {[]}
","Server's date time modified","The date/time that the resource was modified on the server.","This has to match the same time in the meta header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.lastModified",0,1,"",""
"Medicatiegegevens","Bundle.entry.response.outcome","Bundle.entry.response.outcome","","","",0,1,"","","Y","Resource {[]} {[]}
","OperationOutcome with hints and warnings (for batch/transaction)","An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.outcome",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest","Bundle.entry","MedicationRequest","","",0,*,"","","Y","BackboneElement {[]} {[]}
","MedicationRequest","An entry in a bundle resource - will either contain a resource, or information about a resource (transactions and history only).","","","","","","","","","",,,,,"",,,,"Bundle.entry",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
bdl-8:fullUrl cannot be a version specific reference {fullUrl.contains('/_history/').not()}bdl-5:must be a resource unless there's a request or response {resource.exists() or request.exists() or response.exists()}"
"Medicatiegegevens","Bundle.entry:MedicationRequest.id","Bundle.entry.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.extension","Bundle.entry.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.modifierExtension","Bundle.entry.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.link","Bundle.entry.link","","","",0,*,"","","Y","","Links related to this entry","A series of links that provide context to this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.link",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.fullUrl","Bundle.entry.fullUrl","","","",1,1,"","","Y","uri {[]} {[]}
","Absolute URL for resource (server address, or UUID/OID)","The Absolute URL for the resource.  The fullUrl SHALL not disagree with the id in the resource. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: 
* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
* Results from operations might involve resources that are not identified.","fullUrl may not be [unique in the context of a resource](http://hl7.org/fhir/STU3/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/STU3/references.html), the absolute URL may not end with the logical id of the resource (Resource.id), but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/STU3/references.html#regex), then it SHALL end with the Resource.id.","","","","","","","","",,,,,"",,,,"Bundle.entry.fullUrl",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.resource","Bundle.entry.resource","","Prescription
OrderMedicatieafspraak","",1,1,"","","Y","MedicationRequest {[CanonicalType[http://fhir.hl7.nl/zorgviewer/StructureDefinition/MedicationRequest]]} {[]}
","MedicationAgreement","A medication agreement is a prescriber’s proposal for a patient to use medication. An agreement to discontinue the use of medication is also a medication agreement.","Medicationafspraak","","","","","","","","",,,,,"",,,,"Bundle.entry.resource",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.search","Bundle.entry.search","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Search related information","Information about the search process that lead to the creation of this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.search",0,1,"bdl-2
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medicatiegegevens","Bundle.entry:MedicationRequest.search.id","Bundle.entry.search.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.search.extension","Bundle.entry.search.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.search.modifierExtension","Bundle.entry.search.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.search.mode","Bundle.entry.search.mode","","","",0,1,"","","Y","code {[]} {[]}
","match | include | outcome - why this is in the result set","Why this entry is in the result set - whether it's included as a match or because of an _include requirement.","There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","","","","","","","","",,"required","Why an entry is in the result set - whether it's included as a match or because of an _include requirement.","http://hl7.org/fhir/ValueSet/search-entry-mode|3.0.2","",,,,"Bundle.entry.search.mode",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.search.score","Bundle.entry.search.score","","","",0,1,"","","Y","decimal {[]} {[]}
","Search ranking (between 0 and 1)","When searching, the server's search ranking score for the entry.","Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.","","","","","","","","",,,,,"",,,,"Bundle.entry.search.score",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.request","Bundle.entry.request","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.request",0,1,"bdl-3
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medicatiegegevens","Bundle.entry:MedicationRequest.request.id","Bundle.entry.request.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.request.extension","Bundle.entry.request.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.request.modifierExtension","Bundle.entry.request.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.request.method","Bundle.entry.request.method","","","",1,1,"","","Y","code {[]} {[]}
","GET | POST | PUT | DELETE","The HTTP verb for this entry in either a change history, or a transaction/ transaction response.","","","","","","","","","",,"required","HTTP verbs (in the HTTP command line).","http://hl7.org/fhir/ValueSet/http-verb|3.0.2","",,,,"Bundle.entry.request.method",1,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.request.url","Bundle.entry.request.url","","","",1,1,"","","Y","uri {[]} {[]}
","URL for HTTP equivalent of this entry","The URL for this entry, relative to the root (the address to which the request is posted).","E.g. for a Patient Create, the method would be ""POST"" and the URL would be ""Patient"". For a Patient Update, the method would be PUT, and the URL would be ""Patient/[id]"".","","","","","","","","",,,,,"",,,,"Bundle.entry.request.url",1,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.request.ifNoneMatch","Bundle.entry.request.ifNoneMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing cache currency","If the ETag values match, return a 304 Not Modified status. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneMatch",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.request.ifModifiedSince","Bundle.entry.request.ifModifiedSince","","","",0,1,"","","Y","instant {[]} {[]}
","For managing update contention","Only perform the operation if the last updated date matches. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifModifiedSince",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.request.ifMatch","Bundle.entry.request.ifMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing update contention","Only perform the operation if the Etag value matches. For more information, see the API section [""Managing Resource Contention""](http://hl7.org/fhir/STU3/http.html#concurrency).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifMatch",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.request.ifNoneExist","Bundle.entry.request.ifNoneExist","","","",0,1,"","","Y","string {[]} {[]}
","For conditional creates","Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [""Conditional Create""](http://hl7.org/fhir/STU3/http.html#ccreate). This is just the query portion of the URL - what follows the ""?"" (not including the ""?"").","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneExist",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.response","Bundle.entry.response","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response",0,1,"bdl-4
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medicatiegegevens","Bundle.entry:MedicationRequest.response.id","Bundle.entry.response.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.response.extension","Bundle.entry.response.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.response.modifierExtension","Bundle.entry.response.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.response.status","Bundle.entry.response.status","","","",1,1,"","","Y","string {[]} {[]}
","Status response code (text optional)","The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.status",1,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.response.location","Bundle.entry.response.location","","","",0,1,"","","Y","uri {[]} {[]}
","The location, if the operation returns a location","The location header created by processing this operation.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.location",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.response.etag","Bundle.entry.response.etag","","","",0,1,"","","Y","string {[]} {[]}
","The etag for the resource (if relevant)","The etag for the resource, it the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/STU3/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/STU3/http.html#concurrency)).","Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.etag",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.response.lastModified","Bundle.entry.response.lastModified","","","",0,1,"","","Y","instant {[]} {[]}
","Server's date time modified","The date/time that the resource was modified on the server.","This has to match the same time in the meta header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.lastModified",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationRequest.response.outcome","Bundle.entry.response.outcome","","","",0,1,"","","Y","Resource {[]} {[]}
","OperationOutcome with hints and warnings (for batch/transaction)","An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.outcome",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement","Bundle.entry","MedicationStatement","","",0,*,"","","Y","BackboneElement {[]} {[]}
","MedicationStatement","An entry in a bundle resource - will either contain a resource, or information about a resource (transactions and history only).","","","","","","","","","",,,,,"",,,,"Bundle.entry",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
bdl-8:fullUrl cannot be a version specific reference {fullUrl.contains('/_history/').not()}bdl-5:must be a resource unless there's a request or response {resource.exists() or request.exists() or response.exists()}"
"Medicatiegegevens","Bundle.entry:MedicationStatement.id","Bundle.entry.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.extension","Bundle.entry.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.modifierExtension","Bundle.entry.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.link","Bundle.entry.link","","","",0,*,"","","Y","","Links related to this entry","A series of links that provide context to this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.link",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.fullUrl","Bundle.entry.fullUrl","","","",1,1,"","","Y","uri {[]} {[]}
","Absolute URL for resource (server address, or UUID/OID)","The Absolute URL for the resource.  The fullUrl SHALL not disagree with the id in the resource. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: 
* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
* Results from operations might involve resources that are not identified.","fullUrl may not be [unique in the context of a resource](http://hl7.org/fhir/STU3/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/STU3/references.html), the absolute URL may not end with the logical id of the resource (Resource.id), but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/STU3/references.html#regex), then it SHALL end with the Resource.id.","","","","","","","","",,,,,"",,,,"Bundle.entry.fullUrl",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.resource","Bundle.entry.resource","","Medicatiegebruik
","",1,1,"","","Y","MedicationStatement {[CanonicalType[http://fhir.hl7.nl/zorgviewer/StructureDefinition/MedicationStatement]]} {[]}
","MedicationUse","MedicationUse is a statement on the historic, current or intended use of a certain medicine.","Medicationgebruik","","","","","","","","",,,,,"",,,,"Bundle.entry.resource",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.search","Bundle.entry.search","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Search related information","Information about the search process that lead to the creation of this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.search",0,1,"bdl-2
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medicatiegegevens","Bundle.entry:MedicationStatement.search.id","Bundle.entry.search.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.search.extension","Bundle.entry.search.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.search.modifierExtension","Bundle.entry.search.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.search.mode","Bundle.entry.search.mode","","","",0,1,"","","Y","code {[]} {[]}
","match | include | outcome - why this is in the result set","Why this entry is in the result set - whether it's included as a match or because of an _include requirement.","There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","","","","","","","","",,"required","Why an entry is in the result set - whether it's included as a match or because of an _include requirement.","http://hl7.org/fhir/ValueSet/search-entry-mode|3.0.2","",,,,"Bundle.entry.search.mode",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.search.score","Bundle.entry.search.score","","","",0,1,"","","Y","decimal {[]} {[]}
","Search ranking (between 0 and 1)","When searching, the server's search ranking score for the entry.","Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.","","","","","","","","",,,,,"",,,,"Bundle.entry.search.score",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.request","Bundle.entry.request","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.request",0,1,"bdl-3
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medicatiegegevens","Bundle.entry:MedicationStatement.request.id","Bundle.entry.request.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.request.extension","Bundle.entry.request.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.request.modifierExtension","Bundle.entry.request.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.request.method","Bundle.entry.request.method","","","",1,1,"","","Y","code {[]} {[]}
","GET | POST | PUT | DELETE","The HTTP verb for this entry in either a change history, or a transaction/ transaction response.","","","","","","","","","",,"required","HTTP verbs (in the HTTP command line).","http://hl7.org/fhir/ValueSet/http-verb|3.0.2","",,,,"Bundle.entry.request.method",1,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.request.url","Bundle.entry.request.url","","","",1,1,"","","Y","uri {[]} {[]}
","URL for HTTP equivalent of this entry","The URL for this entry, relative to the root (the address to which the request is posted).","E.g. for a Patient Create, the method would be ""POST"" and the URL would be ""Patient"". For a Patient Update, the method would be PUT, and the URL would be ""Patient/[id]"".","","","","","","","","",,,,,"",,,,"Bundle.entry.request.url",1,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.request.ifNoneMatch","Bundle.entry.request.ifNoneMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing cache currency","If the ETag values match, return a 304 Not Modified status. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneMatch",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.request.ifModifiedSince","Bundle.entry.request.ifModifiedSince","","","",0,1,"","","Y","instant {[]} {[]}
","For managing update contention","Only perform the operation if the last updated date matches. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifModifiedSince",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.request.ifMatch","Bundle.entry.request.ifMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing update contention","Only perform the operation if the Etag value matches. For more information, see the API section [""Managing Resource Contention""](http://hl7.org/fhir/STU3/http.html#concurrency).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifMatch",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.request.ifNoneExist","Bundle.entry.request.ifNoneExist","","","",0,1,"","","Y","string {[]} {[]}
","For conditional creates","Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [""Conditional Create""](http://hl7.org/fhir/STU3/http.html#ccreate). This is just the query portion of the URL - what follows the ""?"" (not including the ""?"").","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneExist",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.response","Bundle.entry.response","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response",0,1,"bdl-4
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medicatiegegevens","Bundle.entry:MedicationStatement.response.id","Bundle.entry.response.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.response.extension","Bundle.entry.response.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.response.modifierExtension","Bundle.entry.response.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.response.status","Bundle.entry.response.status","","","",1,1,"","","Y","string {[]} {[]}
","Status response code (text optional)","The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.status",1,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.response.location","Bundle.entry.response.location","","","",0,1,"","","Y","uri {[]} {[]}
","The location, if the operation returns a location","The location header created by processing this operation.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.location",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.response.etag","Bundle.entry.response.etag","","","",0,1,"","","Y","string {[]} {[]}
","The etag for the resource (if relevant)","The etag for the resource, it the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/STU3/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/STU3/http.html#concurrency)).","Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.etag",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.response.lastModified","Bundle.entry.response.lastModified","","","",0,1,"","","Y","instant {[]} {[]}
","Server's date time modified","The date/time that the resource was modified on the server.","This has to match the same time in the meta header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.lastModified",0,1,"",""
"Medicatiegegevens","Bundle.entry:MedicationStatement.response.outcome","Bundle.entry.response.outcome","","","",0,1,"","","Y","Resource {[]} {[]}
","OperationOutcome with hints and warnings (for batch/transaction)","An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.outcome",0,1,"",""
"Medicatiegegevens","Bundle.signature","Bundle.signature","","","",0,1,"","","Y","Signature {[]} {[]}
","Digital Signature","Digital Signature - base64 encoded. XML-DSIg or a JWT.","The signature could be created by the ""author"" of the bundle or by the originating device.   Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.","This element allows capturing signatures on documents. It also allows signatures on messages, transactions or even query responses. It may support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.","","","","","","","",,,,,"",,,,"Bundle.signature",0,1,"",""
"Medication","Medication","Medication","","Geneesmiddel
","",0,*,"","","","null {[]} {[]}
","Product","The prescribed product is usually a medicine. However, medical aids and bandages can also be prescribed and supplied via the pharmacy. Strictly speaking, food and blood products do not belong in the medication category, but can be prescribed and supplied by a pharmacy as well. 

A type of medication can be indicated with a single code. That code can be chosen from several possible coding systems (concretely: GPK, PRK, HPK or article numbers). Correct use of these codes in the software systems will sufficiently record the composition of the product used, making a complete product specification unnecessary. 

In addition to a primary code, alternative codes from other coding systems can also be entered (so that the GPK can be sent along in the event that the patient was registered based on PRK, for example).  

Entering multiple ingredients will enable you to display a compound product. If one of the composite parts is liquid, the dosage will be given in milliliters; otherwise it will be given in ‘units’. 

In that case, the composition of the medication can be specified implicitly (with the use of a medication code) or explicitly, for example by listing the (active) substance(s) of the medication. 
Prescriptions to be prepared by the pharmacy can be entered as well. This can be done by means of the option listed above to enter coded ingredients and/or by entering the composition and preparation method as free text.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}"
"Medication","Medication.id","Medication.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Medication","Medication.meta","Medication.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Medication","Medication.implicitRules","Medication.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Medication","Medication.language","Medication.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"Medication","Medication.text","Medication.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Medication","Medication.contained","Medication.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Medication","Medication.extension","Medication.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"",""
"Medication","Medication.extension:description","Medication.extension","description","extensions
user contentOmschrijving","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Product-Description]]} {[]}
","Description","A textual description of the type of medication (including relevant properties of the composition and preparation method if possible), which is only used if no coded indication from the G Standard is available (magistral preparation).","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Medication","Medication.modifierExtension","Medication.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Medication","Medication.code","Medication.code","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Codes that identify this medication","A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.","Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding datatype: ""A coding may be marked as a ""userSelected"" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""urn:oid:2.16.840.1.113883.2.4.4.8""/>
    <code value=""13610554""/>
    <display value=""Carbasalaatcalcium Sandoz 600 30 sac""/>
  </coding>
</valueCodeableConcept>","","",,"example","A coded concept that defines the type of a medication","http://hl7.org/fhir/ValueSet/medication-codes","",,,,"Medication.code",0,1,"",""
"Medication","Medication.code.id","Medication.code.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.code.extension","Medication.code.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.code.coding","Medication.code.coding","","ProductCode
Geneesmiddel code","",0,*,"","","Y","Coding {[]} {[]}
","MedicationCode","Coding medication in the Netherlands is done on the basis of the G standard (issued by Z-index), which is filled under the direction of KNMP. 

The coded medication can be expressed as: 

 - GTIN International Article Number
 - KNMP article number = ATKODE (2.16.840.1.113883.2.4.4.8)
 - Trade product code (HPK)
 - Prescription code (PRK)
 - Generic product code (GPK)
 - Anatomic Therapeutic Classification code (ATC)
 - SNOMED CT code
 - Substance Name Code (SNK)
 - Substance Name Code, in combination with Route of Administration (SSK)
 - 90.000.000 number (individual code setting) (or similar from the facility)

The GTIN enables identification of the product including its origin with a barcode. 
The ATKODE is the number with which wholesalers link the article to pharmacy systems (e.g. a box with 3 strips of 10 tablets). 
The HPK is the code for the trade product (with the brand name) as used per dose/per time the medication is taken (1 pill, 1 puff, 1ml) 
The PRK codes for the same product as the HPK does, but is not linked to a manufacturer (no brand name, no characteristics such as color, geometrical shape etc.). This code will enable a generic prescription, while still defining which trade product can be taken (e.g. a 200ml bag). 
The generic product code defines the composition of a product, and is sufficient for recording the prescription, but not the order. 
The prescription code (PRK) was developed and added to the older generic (GPK) and supplier-specific (HPK, ATKODE) coding to enable a generic product to be entered without listing a specific brand on the one hand, and to enable providing enough information to support the pharmacy supplying it on the other.  

The Substance Name Code (SNK) and the Substance Name Code, in combination with Route of Administration (SSK) are used to prescribe at a more generic level. 

The GTIN coding is used for the implementation of a barcode scanning standard and to be able to trace the origin of the product. 

The 90.000.000 number is used in accordance with national agreements.","It is possible to capture multiple product codes with .coding elements. These product codes need to be related to each other. It should not be possible that two different product codes result in two medication products: only more generic product codes are allowed next to the original product code.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:system}
","",,"open","CodeableConcept.coding",0,*,"",""
"Medication","Medication.code.coding:productCodeZICodelijst","Medication.code.coding","productCodeZICodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodeZICodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.1--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.code.coding:productCodeZICodelijst.id","Medication.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.code.coding:productCodeZICodelijst.extension","Medication.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.code.coding:productCodeZICodelijst.system","Medication.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.8""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.code.coding:productCodeZICodelijst.version","Medication.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.code.coding:productCodeZICodelijst.code","Medication.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.code.coding:productCodeZICodelijst.display","Medication.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.code.coding:productCodeZICodelijst.userSelected","Medication.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.code.coding:productCodeHPKCodelijst","Medication.code.coding","productCodeHPKCodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodeHPKCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.5--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.code.coding:productCodeHPKCodelijst.id","Medication.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.code.coding:productCodeHPKCodelijst.extension","Medication.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.code.coding:productCodeHPKCodelijst.system","Medication.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.7""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.code.coding:productCodeHPKCodelijst.version","Medication.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.code.coding:productCodeHPKCodelijst.code","Medication.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.code.coding:productCodeHPKCodelijst.display","Medication.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.code.coding:productCodeHPKCodelijst.userSelected","Medication.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.code.coding:productCodeGTINCodelijst","Medication.code.coding","productCodeGTINCodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodeGTINCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.2--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.code.coding:productCodeGTINCodelijst.id","Medication.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.code.coding:productCodeGTINCodelijst.extension","Medication.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.code.coding:productCodeGTINCodelijst.system","Medication.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:1.3.160""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.code.coding:productCodeGTINCodelijst.version","Medication.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.code.coding:productCodeGTINCodelijst.code","Medication.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.code.coding:productCodeGTINCodelijst.display","Medication.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.code.coding:productCodeGTINCodelijst.userSelected","Medication.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.code.coding:productCodeGPKCodelijst","Medication.code.coding","productCodeGPKCodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodeGPKCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.6--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.code.coding:productCodeGPKCodelijst.id","Medication.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.code.coding:productCodeGPKCodelijst.extension","Medication.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.code.coding:productCodeGPKCodelijst.system","Medication.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.1""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.code.coding:productCodeGPKCodelijst.version","Medication.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.code.coding:productCodeGPKCodelijst.code","Medication.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.code.coding:productCodeGPKCodelijst.display","Medication.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.code.coding:productCodeGPKCodelijst.userSelected","Medication.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.code.coding:productCodePRKCodelijst","Medication.code.coding","productCodePRKCodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodePRKCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.3--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.code.coding:productCodePRKCodelijst.id","Medication.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.code.coding:productCodePRKCodelijst.extension","Medication.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.code.coding:productCodePRKCodelijst.system","Medication.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.10""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.code.coding:productCodePRKCodelijst.version","Medication.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.code.coding:productCodePRKCodelijst.code","Medication.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.code.coding:productCodePRKCodelijst.display","Medication.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.code.coding:productCodePRKCodelijst.userSelected","Medication.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.code.coding:productCodeATCCodelijst","Medication.code.coding","productCodeATCCodelijst","","",0,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","ProductCodeATCCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.7--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.code.coding:productCodeATCCodelijst.id","Medication.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.code.coding:productCodeATCCodelijst.extension","Medication.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.code.coding:productCodeATCCodelijst.system","Medication.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.whocc.no/atc""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.code.coding:productCodeATCCodelijst.version","Medication.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.code.coding:productCodeATCCodelijst.code","Medication.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.code.coding:productCodeATCCodelijst.display","Medication.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.code.coding:productCodeATCCodelijst.userSelected","Medication.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.code.text","Medication.code.text","","ProductNaam
Geneesmiddel","",0,1,"","","Y","string {[]} {[]}
","Medication","There is no code for medication entered in free text. In these cases, enter the complete description.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""PARACETAMOL 500MG TABLET""/>","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Medication","Medication.status","Medication.status","","","",0,1,"","","Y","code {[]} {[]}
","active | inactive | entered-in-error","A code to indicate if the medication is in active use.","This status is not intended to specify if a medication is part of a formulary.","","","","","","","","",,"required","A coded concept defining if the medication is in active use","http://hl7.org/fhir/ValueSet/medication-status","",,,,"Medication.status",0,1,"",""
"Medication","Medication.isBrand","Medication.isBrand","","","",0,1,"","","Y","boolean {[]} {[]}
","True if a brand","Set to true if the item is attributable to a specific manufacturer.","","","","","","","","","",,,,,"",,,,"Medication.isBrand",0,1,"",""
"Medication","Medication.isOverTheCounter","Medication.isOverTheCounter","","","",0,1,"","","Y","boolean {[]} {[]}
","True if medication does not require a prescription","Set to true if the medication can be obtained without an order from a prescriber.","","","","","","","","","",,,,,"",,,,"Medication.isOverTheCounter",0,1,"",""
"Medication","Medication.manufacturer","Medication.manufacturer","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Manufacturer of the item","Describes the details of the manufacturer of the medication product.  This is not intended to represent the distributor of a medication product.","","","","","","","","","",,,,,"",,,,"Medication.manufacturer",0,1,"",""
"Medication","Medication.form","Medication.form","","FarmaceutischeVorm
","",0,1,"Y","","","CodeableConcept {[]} {[]}
","PharmaceuticalForm","The pharmaceutical form indicates the form of the medication in accordance with the route of administration. Examples include: tablet, suppository, infusion liquid, ointment. If the product has a generic code in the G standard, the form will be known in the G standard. For products without a code (free text, preparation by the pharmacy), the means of administration can be entered.","When Medication is referenced from MedicationRequest, this is the ordered form.  When Medication is referenced within MedicationDispense, this is the dispensed form.  When Medication is referenced within MedicationAdministration, this is administered form.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""urn:oid:2.16.840.1.113883.2.4.4.11""/>
    <code value=""230""/>
    <display value=""TABLET""/>
  </coding>
</valueCodeableConcept>","","",,"required","FarmaceutischeVormCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.8--20171231000000","",,,,"Medication.form",0,1,"",""
"Medication","Medication.form.id","Medication.form.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.form.extension","Medication.form.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.form.coding","Medication.form.coding","","","",0,*,"Y","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.form.coding.id","Medication.form.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.form.coding.extension","Medication.form.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.form.coding.system","Medication.form.coding.system","","","",0,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.form.coding.version","Medication.form.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.form.coding.code","Medication.form.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.form.coding.display","Medication.form.coding.display","","","",0,1,"Y","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.form.coding.userSelected","Medication.form.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.form.text","Medication.form.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Medication","Medication.ingredient","Medication.ingredient","","Ingredient
","",0,*,"","","","BackboneElement {[]} {[]}
","Ingredient","Container of the Ingredient concept. This container contains all data elements of the Ingredient concept. 

A product contains one or more active substances and excipients. These are usually determined by the product code. For medication prepared or compounded by the local pharmacy, each ingredient must be entered separately. 

The active substances play an important role, as they: 

a) determine the pharmacotherapeutic effect of the medication and 
b) serve as the basis for the indication of the strength of the medication (e.g. 200mg).","The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients. If the Medication.code does not fully specify the Medication (i.e. own preparation), all known ingredients by the source system must be conveyed.","","","","","","","","",,,,,"",,,,"Medication.ingredient",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medication","Medication.ingredient.id","Medication.ingredient.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.ingredient.extension","Medication.ingredient.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medication","Medication.ingredient.modifierExtension","Medication.ingredient.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medication","Medication.ingredient.item[x]","Medication.ingredient.item[x]","","IngredientCode
","",1,1,"","","","CodeableConcept {[]} {[]}
","Substance","Active substance or excipient. 
Here, the same codes can be used as for the ProductCode (for dilutions and compounds in particular), but now, the ATC, SSK and SNK codes can also be used to indicate a substance (to list ingredients of local products prepared by the pharmacy). 
- GTIN International Article Number
- KNMP article number
- Trade product code (HPK)
- Prescription code (PRK)
- Generic product code (GPK)
- ATC (anatomic therapeutic classification)
- SSK (substance name code with route of administration)
- SNK (substance name code)


The ATC is an international classification of pharmaceutical substances without a reference to specific products on the market. Therefore, the ATC code of a generic product will not contain a reference to a certain dose, pharmaceutical form or route of administration; it will only contain a reference to the ingredients (not the amount/concentration/strength).","","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://www.whocc.no/atc""/>
    <code value=""B01AC08""/>
    <display value=""carbasalate calcium""/>
  </coding>
</valueCodeableConcept>","","",,,,,"",,,,"Medication.ingredient.item[x]",1,1,"",""
"Medication","Medication.ingredient.item[x].id","Medication.ingredient.item[x].id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.ingredient.item[x].extension","Medication.ingredient.item[x].extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.ingredient.item[x].coding","Medication.ingredient.item[x].coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:system}
","",,"open","CodeableConcept.coding",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeZICodelijst","Medication.ingredient.item[x].coding","ingredientCodeZICodelijst","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","IngredientCodeZICodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.12--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeZICodelijst.id","Medication.ingredient.item[x].coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeZICodelijst.extension","Medication.ingredient.item[x].coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeZICodelijst.system","Medication.ingredient.item[x].coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.8""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeZICodelijst.version","Medication.ingredient.item[x].coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeZICodelijst.code","Medication.ingredient.item[x].coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeZICodelijst.display","Medication.ingredient.item[x].coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeZICodelijst.userSelected","Medication.ingredient.item[x].coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGTINCodeLijst","Medication.ingredient.item[x].coding","ingredientCodeGTINCodeLijst","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","IngredientCodeGTINCodeLijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.16--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGTINCodeLijst.id","Medication.ingredient.item[x].coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGTINCodeLijst.extension","Medication.ingredient.item[x].coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGTINCodeLijst.system","Medication.ingredient.item[x].coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:1.3.160""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGTINCodeLijst.version","Medication.ingredient.item[x].coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGTINCodeLijst.code","Medication.ingredient.item[x].coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGTINCodeLijst.display","Medication.ingredient.item[x].coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGTINCodeLijst.userSelected","Medication.ingredient.item[x].coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeATCCodelijst","Medication.ingredient.item[x].coding","ingredientCodeATCCodelijst","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","IngredientCodeATCCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.13--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeATCCodelijst.id","Medication.ingredient.item[x].coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeATCCodelijst.extension","Medication.ingredient.item[x].coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeATCCodelijst.system","Medication.ingredient.item[x].coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.whocc.no/atc""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeATCCodelijst.version","Medication.ingredient.item[x].coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeATCCodelijst.code","Medication.ingredient.item[x].coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeATCCodelijst.display","Medication.ingredient.item[x].coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeATCCodelijst.userSelected","Medication.ingredient.item[x].coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeHPKLijst","Medication.ingredient.item[x].coding","ingredientCodeHPKLijst","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","IngredientCodeHPKLijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.10--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeHPKLijst.id","Medication.ingredient.item[x].coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeHPKLijst.extension","Medication.ingredient.item[x].coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeHPKLijst.system","Medication.ingredient.item[x].coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.7""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeHPKLijst.version","Medication.ingredient.item[x].coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeHPKLijst.code","Medication.ingredient.item[x].coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeHPKLijst.display","Medication.ingredient.item[x].coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeHPKLijst.userSelected","Medication.ingredient.item[x].coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGPKLijst","Medication.ingredient.item[x].coding","ingredientCodeGPKLijst","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","IngredientCodeGPKLijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.9--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGPKLijst.id","Medication.ingredient.item[x].coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGPKLijst.extension","Medication.ingredient.item[x].coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGPKLijst.system","Medication.ingredient.item[x].coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.1""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGPKLijst.version","Medication.ingredient.item[x].coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGPKLijst.code","Medication.ingredient.item[x].coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGPKLijst.display","Medication.ingredient.item[x].coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeGPKLijst.userSelected","Medication.ingredient.item[x].coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSNKLijst","Medication.ingredient.item[x].coding","ingredientCodeSNKLijst","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","IngredientCodeSNKLijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.14--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSNKLijst.id","Medication.ingredient.item[x].coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSNKLijst.extension","Medication.ingredient.item[x].coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSNKLijst.system","Medication.ingredient.item[x].coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.1.750""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSNKLijst.version","Medication.ingredient.item[x].coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSNKLijst.code","Medication.ingredient.item[x].coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSNKLijst.display","Medication.ingredient.item[x].coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSNKLijst.userSelected","Medication.ingredient.item[x].coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodePRKLijst","Medication.ingredient.item[x].coding","ingredientCodePRKLijst","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","IngredientCodePRKLijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.11--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodePRKLijst.id","Medication.ingredient.item[x].coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodePRKLijst.extension","Medication.ingredient.item[x].coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodePRKLijst.system","Medication.ingredient.item[x].coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.10""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodePRKLijst.version","Medication.ingredient.item[x].coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodePRKLijst.code","Medication.ingredient.item[x].coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodePRKLijst.display","Medication.ingredient.item[x].coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodePRKLijst.userSelected","Medication.ingredient.item[x].coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSSKLijst","Medication.ingredient.item[x].coding","ingredientCodeSSKLijst","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","IngredientCodeSSKLijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.7.15--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSSKLijst.id","Medication.ingredient.item[x].coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSSKLijst.extension","Medication.ingredient.item[x].coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSSKLijst.system","Medication.ingredient.item[x].coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.4.1.725""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSSKLijst.version","Medication.ingredient.item[x].coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSSKLijst.code","Medication.ingredient.item[x].coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSSKLijst.display","Medication.ingredient.item[x].coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Medication","Medication.ingredient.item[x].coding:ingredientCodeSSKLijst.userSelected","Medication.ingredient.item[x].coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Medication","Medication.ingredient.item[x].text","Medication.ingredient.item[x].text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Medication","Medication.ingredient.isActive","Medication.ingredient.isActive","","","",0,1,"","","","boolean {[]} {[]}
","Active ingredient indicator","Indication of whether this ingredient affects the therapeutic action of the drug.","","True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). 
False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).","","","","","","","",,,,,"",,,,"Medication.ingredient.isActive",0,1,"",""
"Medication","Medication.ingredient.amount","Medication.ingredient.amount","","Sterkte
ConcentratieHoeveelheid","",0,1,"","","","Ratio {[]} {[]}
","Concentration","The relative amount of this ingredient in this product.  
Calculation of Concentration = Ingredient Amount ÷ Product Amount. 
 
This could be a concentration if the medication is dissolved in liquid, for example: 25mg/tablet or 50IE/ml of 200mg/500ml.","","","","","","","<valueRatio xmlns=""http://hl7.org/fhir"">
  <numerator>
    <value value=""5""/>
    <unit value=""ml""/>
    <system value=""http://unitsofmeasure.org""/>
    <code value=""mL""/>
  </numerator>
  <denominator>
    <value value=""200""/>
    <unit value=""ml""/>
    <system value=""http://unitsofmeasure.org""/>
    <code value=""mL""/>
  </denominator>
</valueRatio>","","",,,,,"",,,,"Medication.ingredient.amount",0,1,"",""
"Medication","Medication.ingredient.amount.id","Medication.ingredient.amount.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.ingredient.amount.extension","Medication.ingredient.amount.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Medication","Medication.ingredient.amount.numerator","Medication.ingredient.amount.numerator","","IngredientHoeveelheid
","",0,1,"","","Y","Quantity {[]} {[]}
","IngredientAmount","The amount of this ingredient. This is the numerator for the calculation of the concentration. The unit should be selected from the G-Standard (Table 902)","","","","","","","","","",,,,,"",,,,"Ratio.numerator",0,1,"",""
"Medication","Medication.ingredient.amount.denominator","Medication.ingredient.amount.denominator","","ProductHoeveelheid
","",0,1,"","","Y","Quantity {[]} {[]}
","ProductAmount","Amount of the product. This is the denominator for the calculation of the concentration","","","","","","","","","",,,,,"",,,,"Ratio.denominator",0,1,"",""
"Medication","Medication.package","Medication.package","","","",0,1,"","","","BackboneElement {[]} {[]}
","Details about packaged medications","Information that only applies to packages (not products).","","","","","","","","","",,,,,"",,,,"Medication.package",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medication","Medication.package.id","Medication.package.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.package.extension","Medication.package.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medication","Medication.package.modifierExtension","Medication.package.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medication","Medication.package.container","Medication.package.container","","","",0,1,"","","","CodeableConcept {[]} {[]}
","E.g. box, vial, blister-pack","The kind of container that this package comes as.","","","","","","","","","",,"example","A coded concept defining the kind of container a medication package is packaged in","http://hl7.org/fhir/ValueSet/medication-package-form","",,,,"Medication.package.container",0,1,"",""
"Medication","Medication.package.content","Medication.package.content","","","",0,*,"","","","BackboneElement {[]} {[]}
","What is  in the package","A set of components that go to make up the described item.","","","","","","","","","",,,,,"",,,,"Medication.package.content",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medication","Medication.package.content.id","Medication.package.content.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.package.content.extension","Medication.package.content.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medication","Medication.package.content.modifierExtension","Medication.package.content.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medication","Medication.package.content.item[x]","Medication.package.content.item[x]","","","",1,1,"","","","CodeableConcept {[]} {[]}
Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Product]]}","The item in the package","Identifies one of the items in the package.","","","","","","","","","",,,,,"",,,,"Medication.package.content.item[x]",1,1,"",""
"Medication","Medication.package.content.amount","Medication.package.content.amount","","","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Quantity present in the package","The amount of the product that is in the package.","","","","","","","","","",,,,,"",,,,"Medication.package.content.amount",0,1,"",""
"Medication","Medication.package.batch","Medication.package.batch","","","",0,*,"","","","BackboneElement {[]} {[]}
","Identifies a single production run","Information about a group of medication produced or packaged from one production run.","","","","","","","","","",,,,,"",,,,"Medication.package.batch",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Medication","Medication.package.batch.id","Medication.package.batch.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Medication","Medication.package.batch.extension","Medication.package.batch.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Medication","Medication.package.batch.modifierExtension","Medication.package.batch.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Medication","Medication.package.batch.lotNumber","Medication.package.batch.lotNumber","","","",0,1,"","","","string {[]} {[]}
","Identifier assigned to batch","The assigned lot number of a batch of the specified product.","","","","","","","","","",,,,,"",,,,"Medication.package.batch.lotNumber",0,1,"",""
"Medication","Medication.package.batch.expirationDate","Medication.package.batch.expirationDate","","","",0,1,"","","","dateTime {[]} {[]}
","When batch will expire","When this specific batch of product will expire.","","","","","","","","","",,,,,"",,,,"Medication.package.batch.expirationDate",0,1,"",""
"Medication","Medication.image","Medication.image","","","",0,*,"","","","Attachment {[]} {[]}
","Picture of the medication","Photo(s) or graphic representation(s) of the medication.","","Note that ""image"" is only applicable when the medication.code represents a physical item (e.g. Amoxil 250 mg capsule) and not an abstract item (e.g. amoxicillin 250 mg).","","","","","","","",,,,,"",,,,"Medication.image",0,*,"",""
"MedicationRequest","MedicationRequest","MedicationRequest","","Prescription
OrderMedicatieafspraak","",0,*,"","","","null {[]} {[]}
","MedicationAgreement","A medication agreement is a prescriber’s proposal for a patient to use medication. An agreement to discontinue the use of medication is also a medication agreement.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}"
"MedicationRequest","MedicationRequest.id","MedicationRequest.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"MedicationRequest","MedicationRequest.meta","MedicationRequest.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"MedicationRequest","MedicationRequest.implicitRules","MedicationRequest.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"MedicationRequest","MedicationRequest.language","MedicationRequest.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"MedicationRequest","MedicationRequest.text","MedicationRequest.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"MedicationRequest","MedicationRequest.contained","MedicationRequest.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"MedicationRequest","MedicationRequest.extension","MedicationRequest.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"",""
"MedicationRequest","MedicationRequest.extension:periodOfUse","MedicationRequest.extension","periodOfUse","Gebruiksperiode
","",0,1,"Y","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse]]} {[]}
","UsagePeriod","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationRequest","MedicationRequest.extension:usageDuration","MedicationRequest.extension","usageDuration","extensions
user contentDuur","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration]]} {[]}
","Duration","Duration: The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days.","According to the HCIM TimeInterval, a time interval is defined by either a start and end time, a start time and duration, or a duration and end time. As this HCIM is expressed by the periodOfUse and usageDuration extensions in this profile, this means that precisely two elements out of `.valuePeriod.start`, `.valuePeriod.end` (both in the periodOfUse extension) and `.valueDuration` (in the usageDuration extension) should be present in order to correctly represent the time interval in which the agreement is used (and in particular not all three elements).","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationRequest","MedicationRequest.extension:additionalInformation","MedicationRequest.extension","additionalInformation","extensions
user contentMedicatieafspraakAanvullendeInformatie","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation]]} {[]}
","MedicationAgreementAdditionalInformation","Additional information includes details on the structure of the agreement made that are relevant for pharmacovigilance and fulfillment by the pharmacist. This can be used e.g. to indicate that there was a conscious decision to deviate from the norm or that the agreement is to be structured in a certain way.","When choosing a medicine, you can deviate from what is expected or from what the standard is. For example, when the hospital uses a different formulary than the community pharmacy. For reasons of efficiency, for example, one gastric acid inhibitor has been chosen in the hospital: pantoprazole.
Upon admission, a patient with omeprazole is converted to pantoprazole for the duration of the stay. When discharged, the patient goes back to omeprazole.
It is clear that something can go wrong here and that the patient takes both omeprazole and pantoprazole when there is no intervention. In the hospital's medication agreement for pantoprazole a remark can be made about the deviation so that it is clear that pantoprazole is the substitute for omeprazole or that it should be used in addition to omeprazole.
Another example are the half strengths. The hospital sometimes stocks tablets with half the strength of the normal trade preparation (own production). Where the patient enters the hospital on 25 mg chlortalidone, half a tablet once a day, he receives 12.5 mg intramural chlortalidone, one tablet once a day. Then the nursing does not have to break tablets in this case. Here there is a risk that the patient will use the 25 mg again at home, but then a whole tablet at a time in stead of half a tablet. By means of an explanation in the medication agreement (Additional information) of the last chlortalidone 25 mg, it can be indicated whether this has been a intended increase.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationRequest","MedicationRequest.extension:additionalInformation.id","MedicationRequest.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.extension:additionalInformation.extension","MedicationRequest.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.extension:additionalInformation.url","MedicationRequest.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/zib-Medication-AdditionalInformation""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"MedicationRequest","MedicationRequest.extension:additionalInformation.value[x]:valueCodeableConcept","MedicationRequest.extension.value[x]","valueCodeableConcept","","",0,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050""/>
    <code value=""1""/>
    <display value=""Bewust hoge dosering""/>
  </coding>
</valueCodeableConcept>","","",,"extensible","MedicatieafspraakAanvullendeInformatieCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"MedicationRequest","MedicationRequest.extension:medicationTreatment","MedicationRequest.extension","medicationTreatment","extensions
user contentMedicamenteuze behandeling","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment]]} {[]}
","Medication Treatment","This extension is to describe which overarching medication treatment this information is part of. This is done by the use of an identifier of that medication treatment.","No HCIM concept is available for this element. Therefore a mapping to the relevant Medication Process data element is provided.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationRequest","MedicationRequest.extension:nl-core-episodeofcare","MedicationRequest.extension","nl-core-episodeofcare","extensions
user content","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/extension-context-nl-core-episodeofcare]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","It is recommended to use the nl-core-episodeofcare extension to reference nl-core-episodeofcare (EpisodeOfCare) instances rather than the `context` element, as this approach will be enforced in FHIR R4.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationRequest","MedicationRequest.modifierExtension","MedicationRequest.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.modifierExtension",0,*,"",""
"MedicationRequest","MedicationRequest.modifierExtension:stopType","MedicationRequest.modifierExtension","stopType","","MedicatieafspraakStopType",0,1,"Y","Y","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType]]} {[]}
","StopType","The manner in which (and indicator that) this medication is discontinued (temporarily or permanently).","","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationRequest","MedicationRequest.modifierExtension:stopType.id","MedicationRequest.modifierExtension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.modifierExtension:stopType.extension","MedicationRequest.modifierExtension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.modifierExtension:stopType.url","MedicationRequest.modifierExtension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/zib-Medication-StopType""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"MedicationRequest","MedicationRequest.modifierExtension:stopType.value[x]:valueCodeableConcept","MedicationRequest.modifierExtension.value[x]","valueCodeableConcept","","",0,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"required","StopType","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.19--20160617101300","",,,,"Extension.value[x]",0,1,"",""
"MedicationRequest","MedicationRequest.modifierExtension:repeatPeriodCyclicalSchedule","MedicationRequest.modifierExtension","repeatPeriodCyclicalSchedule","extensions
user content","HerhaalperiodeCyclischSchema",0,1,"","Y","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule]]} {[]}
","RepeatPeriodCyclicalSchedule","The repeated period in a cyclical schedule (of one or more dosing instructions). A cyclic schedule is noted in days, the corresponding dosing duration is also in days.

Examples of a cyclical schedule: contraceptive pill (21 days, 1 pill 1x a day, then skip for 7 days, repeat), repeat period here is 28 days.
RepeatPeriodCyclicalSchedule","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationRequest","MedicationRequest.identifier","MedicationRequest.identifier","","","",0,*,"","","","Identifier {[]} {[]}
","External ids for this request","This records identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. For example a re-imbursement system might issue its own id for each prescription that is created.  This is particularly important where FHIR only provides part of an entire workflow process where records must be tracked through an entire system.","","","","","","","","","",,,,,"",,,,"MedicationRequest.identifier",0,*,"",""
"MedicationRequest","MedicationRequest.definition","MedicationRequest.definition","","","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/ActivityDefinition], CanonicalType[http://hl7.org/fhir/StructureDefinition/PlanDefinition]]}
","Protocol or definition","Protocol or definition followed by this request.","","","","","","","","","",,,,,"",,,,"MedicationRequest.definition",0,*,"",""
"MedicationRequest","MedicationRequest.basedOn","MedicationRequest.basedOn","","","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ProcedureRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ReferralRequest]]}
","What request fulfills","A plan or request that is fulfilled in whole or in part by this medication request.","","","","","","","","","",,,,,"",,,,"MedicationRequest.basedOn",0,*,"",""
"MedicationRequest","MedicationRequest.groupIdentifier","MedicationRequest.groupIdentifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Composite request this is part of","A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.","","Requests are linked either by a ""basedOn"" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.","","","","","","","",,,,,"",,,,"MedicationRequest.groupIdentifier",0,1,"",""
"MedicationRequest","MedicationRequest.status","MedicationRequest.status","","","",0,1,"","Y","Y","code {[]} {[]}
","active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown","A code specifying the current state of the order.  Generally this will be active or completed state.","This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","","","","","","","","",,"required","A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription","http://hl7.org/fhir/ValueSet/medication-request-status","",,,,"MedicationRequest.status",0,1,"",""
"MedicationRequest","MedicationRequest.intent","MedicationRequest.intent","","","",1,1,"","Y","Y","code {[]} {[]}
","proposal | plan | order | instance-order","Whether the request is a proposal, plan, or an original order.","It is expected that the type of requester will be restricted for different stages of a MedicationRequest.  For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device.  Plans can be created by Practitioners, Patients, RelatedPersons and Devices.  Original orders can be created by a Practitioner only.

An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.

This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""order""/>","","","","",,"required","The kind of medication order","http://hl7.org/fhir/ValueSet/medication-request-intent","",,,,"MedicationRequest.intent",1,1,"",""
"MedicationRequest","MedicationRequest.category","MedicationRequest.category","","","",1,1,"","","","CodeableConcept {[]} {[]}
","Type of medication usage","Indicates the type of medication order and where the medication is expected to be consumed or administered.","","","","","","","","","",,"preferred","A coded concept identifying where the medication ordered is expected to be consumed or administered","http://hl7.org/fhir/ValueSet/medication-request-category","",,,,"MedicationRequest.category",0,1,"",""
"MedicationRequest","MedicationRequest.category.id","MedicationRequest.category.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.category.extension","MedicationRequest.category.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.category.coding","MedicationRequest.category.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:code}
","",,"open","CodeableConcept.coding",0,*,"",""
"MedicationRequest","MedicationRequest.category.coding:medicationAgreementCode","MedicationRequest.category.coding","medicationAgreementCode","","",0,*,"","","Y","Coding {[]} {[]}
","MedicationAgreementCode","Category SNOMED code used for indexing/retrieval of the HCIM MedicationAgreement. The SNOMED code 16076005 for this resource is stated in the Medication Process v09.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"MedicationRequest","MedicationRequest.category.coding:medicationAgreementCode.id","MedicationRequest.category.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.category.coding:medicationAgreementCode.extension","MedicationRequest.category.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.category.coding:medicationAgreementCode.system","MedicationRequest.category.coding.system","","","",0,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://snomed.info/sct""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"MedicationRequest","MedicationRequest.category.coding:medicationAgreementCode.version","MedicationRequest.category.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"MedicationRequest","MedicationRequest.category.coding:medicationAgreementCode.code","MedicationRequest.category.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""16076005""/>","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"MedicationRequest","MedicationRequest.category.coding:medicationAgreementCode.display","MedicationRequest.category.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","<valueString xmlns=""http://hl7.org/fhir"" value=""Prescription (procedure)""/>","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"MedicationRequest","MedicationRequest.category.coding:medicationAgreementCode.userSelected","MedicationRequest.category.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"MedicationRequest","MedicationRequest.category.text","MedicationRequest.category.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"MedicationRequest","MedicationRequest.priority","MedicationRequest.priority","","","",0,1,"","","Y","code {[]} {[]}
","routine | urgent | stat | asap","Indicates how quickly the Medication Request should be addressed with respect to other requests.","","","","","","","","","",,"required","Identifies the level of importance to be assigned to actioning the request","http://hl7.org/fhir/ValueSet/medication-request-priority","",,,,"MedicationRequest.priority",0,1,"",""
"MedicationRequest","MedicationRequest.medicationReference:medicationReference","MedicationRequest.medicationReference","medicationReference","Afgesprokengeneesmiddel
","",1,1,"Y","","Y","Reference {[]} {[CanonicalType[http://fhir.hl7.nl/zorgviewer/StructureDefinition/Medication]]}
","AgreedMedicine","The medicine agreed upon to be used.","","","","","","","","","",,,,,"",,,,"MedicationRequest.medication[x]",1,1,"",""
"MedicationRequest","MedicationRequest.medicationReference:medicationReference.id","MedicationRequest.medicationReference.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.medicationReference:medicationReference.extension","MedicationRequest.medicationReference.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.medicationReference:medicationReference.reference","MedicationRequest.medicationReference.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"MedicationRequest","MedicationRequest.medicationReference:medicationReference.identifier","MedicationRequest.medicationReference.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"MedicationRequest","MedicationRequest.medicationReference:medicationReference.display","MedicationRequest.medicationReference.display","","","",0,1,"Y","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"MedicationRequest","MedicationRequest.subject","MedicationRequest.subject","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group]]}
","Who or group medication request is for","A link to a resource representing the person or set of individuals to whom the medication will be given.","The subject on a medication request is mandatory.  For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.","","","","","","","","",,,,,"",,,,"MedicationRequest.subject",1,1,"",""
"MedicationRequest","MedicationRequest.context","MedicationRequest.context","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Encounter], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare]]}
","Created during encounter/admission/stay","A link to an encounter, or episode of care, that identifies the particular occurrence or set occurrences of contact between patient and health care provider.","It is recommended to use the nl-core-episodeofcare extension to reference nl-core-episodeofcare (EpisodeOfCare) instances rather than the `context` element, as this approach will be enforced in FHIR R4.","","","","","","","","",,,,,"",,,,"MedicationRequest.context",0,1,"",""
"MedicationRequest","MedicationRequest.supportingInformation","MedicationRequest.supportingInformation","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","Information to support ordering of the medication","Include additional information (for example, patient height and weight) that supports the ordering of the medication.","","","","","","","","","",,,,,"",,,,"MedicationRequest.supportingInformation",0,*,"",""
"MedicationRequest","MedicationRequest.authoredOn","MedicationRequest.authoredOn","","Afspraakdatum
","",1,1,"Y","","Y","dateTime {[]} {[]}
","MedicationAgreementDateTime","The time at which the agreement was made. 
 
Appointment date + time are required (order of the appointments must be clear in cases with multiple appointments on one day)","","","","","","","","","",,,,,"",,,,"MedicationRequest.authoredOn",0,1,"",""
"MedicationRequest","MedicationRequest.requester","MedicationRequest.requester","","Voorschrijver
","",0,1,"","","Y","BackboneElement {[]} {[]}
","Prescriber","The health professional that entered the medication agreement with the patient.","Note that in FHIR STU3, there is an agent Reference type PractitionerRole missing. PractitionerRole, contrary to Practitioner, allows for specialism and organization. This issue has been fixed in FHIR R4. For FHIR STU3, you can use the practitionerrole-reference extension on requester.agent.","","","","","","","","",,,,,"",,,,"MedicationRequest.requester",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
mps-1:onBehalfOf can only be specified if agent is practitioner or device {(agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()}"
"MedicationRequest","MedicationRequest.requester.id","MedicationRequest.requester.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.requester.extension","MedicationRequest.requester.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.requester.modifierExtension","MedicationRequest.requester.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"MedicationRequest","MedicationRequest.requester.agent","MedicationRequest.requester.agent","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]]}
","Who ordered the initial medication(s)","The healthcare professional responsible for authorizing the initial prescription.","The health professional's speciality, role, and organization are captured and communicated through the PractitionerRole Resource based on the nl-core-practitionerrole profile.","","","","","","","","",,,,,"",,,,"MedicationRequest.requester.agent",1,1,"",""
"MedicationRequest","MedicationRequest.requester.agent.id","MedicationRequest.requester.agent.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.requester.agent.extension","MedicationRequest.requester.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.requester.agent.extension:practitionerRole","MedicationRequest.requester.agent.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationRequest","MedicationRequest.requester.agent.reference","MedicationRequest.requester.agent.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"MedicationRequest","MedicationRequest.requester.agent.identifier","MedicationRequest.requester.agent.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"MedicationRequest","MedicationRequest.requester.agent.display","MedicationRequest.requester.agent.display","","","",0,1,"Y","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"MedicationRequest","MedicationRequest.requester.onBehalfOf","MedicationRequest.requester.onBehalfOf","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization]]}
","Organization agent is acting for","The organization the device or practitioner was acting on behalf of.","","Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when authoring the request.","","","","","","","",,,,,"",,,,"MedicationRequest.requester.onBehalfOf",0,1,"mps-1
",""
"MedicationRequest","MedicationRequest.recorder","MedicationRequest.recorder","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner]]}
","Person who entered the request","The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.","","","","","","","","","",,,,,"",,,,"MedicationRequest.recorder",0,1,"",""
"MedicationRequest","MedicationRequest.recorder.id","MedicationRequest.recorder.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.recorder.extension","MedicationRequest.recorder.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.recorder.extension:practitionerRole","MedicationRequest.recorder.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationRequest","MedicationRequest.recorder.reference","MedicationRequest.recorder.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"MedicationRequest","MedicationRequest.recorder.identifier","MedicationRequest.recorder.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"MedicationRequest","MedicationRequest.recorder.display","MedicationRequest.recorder.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"MedicationRequest","MedicationRequest.reasonCode","MedicationRequest.reasonCode","","RedenMedicatieafspraak
","",0,*,"","","","CodeableConcept {[]} {[]}
","ReasonMedicationAgreement","Reason for this agreement. This can be the reason to start, change or stop the medication treatment.","This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.","","","","","","","","",,"extensible","RedenWijzigenOfStakenCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.6.2--20171231000000","",,,,"MedicationRequest.reasonCode",0,*,"",""
"MedicationRequest","MedicationRequest.reasonReference","MedicationRequest.reasonReference","","RedenVanVoorschrijven
","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Problem]]}
","PrescriptionReason","The medical reason for the prescription or for use of the medication. This can be used to enter a medical indication which was the direct cause for prescription or for use of the medication in question. 

It can concern every type of problem (or condition) of the patient, almost all diagnoses, complaints or symptoms. 

Please note: The BST401T file of the G standard contains a “special reference” to indicate that “exchange of the reason for prescription is essential”.","This is a reference to a condition or observation that is the reason for the medication order.  If only a code exists, use reasonCode.","","","","","","","","",,,,,"",,,,"MedicationRequest.reasonReference",0,*,"",""
"MedicationRequest","MedicationRequest.note","MedicationRequest.note","","Toelichting
","",0,*,"","","","Annotation {[]} {[]}
","Comment","Explanation for the medication agreement. 
 
This explanation can contain e.g. information on why a prescriber makes a medication agreement that deviates from the norm.","","","","","","","","","",,,,,"",,,,"MedicationRequest.note",0,*,"",""
"MedicationRequest","MedicationRequest.dosageInstruction","MedicationRequest.dosageInstruction","","Gebruiksinstructie
","",0,*,"","","","Dosage {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-InstructionsForUse]]} {[]}
","InstructionsForUse","Instructions for the use of the medication, e.g. dose and route of administration","The wiki page https://informatiestandaarden.nictiz.nl/wiki/mp:V9.0_Voorbeelden_doseringen provides dosage instruction examples. These examples consists of functional data and their representation in FHIR and CDA.","","","","","","","","",,,,,"",,,,"MedicationRequest.dosageInstruction",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"MedicationRequest","MedicationRequest.dosageInstruction.id","MedicationRequest.dosageInstruction.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.extension","MedicationRequest.dosageInstruction.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.sequence","MedicationRequest.dosageInstruction.sequence","","Volgnummer
","",0,1,"","","Y","integer {[]} {[]}
","SequenceNumber","This indicates the sequence of the dosing instructions within the medication agreement.","","If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent.  If the sequence number is different, then the Dosages are intended to be sequential.","","","","","","","",,,,,"",,,,"Dosage.sequence",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.text","MedicationRequest.dosageInstruction.text","","Omschrijving
","",0,1,"Y","","Y","string {[]} {[]}
","Description","Textual description of the complete instructions for use including the period of use.","","Free text dosage instructions can be used for cases where the instructions are too complex to code.  The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated.  If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing.","","","","","","","",,,,,"",,,,"Dosage.text",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.additionalInstruction","MedicationRequest.dosageInstruction.additionalInstruction","","AanvullendeInstructie
","",0,*,"","","Y","CodeableConcept {[]} {[]}
","AdditionalInstructions","The additional instructions contain extra information on the use of or considerations for the current prescription. This can also include all instructions for use. The text can come from the original 'paper' medication prescription, but can also be generated from the coded information. This concept may contain more information than what is structurally coded in the information below, but may not conflict with it.                  The instructions may not conflict with other components of the request for administration. The instructions can also refer to an existing protocol.                                  The G standard contains many texts that can support this attribute, in for example G standard table 362, which contains texts from the general practitioners’ standard WCIA table 25. If desired, these texts can be used to structure this concept.","","Additional instruction such as ""Swallow with plenty of water"" which may or may not be coded.","","","","","","","",,"extensible","","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000","",,,,"Dosage.additionalInstruction",0,*,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.patientInstruction","MedicationRequest.dosageInstruction.patientInstruction","","","",0,1,"","","Y","string {[]} {[]}
","Patient or consumer oriented instructions","Instructions in terms that are understood by the patient or consumer.","","","","","","","","","",,,,,"",,,,"Dosage.patientInstruction",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.timing","MedicationRequest.dosageInstruction.timing","","","",0,1,"","","Y","Timing {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationSchedule]]} {[]}
","When medication should be administered","Specifications of the times at which the medication is to be administered. This is indicated as follows:                  Time(s) (16:00) or indications (“before meals”) at which the medication is to be taken each day.                 A specific number of times the medication is to be taken each day (“3x a day“), indicated with the frequency                 A time interval between consecutive doses (“Every 2 hours”, “every 3 days”), indicated with the word Interval.                 Combined periods with an interval and duration (“1 daily for three out of four weeks: the pill schedule”)                                                   If a certain medication is not to be taken daily, the aforementioned can be combined with daily indications:                  One or more week days on which the medication is to be administered (e.g. “Monday, Wednesday, Friday”)                 ”3x a week”, “2x a month”.                                                   The specified administration “infinite” is automatically to be repeated until:                  The end date and time has been reached                 The total administration duration has been reached (14 days)                                                   A specific amount of administrations has been reached (“20 doses”, “one-time only”), to be entered in the NumberOfDoses concept.","This attribute may not always be populated while the Dosage.text is expected to be populated.  If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.","The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions. For example: ""Every 8 hours""; ""Three times a day""; ""1/2 an hour before breakfast for 10 days from 23-Dec 2011:""; ""15 Oct 2013, 17 Oct 2013 and 1 Nov 2013"".  Sometimes, a rate can imply duration when expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.","","","","","","","",,,,,"",,,,"Dosage.timing",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.asNeeded[x]","MedicationRequest.dosageInstruction.asNeeded[x]","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Take ""as needed"" (for x)","Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).","Can express ""as needed"" without a reason by setting the Boolean = True.  In this case the CodeableConcept is not populated.  Or you can express ""as needed"" with a reason by including the CodeableConcept.  In this case the Boolean is assumed to be True.  If you set the Boolean to False, then the dose is given according to the schedule and is not ""prn"" or ""as needed"".","","","","","","","","",,"example","A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose.  For example ""pain"", ""30 minutes prior to sexual intercourse"", ""on flare-up"" etc.","http://hl7.org/fhir/ValueSet/medication-as-needed-reason|3.0.2","","type:$this}
","",,"closed","Dosage.asNeeded[x]",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.asNeeded[x]:asNeededCodeableConcept","MedicationRequest.dosageInstruction.asNeeded[x]","asNeededCodeableConcept","Zo nodig
Criterium","",0,1,"","","Y","CodeableConcept {[]} {[]}
","AsNeeded","As needed means that the dose is only to be administered under certain conditions.","Using the term 'as needed' or a specific reason (eg 'in case of pain') to use medication leads to ambiguity. It is not always clear whether the whole dose is 'as needed' or only part of the dose. For example: 1x daily 1-2 tablets as needed. This can mean: 1 tablet fixed per day and 1 tablet as needed or, as needed, a maximum of 2 tablets.As needed medication is not included in GDS. In the first situation, 1 tablet comes in the GDS (drug dispensing systems) and 1 tablet is delivered separately. In the second situation there is only separate delivery.The system must make sufficiently clear whether the entire instruction or part of the dose is necessary. The HCIM supports both options described above.","","","","","","","","",,"extensible","ZonodigCriteriumCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000","",,,,"Dosage.asNeeded[x]",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.site","MedicationRequest.dosageInstruction.site","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Body site to administer to","Body site to administer to.","If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html).  May be a summary code, or a reference to a very precise definition of the location, or both.","A coded specification of the anatomic site where the medication first enters the body.","","","","","","","",,"example","A coded concept describing the site location the medicine enters into or onto the body.","http://hl7.org/fhir/ValueSet/approach-site-codes|3.0.2","",,,,"Dosage.site",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.route","MedicationRequest.dosageInstruction.route","","Toedieningsweg
","",0,1,"","","Y","CodeableConcept {[]} {[]}
","RouteOfAdministration","The route through which the medication is administered (oral, nasal, intravenous, etc.)","","A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""urn:oid:2.16.840.1.113883.2.4.4.9""/>
    <code value=""oraal""/>
    <display value=""Oraal""/>
  </coding>
</valueCodeableConcept>","","",,"extensible","ToedieningswegCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000","",,,,"Dosage.route",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.route.id","MedicationRequest.dosageInstruction.route.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.route.extension","MedicationRequest.dosageInstruction.route.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.route.coding","MedicationRequest.dosageInstruction.route.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.route.text","MedicationRequest.dosageInstruction.route.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.method","MedicationRequest.dosageInstruction.method","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Technique for administering medication","Technique for administering medication.","Terminologies used often pre-coordinate this term with the route and or form of administration.","A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections.  For examples, Slow Push; Deep IV.","","","","","","","",,"example","A coded concept describing the technique by which the medicine is administered.","http://hl7.org/fhir/ValueSet/administration-method-codes|3.0.2","",,,,"Dosage.method",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.dose[x]","MedicationRequest.dosageInstruction.dose[x]","","Keerdosis
","",0,1,"","","Y","Range {[]} {[]}
Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}","Dose","The dose indicates the dose amount per administration. 
 
The dosage is described in the unit accompanying the product; usually, this is just a number of units or doses. Liquids and other divisible products will usually include a unit of volume (preferably """"ml""""). 
 
In many cases, the prescriber will want to indicate the dose in units of weight of the active ingredient.  
 
If only the ingredient is included and not the product, then the amount of that ingredient will be given. Paracetamol 1000mg is equivalent to 2 Paracetamol 500mg tablets or units. 
 
The dosage is sometimes given as a calculation, in which the patient’s body weight or body surface area is used as a parameter. The calculation is however no more than an aid in reaching a decision. 
 
In the event of constant administration, sometimes the dose is given in addition to the administration speed (infusion rate) (e.g. 20ml in a syringe or 500ml in a bag), but it is often also omitted. 
 
A general dosage recommendation such as ‘Use according to protocol’ or ‘See instructions’ can be sufficient. In that case, no dose is given.","Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.","The amount of therapeutic or other substance given at one administration event.","","","","","","","",,,,,"","type:$this}
","",,"closed","Dosage.dose[x]",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.dose[x]:doseQuantity","MedicationRequest.dosageInstruction.dose[x]","doseQuantity","","",0,1,"","","Y","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Amount of medication per dose","Amount of medication per dose.","Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.","The amount of therapeutic or other substance given at one administration event.","","","","","","","",,"required","GstdTabel902","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453","",,,,"Dosage.dose[x]",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.dose[x]:doseRange","MedicationRequest.dosageInstruction.dose[x]","doseRange","","",0,1,"","","Y","Range {[]} {[]}
","Amount of medication per dose","Amount of medication per dose.","Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.","The amount of therapeutic or other substance given at one administration event.","","","","","","","",,,,,"",,,,"Dosage.dose[x]",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.dose[x]:doseRange.id","MedicationRequest.dosageInstruction.dose[x].id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.dose[x]:doseRange.extension","MedicationRequest.dosageInstruction.dose[x].extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.dose[x]:doseRange.low","MedicationRequest.dosageInstruction.dose[x].low","","","",0,1,"","","Y","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Low limit","The low limit. The boundary is inclusive.","If the low element is missing, the low boundary is not known.","","","","","","","","",,"required","GstdTabel902","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453","",,,,"Range.low",0,1,"rng-2
",""
"MedicationRequest","MedicationRequest.dosageInstruction.dose[x]:doseRange.high","MedicationRequest.dosageInstruction.dose[x].high","","","",0,1,"","","Y","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","High limit","The high limit. The boundary is inclusive.","If the high element is missing, the high boundary is not known.","","","","","","","","",,"required","GstdTabel902","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453","",,,,"Range.high",0,1,"rng-2
",""
"MedicationRequest","MedicationRequest.dosageInstruction.maxDosePerPeriod","MedicationRequest.dosageInstruction.maxDosePerPeriod","","Maximale dosering
Maximale dosis (per dag enz.)","",0,1,"","","Y","Ratio {[]} {[]}
","MaximumDose","A maximum dose indicates the maximum duration a product can be used with an ‘as needed’ prescription.

For example:
- Max 6 units per day
- Max 200ml per week","This is intended for use as an adjunct to the dosage when there is an upper cap.  For example ""2 tablets every 4 hours to a maximum of 8/day"".","The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time.  For example, 1000mg in 24 hours.","","","","","","","",,,,,"",,,,"Dosage.maxDosePerPeriod",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.maxDosePerPeriod.id","MedicationRequest.dosageInstruction.maxDosePerPeriod.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.maxDosePerPeriod.extension","MedicationRequest.dosageInstruction.maxDosePerPeriod.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator","MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator","","","",0,1,"","","Y","Quantity {[]} {[]}
","Numerator value","The value of the numerator.","","","","","","","","","",,"required","GstdTabel902","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453","",,,,"Ratio.numerator",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator","MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator","","","",0,1,"","","Y","Quantity {[]} {[]}
","Denominator value","The value of the denominator.","","","","","","","","","",,,,,"",,,,"Ratio.denominator",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.maxDosePerAdministration","MedicationRequest.dosageInstruction.maxDosePerAdministration","","","",0,1,"","","Y","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Upper limit on medication per administration","Upper limit on medication per administration.","This is intended for use as an adjunct to the dosage when there is an upper cap.  For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.","The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.","","","","","","","",,,,,"",,,,"Dosage.maxDosePerAdministration",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.maxDosePerLifetime","MedicationRequest.dosageInstruction.maxDosePerLifetime","","","",0,1,"","","Y","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Upper limit on medication per lifetime of the patient","Upper limit on medication per lifetime of the patient.","","The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.","","","","","","","",,,,,"",,,,"Dosage.maxDosePerLifetime",0,1,"",""
"MedicationRequest","MedicationRequest.dosageInstruction.rate[x]","MedicationRequest.dosageInstruction.rate[x]","","Toedieningssnelheid
Inloopsnelheid","",0,1,"","","Y","Ratio {[]} {[]}
Range {[]} {[]}Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}","AdministeringSpeed","The administering speed is used in slow administration of liquid. In practice, the measuring unit is almost always ml/hour. Entering an interval (such as 0-10 ml/hour) is also a commonly used option. For example, with an administering speed of 10ml/hour: amount = 10, dose unit = ml                 time unit = hour","It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.","Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours.   Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.  Sometimes, a rate can imply duration when expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.","","","","","","","",,,,,"",,,,"Dosage.rate[x]",0,1,"",""
"MedicationRequest","MedicationRequest.dispenseRequest","MedicationRequest.dispenseRequest","","","",0,1,"","","","BackboneElement {[]} {[]}
","Medication supply authorization","Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order).  Note that this information is not always sent with the order.  There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.","","","","","","","","","",,,,,"",,,,"MedicationRequest.dispenseRequest",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"MedicationRequest","MedicationRequest.dispenseRequest.id","MedicationRequest.dispenseRequest.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.dispenseRequest.extension","MedicationRequest.dispenseRequest.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.dispenseRequest.modifierExtension","MedicationRequest.dispenseRequest.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"MedicationRequest","MedicationRequest.dispenseRequest.validityPeriod","MedicationRequest.dispenseRequest.validityPeriod","","","",0,1,"","","","Period {[]} {[]}
","Time period supply is authorized for","This indicates the validity period of a prescription (stale dating the Prescription).","It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.","Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.","","","","","","","",,,,,"",,,,"MedicationRequest.dispenseRequest.validityPeriod",0,1,"",""
"MedicationRequest","MedicationRequest.dispenseRequest.numberOfRepeatsAllowed","MedicationRequest.dispenseRequest.numberOfRepeatsAllowed","","","",0,1,"","","","positiveInt {[]} {[]}
","Number of refills authorized","An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus ""3 repeats"", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets.","If displaying ""number of authorized fills"", add 1 to this number.","","","","","","","","",,,,,"",,,,"MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",0,1,"",""
"MedicationRequest","MedicationRequest.dispenseRequest.quantity","MedicationRequest.dispenseRequest.quantity","","","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Amount of medication to supply per dispense","The amount that is to be dispensed for one fill.","","","","","","","","","",,,,,"",,,,"MedicationRequest.dispenseRequest.quantity",0,1,"",""
"MedicationRequest","MedicationRequest.dispenseRequest.expectedSupplyDuration","MedicationRequest.dispenseRequest.expectedSupplyDuration","","","",0,1,"","","","Duration {[]} {[]}
","Number of days supply per dispense","Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.","In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage) When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.","","","","","","","","",,,,,"",,,,"MedicationRequest.dispenseRequest.expectedSupplyDuration",0,1,"",""
"MedicationRequest","MedicationRequest.dispenseRequest.performer","MedicationRequest.dispenseRequest.performer","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Intended dispenser","Indicates the intended dispensing Organization specified by the prescriber.","","","","","","","","","",,,,,"",,,,"MedicationRequest.dispenseRequest.performer",0,1,"",""
"MedicationRequest","MedicationRequest.substitution","MedicationRequest.substitution","","","",0,1,"","","","BackboneElement {[]} {[]}
","Any restrictions on medication substitution","Indicates whether or not substitution can or should be part of the dispense. In some cases substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.","","","","","","","","","",,,,,"",,,,"MedicationRequest.substitution",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"MedicationRequest","MedicationRequest.substitution.id","MedicationRequest.substitution.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationRequest","MedicationRequest.substitution.extension","MedicationRequest.substitution.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"MedicationRequest","MedicationRequest.substitution.modifierExtension","MedicationRequest.substitution.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"MedicationRequest","MedicationRequest.substitution.allowed","MedicationRequest.substitution.allowed","","","",1,1,"","Y","","boolean {[]} {[]}
","Whether substitution is allowed or not","True if the prescriber allows a different drug to be dispensed from what was prescribed.","This element is labeled as a modifer because whether substitution is allow or not cannot be ignored.","","","","","","","","",,,,,"",,,,"MedicationRequest.substitution.allowed",1,1,"",""
"MedicationRequest","MedicationRequest.substitution.reason","MedicationRequest.substitution.reason","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Why should (not) substitution be made","Indicates the reason for the substitution, or why substitution must or must not be performed.","","","","","","","","","",,"example","A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.","http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason","",,,,"MedicationRequest.substitution.reason",0,1,"",""
"MedicationRequest","MedicationRequest.priorPrescription","MedicationRequest.priorPrescription","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest]]}
","An order/prescription that is being replaced","A link to a resource representing an earlier order related order or prescription.","","","","","","","","","",,,,,"",,,,"MedicationRequest.priorPrescription",0,1,"",""
"MedicationRequest","MedicationRequest.detectedIssue","MedicationRequest.detectedIssue","","Contraindication
Drug Utilization Review (DUR)Alert","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/DetectedIssue]]}
","Clinical Issue with action","Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.","","","","","","","","","",,,,,"",,,,"MedicationRequest.detectedIssue",0,*,"",""
"MedicationRequest","MedicationRequest.eventHistory","MedicationRequest.eventHistory","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Provenance]]}
","A list of events of interest in the lifecycle","Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.","This may not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).","","","","","","","","",,,,,"",,,,"MedicationRequest.eventHistory",0,*,"",""
"MedicationStatement","MedicationStatement","MedicationStatement","","Medicatiegebruik
","",0,*,"","","","null {[]} {[]}
","MedicationUse","MedicationUse is a statement on the historic, current or intended use of a certain medicine.","When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:
MedicationStatement.status + MedicationStatement.wasNotTaken
Status=Active + NotTaken=T = Not currently taking
Status=Completed + NotTaken=T = Not taken in the past
Status=Intended + NotTaken=T = No intention of taking
Status=Active + NotTaken=F = Taking, but not as prescribed
Status=Active + NotTaken=F = Taking
Status=Intended +NotTaken= F = Will be taking (not started)
Status=Completed + NotTaken=F = Taken in past
Status=In Error + NotTaken=N/A = In Error.","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}mst-1:Reason not taken is only permitted if Taken is No {reasonNotTaken.exists().not() or (taken = 'n')}"
"MedicationStatement","MedicationStatement.id","MedicationStatement.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"MedicationStatement","MedicationStatement.meta","MedicationStatement.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"MedicationStatement","MedicationStatement.implicitRules","MedicationStatement.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"MedicationStatement","MedicationStatement.language","MedicationStatement.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"MedicationStatement","MedicationStatement.text","MedicationStatement.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"MedicationStatement","MedicationStatement.contained","MedicationStatement.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"MedicationStatement","MedicationStatement.extension","MedicationStatement.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"",""
"MedicationStatement","MedicationStatement.extension:asAgreedIndicator","MedicationStatement.extension","asAgreedIndicator","extensions
user contentVolgensAfspraakIndicator","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator]]} {[]}
","AsAgreedIndicator","Is the medicine used as outlined in the medication agreement?","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationStatement","MedicationStatement.extension:asAgreedIndicator.id","MedicationStatement.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.extension:asAgreedIndicator.extension","MedicationStatement.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.extension:asAgreedIndicator.url","MedicationStatement.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-AsAgreedIndicator""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"MedicationStatement","MedicationStatement.extension:asAgreedIndicator.value[x]:valueBoolean","MedicationStatement.extension.value[x]","valueBoolean","","",0,1,"","","","boolean {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"MedicationStatement","MedicationStatement.extension:prescriber","MedicationStatement.extension","prescriber","","",0,1,"Y","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Prescriber]]} {[]}
","Who ordered the initial medication(s)","The healthcare professional responsible for authorizing the initial prescription.","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationStatement","MedicationStatement.extension:author","MedicationStatement.extension","author","extensions
user contentAuteur","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Author]]} {[]}
","Author","The author of this MedicationStatement. This is either a patient, a health professional or a healthcare provicer.","The health professional's specialty, role, and organization are captured and communicated through the PractitionerRole Resource based on the nl-core-practitionerrole profile.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationStatement","MedicationStatement.extension:medicationTreatment","MedicationStatement.extension","medicationTreatment","extensions
user contentMedicamenteuze Behandeling","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment]]} {[]}
","Medical Treatment","This extension is to describe which overarching medical treatment this information is part of. This is done by the use of an identifier of that medical treatment.","No HCIM concept is available for this element. Therefore a mapping to the relevant element Medication Process data element is provided.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationStatement","MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse","MedicationStatement.extension","reasonForChangeOrDiscontinuationOfUse","extensions
user contentRedenWijzigenOfStoppenGebruikReden wijzigen of stoppen gebruik","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse]]} {[]}
","ReasonForChangeOrDiscontinuationOfUse","Reason for changing or discontinuing use of medication.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationStatement","MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.id","MedicationStatement.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.extension","MedicationStatement.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.url","MedicationStatement.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-ReasonForChangeOrDiscontinuationOfUse""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"MedicationStatement","MedicationStatement.extension:reasonForChangeOrDiscontinuationOfUse.value[x]:valueCodeableConcept","MedicationStatement.extension.value[x]","valueCodeableConcept","Reden wijzigen of stoppen gebruik
","",0,1,"","","","CodeableConcept {[]} {[]}
","ReasonForChangeOrDiscontinuationOfUse","Reason for changing or discontinuing use of medication.","","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://snomed.info/sct""/>
    <code value=""79899007""/>
    <display value=""Drug interaction (finding)""/>
  </coding>
</valueCodeableConcept>","","",,"extensible","ReasonForChangeOrDiscontinuationOfUseCodeList","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"MedicationStatement","MedicationStatement.modifierExtension","MedicationStatement.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.modifierExtension",0,*,"",""
"MedicationStatement","MedicationStatement.modifierExtension:repeatPeriodCyclicalSchedule","MedicationStatement.modifierExtension","repeatPeriodCyclicalSchedule","extensions
user content","HerhaalperiodeCyclischSchema",0,1,"","Y","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule]]} {[]}
","RepeatPeriodCyclicalSchedule","The repeated period in a cyclical schedule (of one or more dosing instructions). A cyclic schedule is noted in days, the corresponding dosing duration is also in days.

Examples of a cyclical schedule: contraceptive pill (21 days, 1 pill 1x a day, then skip for 7 days, repeat), repeat period here is 28 days.
RepeatPeriodCyclicalSchedule","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationStatement","MedicationStatement.identifier","MedicationStatement.identifier","","","",0,*,"","","Y","Identifier {[]} {[]}
","External identifier","External identifier - FHIR will generate its own internal identifiers (probably URLs) which do not need to be explicitly managed by the resource.  The identifier here is one that would be used by another non-FHIR system - for example an automated medication pump would provide a record each time it operated; an administration while the patient was off the ward might be made with a different system and entered after the event.  Particularly important if these records have to be updated.","","","","","","","","","",,,,,"",,,,"MedicationStatement.identifier",0,*,"",""
"MedicationStatement","MedicationStatement.basedOn","MedicationStatement.basedOn","","","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/ProcedureRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ReferralRequest]]}
","Fulfils plan, proposal or order","A plan, proposal or order that is fulfilled in whole or in part by this event.","","Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","","","","","","","",,,,,"",,,,"MedicationStatement.basedOn",0,*,"",""
"MedicationStatement","MedicationStatement.partOf","MedicationStatement.partOf","","","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationAdministration], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationDispense], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationStatement], CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation]]}
","Part of referenced event","A larger event of which this particular event is a component or step.","","This should not be used when indicating which resource a MedicationStatement has been derived from.  If that is the use case, then MedicationStatement.derivedFrom should be used.","","","","","","","",,,,,"",,,,"MedicationStatement.partOf",0,*,"",""
"MedicationStatement","MedicationStatement.context","MedicationStatement.context","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Encounter], CanonicalType[http://hl7.org/fhir/StructureDefinition/EpisodeOfCare]]}
","Encounter / Episode associated with MedicationStatement","The encounter or episode of care that establishes the context for this MedicationStatement.","","","","","","","","","",,,,,"",,,,"MedicationStatement.context",0,1,"",""
"MedicationStatement","MedicationStatement.status","MedicationStatement.status","","MedicatieGebruikStopType
","",1,1,"","Y","Y","code {[]} {[]}
","MedicationUseStopType","A code representing the patient or other source's judgment about the state of the medication used that this statement is about.  Generally this will be active or completed.","MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

This element is also used for the concept 'Stop type'; the manner in which this medication is discontinued (temporary or definitive).","","","","","","","","",,"required","Allergy Intolerance critically Code list","http://hl7.org/fhir/ValueSet/medication-statement-status","",,,,"MedicationStatement.status",1,1,"",""
"MedicationStatement","MedicationStatement.category","MedicationStatement.category","","","",1,1,"","","Y","CodeableConcept {[]} {[]}
","Type of medication usage","Indicates where type of medication statement and where the medication is expected to be consumed or administered.","","","","","","","","","",,"preferred","A coded concept identifying where the medication included in the medicationstatement is expected to be consumed or administered","http://hl7.org/fhir/ValueSet/medication-statement-category","",,,,"MedicationStatement.category",0,1,"",""
"MedicationStatement","MedicationStatement.category.id","MedicationStatement.category.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.category.extension","MedicationStatement.category.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.category.coding","MedicationStatement.category.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:code}
","",,"open","CodeableConcept.coding",0,*,"",""
"MedicationStatement","MedicationStatement.category.coding:medicationUseCode","MedicationStatement.category.coding","medicationUseCode","","",0,*,"","","Y","Coding {[]} {[]}
","MedicationUseCode","Category code used for indexing/retrieval of the HCIM MedicationUse. The system and code are stated in the Medication Process v09.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"MedicationStatement","MedicationStatement.category.coding:medicationUseCode.id","MedicationStatement.category.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.category.coding:medicationUseCode.extension","MedicationStatement.category.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.category.coding:medicationUseCode.system","MedicationStatement.category.coding.system","","","",0,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.3.11.60.20.77.5.3""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"MedicationStatement","MedicationStatement.category.coding:medicationUseCode.version","MedicationStatement.category.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"MedicationStatement","MedicationStatement.category.coding:medicationUseCode.code","MedicationStatement.category.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""6""/>","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"MedicationStatement","MedicationStatement.category.coding:medicationUseCode.display","MedicationStatement.category.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"MedicationStatement","MedicationStatement.category.coding:medicationUseCode.userSelected","MedicationStatement.category.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"MedicationStatement","MedicationStatement.category.text","MedicationStatement.category.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"MedicationStatement","MedicationStatement.medicationReference:medicationReference","MedicationStatement.medicationReference","medicationReference","Gebruiksproduct
","",1,1,"Y","","Y","Reference {[]} {[CanonicalType[http://fhir.hl7.nl/zorgviewer/StructureDefinition/Medication]]}
","ProductUsed","Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.","","","","","","","","","",,,,,"",,,,"MedicationStatement.medication[x]",1,1,"",""
"MedicationStatement","MedicationStatement.medicationReference:medicationReference.id","MedicationStatement.medicationReference.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.medicationReference:medicationReference.extension","MedicationStatement.medicationReference.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.medicationReference:medicationReference.reference","MedicationStatement.medicationReference.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"MedicationStatement","MedicationStatement.medicationReference:medicationReference.identifier","MedicationStatement.medicationReference.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"MedicationStatement","MedicationStatement.medicationReference:medicationReference.display","MedicationStatement.medicationReference.display","","","",0,1,"Y","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"MedicationStatement","MedicationStatement.effectivePeriod:effectivePeriod","MedicationStatement.effectivePeriod","effectivePeriod","Gebruiksperiode
","",0,1,"Y","","Y","Period {[]} {[]}
","PeriodOfUse","Medication use can be recorded for a certain moment or over a certain period. Thus, medication use can be recorded multiple times during the use of medication. The usage period is the period or moment over which the data is recorded.

Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). 

Duration: The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days. 

End date: The time at which the period of use ends (or ended or will end). To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date.","This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the ""end"" date will be omitted.","","","","","","","","",,,,,"",,,,"MedicationStatement.effective[x]",0,1,"",""
"MedicationStatement","MedicationStatement.effectivePeriod:effectivePeriod.id","MedicationStatement.effectivePeriod.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.effectivePeriod:effectivePeriod.extension","MedicationStatement.effectivePeriod.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.effectivePeriod:effectivePeriod.extension:Duration","MedicationStatement.effectivePeriod.extension","Duration","extensions
user contenttijdsDuur","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration]]} {[]}
","Duration","The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationStatement","MedicationStatement.effectivePeriod:effectivePeriod.extension:Duration.id","MedicationStatement.effectivePeriod.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.effectivePeriod:effectivePeriod.extension:Duration.extension","MedicationStatement.effectivePeriod.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.effectivePeriod:effectivePeriod.extension:Duration.url","MedicationStatement.effectivePeriod.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"MedicationStatement","MedicationStatement.effectivePeriod:effectivePeriod.extension:Duration.value[x]:valueDuration","MedicationStatement.effectivePeriod.extension.value[x]","valueDuration","Gebruiksduur
","",0,1,"","","","Duration {[]} {[]}
","UsageDuration","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","<valueDuration xmlns=""http://hl7.org/fhir"">
  <value value=""3""/>
  <unit value=""day""/>
  <system value=""http://unitsofmeasure.org""/>
  <code value=""d""/>
</valueDuration>","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"MedicationStatement","MedicationStatement.effectivePeriod:effectivePeriod.start","MedicationStatement.effectivePeriod.start","","Ingangsdatum
","",0,1,"Y","","Y","dateTime {[]} {[]}
","StartDate","This is the time at which the agreement was to take effect (or took effect or will take effect).","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"per-1
",""
"MedicationStatement","MedicationStatement.effectivePeriod:effectivePeriod.end","MedicationStatement.effectivePeriod.end","","Einddatum
","",0,1,"Y","","Y","dateTime {[]} {[]}
","EndDate","The time at which the period of use ends (or ended or will end). To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"per-1
",""
"MedicationStatement","MedicationStatement.dateAsserted","MedicationStatement.dateAsserted","","Registratiedatum
","",1,1,"Y","","Y","dateTime {[]} {[]}
","MedicationUseDateTime","Date on which this use is entered.","","","","","","","<valueDateTime xmlns=""http://hl7.org/fhir"" value=""2017-06-14""/>","","",,,,,"",,,,"MedicationStatement.dateAsserted",0,1,"",""
"MedicationStatement","MedicationStatement.informationSource","MedicationStatement.informationSource","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization]]}
","Person or organization that provided the information about the taking of this medication","The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g Claim or MedicationRequest.","If a health professional is the informationSource the PractitionerRole reference extension can be used for a PractitionerRole reference. The health professional's specialty, role, and organization are captured and communicated through the PractitionerRole Resource based on the nl-core-practitionerrole profile.","","","","","","","","",,,,,"",,,,"MedicationStatement.informationSource",0,1,"",""
"MedicationStatement","MedicationStatement.informationSource.id","MedicationStatement.informationSource.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.informationSource.extension","MedicationStatement.informationSource.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.informationSource.extension:practitionerRole","MedicationStatement.informationSource.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"MedicationStatement","MedicationStatement.informationSource.reference","MedicationStatement.informationSource.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"MedicationStatement","MedicationStatement.informationSource.identifier","MedicationStatement.informationSource.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"MedicationStatement","MedicationStatement.informationSource.display","MedicationStatement.informationSource.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"MedicationStatement","MedicationStatement.subject","MedicationStatement.subject","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient]]}
","Who is/was taking  the medication","The person, animal or group who is/was taking the medication.","","","","","","","","","",,,,,"",,,,"MedicationStatement.subject",1,1,"",""
"MedicationStatement","MedicationStatement.derivedFrom","MedicationStatement.derivedFrom","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","Additional supporting information","Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement.","Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers.  The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim.  it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from.","","","","","","","","",,,,,"",,,,"MedicationStatement.derivedFrom",0,*,"",""
"MedicationStatement","MedicationStatement.taken","MedicationStatement.taken","","GebruikIndicator
","",1,1,"","Y","Y","code {[]} {[]}
","UseIndicator","Is this medicine used or not?","This element is labeled as a modifier because it indicates that the medication was not taken.","","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""y""/>","","",,"required","A coded concept identifying level of certainty if patient has taken or has not taken the medication","http://hl7.org/fhir/ValueSet/medication-statement-taken","",,,,"MedicationStatement.taken",1,1,"",""
"MedicationStatement","MedicationStatement.reasonNotTaken","MedicationStatement.reasonNotTaken","","","",0,*,"","","","CodeableConcept {[]} {[]}
","True if asserting medication was not given","A code indicating why the medication was not taken.","","","","","","","","","",,"example","A coded concept indicating the reason why the medication was not taken","http://hl7.org/fhir/ValueSet/reason-medication-not-taken-codes","",,,,"MedicationStatement.reasonNotTaken",0,*,"mst-1
",""
"MedicationStatement","MedicationStatement.reasonCode","MedicationStatement.reasonCode","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason for why the medication is being/was taken","A reason for why the medication is being/was taken.","This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.","","","","","","","","",,"example","A coded concept identifying why the medication is being taken.","http://hl7.org/fhir/ValueSet/condition-code","",,,,"MedicationStatement.reasonCode",0,*,"",""
"MedicationStatement","MedicationStatement.reasonCode.id","MedicationStatement.reasonCode.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.reasonCode.extension","MedicationStatement.reasonCode.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.reasonCode.coding","MedicationStatement.reasonCode.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"MedicationStatement","MedicationStatement.reasonCode.text","MedicationStatement.reasonCode.text","","RedenGebruik
","",0,1,"","","Y","string {[]} {[]}
","ReasonForUse","The reason for using the medication, particularly in self-care medicine purchased by the patient themselves.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"MedicationStatement","MedicationStatement.reasonReference","MedicationStatement.reasonReference","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Condition], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation]]}
","Condition or observation that supports why the medication is being/was taken","Condition or observation that supports why the medication is being/was taken.","This is a reference to a condition that is the reason why the medication is being/was taken.  If only a code exists, use reasonForUseCode.","","","","","","","","",,,,,"",,,,"MedicationStatement.reasonReference",0,*,"",""
"MedicationStatement","MedicationStatement.note","MedicationStatement.note","","Toelichting
","",0,*,"","","","Annotation {[]} {[]}
","Comment","Comments on the medication use.","","","","","","","","","",,,,,"",,,,"MedicationStatement.note",0,*,"",""
"MedicationStatement","MedicationStatement.dosage","MedicationStatement.dosage","","Gebruiksinstructie
","",0,*,"","","","Dosage {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-InstructionsForUse]]} {[]}
","InstructionsForUse","Instructions for the use of the medication, e.g. dose and route of administration. In the event of medication use, this is the pattern of use established by the patient or which the patient followed","The wiki page https://informatiestandaarden.nictiz.nl/wiki/mp:V9.0_Voorbeelden_doseringen provides dosage instruction examples. These examples consists of functional data and their representation in FHIR and CDA.","","","","","","","","",,,,,"",,,,"MedicationStatement.dosage",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"MedicationStatement","MedicationStatement.dosage.id","MedicationStatement.dosage.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.extension","MedicationStatement.dosage.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.dosage.sequence","MedicationStatement.dosage.sequence","","Volgnummer
","",0,1,"","","Y","integer {[]} {[]}
","SequenceNumber","This indicates the sequence of the dosing instructions within the medication agreement.","","If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent.  If the sequence number is different, then the Dosages are intended to be sequential.","","","","","","","",,,,,"",,,,"Dosage.sequence",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.text","MedicationStatement.dosage.text","","Omschrijving
","",0,1,"Y","","Y","string {[]} {[]}
","Description","Textual description of the complete instructions for use including the period of use.","","Free text dosage instructions can be used for cases where the instructions are too complex to code.  The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated.  If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing.","","","","","","","",,,,,"",,,,"Dosage.text",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.additionalInstruction","MedicationStatement.dosage.additionalInstruction","","AanvullendeInstructie
","",0,*,"","","Y","CodeableConcept {[]} {[]}
","AdditionalInstructions","The additional instructions contain extra information on the use of or considerations for the current prescription. This can also include all instructions for use. The text can come from the original 'paper' medication prescription, but can also be generated from the coded information. This concept may contain more information than what is structurally coded in the information below, but may not conflict with it.                  The instructions may not conflict with other components of the request for administration. The instructions can also refer to an existing protocol.                                  The G standard contains many texts that can support this attribute, in for example G standard table 362, which contains texts from the general practitioners’ standard WCIA table 25. If desired, these texts can be used to structure this concept.","","Additional instruction such as ""Swallow with plenty of water"" which may or may not be coded.","","","","","","","",,"extensible","","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.9--20160407000000","",,,,"Dosage.additionalInstruction",0,*,"",""
"MedicationStatement","MedicationStatement.dosage.patientInstruction","MedicationStatement.dosage.patientInstruction","","","",0,1,"","","Y","string {[]} {[]}
","Patient or consumer oriented instructions","Instructions in terms that are understood by the patient or consumer.","","","","","","","","","",,,,,"",,,,"Dosage.patientInstruction",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.timing","MedicationStatement.dosage.timing","","","",0,1,"","","Y","Timing {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationSchedule]]} {[]}
","When medication should be administered","Specifications of the times at which the medication is to be administered. This is indicated as follows:                  Time(s) (16:00) or indications (“before meals”) at which the medication is to be taken each day.                 A specific number of times the medication is to be taken each day (“3x a day“), indicated with the frequency                 A time interval between consecutive doses (“Every 2 hours”, “every 3 days”), indicated with the word Interval.                 Combined periods with an interval and duration (“1 daily for three out of four weeks: the pill schedule”)                                                   If a certain medication is not to be taken daily, the aforementioned can be combined with daily indications:                  One or more week days on which the medication is to be administered (e.g. “Monday, Wednesday, Friday”)                 ”3x a week”, “2x a month”.                                                   The specified administration “infinite” is automatically to be repeated until:                  The end date and time has been reached                 The total administration duration has been reached (14 days)                                                   A specific amount of administrations has been reached (“20 doses”, “one-time only”), to be entered in the NumberOfDoses concept.","This attribute may not always be populated while the Dosage.text is expected to be populated.  If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.","The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions. For example: ""Every 8 hours""; ""Three times a day""; ""1/2 an hour before breakfast for 10 days from 23-Dec 2011:""; ""15 Oct 2013, 17 Oct 2013 and 1 Nov 2013"".  Sometimes, a rate can imply duration when expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.","","","","","","","",,,,,"",,,,"Dosage.timing",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.asNeeded[x]","MedicationStatement.dosage.asNeeded[x]","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Take ""as needed"" (for x)","Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).","Can express ""as needed"" without a reason by setting the Boolean = True.  In this case the CodeableConcept is not populated.  Or you can express ""as needed"" with a reason by including the CodeableConcept.  In this case the Boolean is assumed to be True.  If you set the Boolean to False, then the dose is given according to the schedule and is not ""prn"" or ""as needed"".","","","","","","","","",,"example","A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose.  For example ""pain"", ""30 minutes prior to sexual intercourse"", ""on flare-up"" etc.","http://hl7.org/fhir/ValueSet/medication-as-needed-reason|3.0.2","","type:$this}
","",,"closed","Dosage.asNeeded[x]",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.asNeeded[x]:asNeededCodeableConcept","MedicationStatement.dosage.asNeeded[x]","asNeededCodeableConcept","Zo nodig
Criterium","",0,1,"","","Y","CodeableConcept {[]} {[]}
","AsNeeded","As needed means that the dose is only to be administered under certain conditions.","Using the term 'as needed' or a specific reason (eg 'in case of pain') to use medication leads to ambiguity. It is not always clear whether the whole dose is 'as needed' or only part of the dose. For example: 1x daily 1-2 tablets as needed. This can mean: 1 tablet fixed per day and 1 tablet as needed or, as needed, a maximum of 2 tablets.As needed medication is not included in GDS. In the first situation, 1 tablet comes in the GDS (drug dispensing systems) and 1 tablet is delivered separately. In the second situation there is only separate delivery.The system must make sufficiently clear whether the entire instruction or part of the dose is necessary. The HCIM supports both options described above.","","","","","","","","",,"extensible","ZonodigCriteriumCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4--20171231000000","",,,,"Dosage.asNeeded[x]",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.site","MedicationStatement.dosage.site","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Body site to administer to","Body site to administer to.","If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html).  May be a summary code, or a reference to a very precise definition of the location, or both.","A coded specification of the anatomic site where the medication first enters the body.","","","","","","","",,"example","A coded concept describing the site location the medicine enters into or onto the body.","http://hl7.org/fhir/ValueSet/approach-site-codes|3.0.2","",,,,"Dosage.site",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.route","MedicationStatement.dosage.route","","Toedieningsweg
","",0,1,"","","Y","CodeableConcept {[]} {[]}
","RouteOfAdministration","The route through which the medication is administered (oral, nasal, intravenous, etc.)","","A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""urn:oid:2.16.840.1.113883.2.4.4.9""/>
    <code value=""oraal""/>
    <display value=""Oraal""/>
  </coding>
</valueCodeableConcept>","","",,"extensible","ToedieningswegCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1--20171231000000","",,,,"Dosage.route",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.route.id","MedicationStatement.dosage.route.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.route.extension","MedicationStatement.dosage.route.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.dosage.route.coding","MedicationStatement.dosage.route.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"MedicationStatement","MedicationStatement.dosage.route.text","MedicationStatement.dosage.route.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.method","MedicationStatement.dosage.method","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Technique for administering medication","Technique for administering medication.","Terminologies used often pre-coordinate this term with the route and or form of administration.","A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections.  For examples, Slow Push; Deep IV.","","","","","","","",,"example","A coded concept describing the technique by which the medicine is administered.","http://hl7.org/fhir/ValueSet/administration-method-codes|3.0.2","",,,,"Dosage.method",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.dose[x]","MedicationStatement.dosage.dose[x]","","Keerdosis
","",0,1,"","","Y","Range {[]} {[]}
Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}","Dose","The dose indicates the dose amount per administration. 
 
The dosage is described in the unit accompanying the product; usually, this is just a number of units or doses. Liquids and other divisible products will usually include a unit of volume (preferably """"ml""""). 
 
In many cases, the prescriber will want to indicate the dose in units of weight of the active ingredient.  
 
If only the ingredient is included and not the product, then the amount of that ingredient will be given. Paracetamol 1000mg is equivalent to 2 Paracetamol 500mg tablets or units. 
 
The dosage is sometimes given as a calculation, in which the patient’s body weight or body surface area is used as a parameter. The calculation is however no more than an aid in reaching a decision. 
 
In the event of constant administration, sometimes the dose is given in addition to the administration speed (infusion rate) (e.g. 20ml in a syringe or 500ml in a bag), but it is often also omitted. 
 
A general dosage recommendation such as ‘Use according to protocol’ or ‘See instructions’ can be sufficient. In that case, no dose is given.","Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.","The amount of therapeutic or other substance given at one administration event.","","","","","","","",,,,,"","type:$this}
","",,"closed","Dosage.dose[x]",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.dose[x]:doseQuantity","MedicationStatement.dosage.dose[x]","doseQuantity","","",0,1,"","","Y","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Amount of medication per dose","Amount of medication per dose.","Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.","The amount of therapeutic or other substance given at one administration event.","","","","","","","",,"required","GstdTabel902","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453","",,,,"Dosage.dose[x]",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.dose[x]:doseRange","MedicationStatement.dosage.dose[x]","doseRange","","",0,1,"","","Y","Range {[]} {[]}
","Amount of medication per dose","Amount of medication per dose.","Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.","The amount of therapeutic or other substance given at one administration event.","","","","","","","",,,,,"",,,,"Dosage.dose[x]",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.dose[x]:doseRange.id","MedicationStatement.dosage.dose[x].id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.dose[x]:doseRange.extension","MedicationStatement.dosage.dose[x].extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.dosage.dose[x]:doseRange.low","MedicationStatement.dosage.dose[x].low","","","",0,1,"","","Y","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Low limit","The low limit. The boundary is inclusive.","If the low element is missing, the low boundary is not known.","","","","","","","","",,"required","GstdTabel902","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453","",,,,"Range.low",0,1,"rng-2
",""
"MedicationStatement","MedicationStatement.dosage.dose[x]:doseRange.high","MedicationStatement.dosage.dose[x].high","","","",0,1,"","","Y","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","High limit","The high limit. The boundary is inclusive.","If the high element is missing, the high boundary is not known.","","","","","","","","",,"required","GstdTabel902","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453","",,,,"Range.high",0,1,"rng-2
",""
"MedicationStatement","MedicationStatement.dosage.maxDosePerPeriod","MedicationStatement.dosage.maxDosePerPeriod","","Maximale dosering
Maximale dosis (per dag enz.)","",0,1,"","","Y","Ratio {[]} {[]}
","MaximumDose","A maximum dose indicates the maximum duration a product can be used with an ‘as needed’ prescription.

For example:
- Max 6 units per day
- Max 200ml per week","This is intended for use as an adjunct to the dosage when there is an upper cap.  For example ""2 tablets every 4 hours to a maximum of 8/day"".","The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time.  For example, 1000mg in 24 hours.","","","","","","","",,,,,"",,,,"Dosage.maxDosePerPeriod",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.maxDosePerPeriod.id","MedicationStatement.dosage.maxDosePerPeriod.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.maxDosePerPeriod.extension","MedicationStatement.dosage.maxDosePerPeriod.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"MedicationStatement","MedicationStatement.dosage.maxDosePerPeriod.numerator","MedicationStatement.dosage.maxDosePerPeriod.numerator","","","",0,1,"","","Y","Quantity {[]} {[]}
","Numerator value","The value of the numerator.","","","","","","","","","",,"required","GstdTabel902","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453","",,,,"Ratio.numerator",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.maxDosePerPeriod.denominator","MedicationStatement.dosage.maxDosePerPeriod.denominator","","","",0,1,"","","Y","Quantity {[]} {[]}
","Denominator value","The value of the denominator.","","","","","","","","","",,,,,"",,,,"Ratio.denominator",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.maxDosePerAdministration","MedicationStatement.dosage.maxDosePerAdministration","","","",0,1,"","","Y","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Upper limit on medication per administration","Upper limit on medication per administration.","This is intended for use as an adjunct to the dosage when there is an upper cap.  For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.","The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.","","","","","","","",,,,,"",,,,"Dosage.maxDosePerAdministration",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.maxDosePerLifetime","MedicationStatement.dosage.maxDosePerLifetime","","","",0,1,"","","Y","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Upper limit on medication per lifetime of the patient","Upper limit on medication per lifetime of the patient.","","The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.","","","","","","","",,,,,"",,,,"Dosage.maxDosePerLifetime",0,1,"",""
"MedicationStatement","MedicationStatement.dosage.rate[x]","MedicationStatement.dosage.rate[x]","","Toedieningssnelheid
Inloopsnelheid","",0,1,"","","Y","Ratio {[]} {[]}
Range {[]} {[]}Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}","AdministeringSpeed","The administering speed is used in slow administration of liquid. In practice, the measuring unit is almost always ml/hour. Entering an interval (such as 0-10 ml/hour) is also a commonly used option. For example, with an administering speed of 10ml/hour: amount = 10, dose unit = ml                 time unit = hour","It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.","Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours.   Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.  Sometimes, a rate can imply duration when expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.","","","","","","","",,,,,"",,,,"Dosage.rate[x]",0,1,"",""
"Organization","Organization","Organization","","Zorgaanbieder
","",0,*,"","","","null {[]} {[]}
","HealthcareProvider","A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.  Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}org-1:The organization SHALL at least have a name or an id, and possibly more than one {(identifier.count() + name.count()) > 0}zv-org-1:Organization AGB SHALL be present. {identifier.where(system='http://fhir.nl/fhir/NamingSystem/agb-z')}"
"Organization","Organization.id","Organization.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Organization","Organization.meta","Organization.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Organization","Organization.implicitRules","Organization.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Organization","Organization.language","Organization.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"Organization","Organization.text","Organization.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Organization","Organization.contained","Organization.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Organization","Organization.extension","Organization.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"Organization","Organization.modifierExtension","Organization.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Organization","Organization.identifier","Organization.identifier","","","",0,*,"","","Y","Identifier {[]} {[]}
","Identifies this organization  across multiple systems","The organization’s identification number. For Dutch healthcare providers, the URA number or the AGB number is used, if possible. For foreign or non-affiliated healthcare providers, another unique identification number can be used. This must be accompanied by the name and/or code of the issuing organization.","","Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","","","","","","","",,,,,"","value:system}
","",,"open","Organization.identifier",0,*,"org-1
",""
"Organization","Organization.identifier:URA","Organization.identifier","URA","URA
","",0,*,"Y","","Y","Identifier {[]} {[]}
","URA","Identifier for the organization that is used to identify the organization across multiple disparate systems.","","Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","","","","","","","",,,,,"",,,,"Organization.identifier",0,*,"org-1
",""
"Organization","Organization.identifier:URA.id","Organization.identifier.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Organization","Organization.identifier:URA.extension","Organization.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Organization","Organization.identifier:URA.use","Organization.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary (If known)","The purpose of this identifier.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use","",,,,"Identifier.use",0,1,"",""
"Organization","Organization.identifier:URA.type","Organization.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. 

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"",""
"Organization","Organization.identifier:URA.system","Organization.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://fhir.nl/fhir/NamingSystem/ura""/>","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"",""
"Organization","Organization.identifier:URA.value","Organization.identifier.value","","URA (UZI-register abonneenummer)
","",1,1,"","","Y","string {[]} {[]}
","URA (UZI-register abonneenummer)","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/STU3/extension-rendered-value.html).","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"",""
"Organization","Organization.identifier:URA.period","Organization.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"",""
"Organization","Organization.identifier:URA.assigner","Organization.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"",""
"Organization","Organization.identifier:AGB","Organization.identifier","AGB","AGB
","",0,*,"Y","","Y","Identifier {[]} {[]}
","AGB","Identifier for the organization that is used to identify the organization across multiple disparate systems.","","Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","","","","","","","",,,,,"",,,,"Organization.identifier",0,*,"org-1
",""
"Organization","Organization.identifier:AGB.id","Organization.identifier.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Organization","Organization.identifier:AGB.extension","Organization.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Organization","Organization.identifier:AGB.use","Organization.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary (If known)","The purpose of this identifier.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use","",,,,"Identifier.use",0,1,"",""
"Organization","Organization.identifier:AGB.type","Organization.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. 

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"",""
"Organization","Organization.identifier:AGB.system","Organization.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://fhir.nl/fhir/NamingSystem/agb-z""/>","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"",""
"Organization","Organization.identifier:AGB.value","Organization.identifier.value","","AGB-Z (Vektis AGB-Z zorgverlenertabel)
","",1,1,"","","Y","string {[]} {[]}
","AGB-Z (Vektis AGB-Z zorgverlenertabel)","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/STU3/extension-rendered-value.html).","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"",""
"Organization","Organization.identifier:AGB.period","Organization.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"",""
"Organization","Organization.identifier:AGB.assigner","Organization.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"",""
"Organization","Organization.identifier:UZOVI","Organization.identifier","UZOVI","UZOVI
","",0,*,"","","Y","Identifier {[]} {[]}
","UZOVI","Unique healthcare insurance company identification (the UZOVI number).","","Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","","","","","","","",,,,,"",,,,"Organization.identifier",0,*,"org-1
",""
"Organization","Organization.identifier:UZOVI.id","Organization.identifier.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Organization","Organization.identifier:UZOVI.extension","Organization.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Organization","Organization.identifier:UZOVI.use","Organization.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary (If known)","The purpose of this identifier.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use","",,,,"Identifier.use",0,1,"",""
"Organization","Organization.identifier:UZOVI.type","Organization.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. 

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"",""
"Organization","Organization.identifier:UZOVI.system","Organization.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://fhir.nl/fhir/NamingSystem/uzovi""/>","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"",""
"Organization","Organization.identifier:UZOVI.value","Organization.identifier.value","","Unieke zorgverekeraar identificatie (het UZOVI-nummer)
","",1,1,"","","Y","string {[]} {[]}
","Unique healthcare insurance company identification (the UZOVI number)","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/STU3/extension-rendered-value.html).","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"",""
"Organization","Organization.identifier:UZOVI.period","Organization.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"",""
"Organization","Organization.identifier:UZOVI.assigner","Organization.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"",""
"Organization","Organization.identifier:HL7NL","Organization.identifier","HL7NL","","",0,*,"Y","","Y","Identifier {[]} {[]}
","Identifies this organization  across multiple systems","The organization’s identification number. For Dutch healthcare providers, the URA number or the AGB number is used, if possible. For foreign or non-affiliated healthcare providers, another unique identification number can be used. This must be accompanied by the name and/or code of the issuing organization.","","Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","","","","","","","",,,,,"",,,,"Organization.identifier",0,*,"org-1
",""
"Organization","Organization.identifier:HL7NL.id","Organization.identifier.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Organization","Organization.identifier:HL7NL.extension","Organization.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Organization","Organization.identifier:HL7NL.use","Organization.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary (If known)","The purpose of this identifier.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|3.0.2","",,,,"Identifier.use",0,1,"",""
"Organization","Organization.identifier:HL7NL.type","Organization.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. 

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type|3.0.2","",,,,"Identifier.type",0,1,"",""
"Organization","Organization.identifier:HL7NL.system","Organization.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.3""/>","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"",""
"Organization","Organization.identifier:HL7NL.value","Organization.identifier.value","","","",0,1,"","","Y","string {[]} {[]}
","The value that is unique","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/STU3/extension-rendered-value.html).","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"",""
"Organization","Organization.identifier:HL7NL.period","Organization.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"",""
"Organization","Organization.identifier:HL7NL.assigner","Organization.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"",""
"Organization","Organization.active","Organization.active","","","",0,1,"","Y","Y","boolean {[]} {[]}
","Whether the organization's record is still in active use","Whether the organization's record is still in active use.","Default is true.

This active flag is not intended to be used to mark an organizations as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.

This element is labeled as a modifier because it may be used to mark that the resource was created in error.","Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","","","","","",,,,,"",,,,"Organization.active",0,1,"",""
"Organization","Organization.type","Organization.type","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Kind of organization","The kind(s) of organization that this is.","Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

We expect that some jurisdictions will profile this optionality to be a single cardinality.","Need to be able to track the kind of organization that this is - different organization types have different uses.","","","","","","","",,"example","Used to categorize the organization","http://hl7.org/fhir/ValueSet/organization-type","","value:coding.system}
","",,"open","Organization.type",0,*,"",""
"Organization","Organization.type:organizationType","Organization.type","organizationType","OrganisatieType
","",0,*,"","","Y","CodeableConcept {[]} {[]}
","OrganizationType","The type of healthcare provider, such as general hospital, or nursing home. If this field is filled in and an AGB code is used for the HealthcareProviderIdentificationNumber, the type must match the type implicitly contained in the AGB code.","Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

We expect that some jurisdictions will profile this optionality to be a single cardinality.","Need to be able to track the kind of organization that this is - different organization types have different uses.","","","","","","","",,"required","Used to categorize the organization","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.2.3--20171231000000","",,,,"Organization.type",0,*,"",""
"Organization","Organization.type:organizationType.id","Organization.type.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Organization","Organization.type:organizationType.extension","Organization.type.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Organization","Organization.type:organizationType.coding","Organization.type.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Organization","Organization.type:organizationType.coding.id","Organization.type.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Organization","Organization.type:organizationType.coding.extension","Organization.type.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Organization","Organization.type:organizationType.coding.system","Organization.type.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/NamingSystem/organization-type""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Organization","Organization.type:organizationType.coding.version","Organization.type.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Organization","Organization.type:organizationType.coding.code","Organization.type.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Organization","Organization.type:organizationType.coding.display","Organization.type.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Organization","Organization.type:organizationType.coding.userSelected","Organization.type.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Organization","Organization.type:organizationType.text","Organization.type.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Organization","Organization.type:departmentSpecialty","Organization.type","departmentSpecialty","AfdelingSpecialisme
","",0,*,"","","Y","CodeableConcept {[]} {[]}
","DepartmentSpecialty","The specialty of the healthcare provider’s department, e.g. Cardiology. The departmental specialty can be filled in if further indication of the healthcare provider is needed. This refers to the recognized medical specialties as stated in the BIG Act.","Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

We expect that some jurisdictions will profile this optionality to be a single cardinality.","Need to be able to track the kind of organization that this is - different organization types have different uses.","","","","","","","",,"required","Used to categorize the organization","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.2.4--20171231000000","",,,,"Organization.type",0,*,"",""
"Organization","Organization.type:departmentSpecialty.id","Organization.type.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Organization","Organization.type:departmentSpecialty.extension","Organization.type.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Organization","Organization.type:departmentSpecialty.coding","Organization.type.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Organization","Organization.type:departmentSpecialty.coding.id","Organization.type.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Organization","Organization.type:departmentSpecialty.coding.extension","Organization.type.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Organization","Organization.type:departmentSpecialty.coding.system","Organization.type.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.6.7""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Organization","Organization.type:departmentSpecialty.coding.version","Organization.type.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Organization","Organization.type:departmentSpecialty.coding.code","Organization.type.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Organization","Organization.type:departmentSpecialty.coding.display","Organization.type.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Organization","Organization.type:departmentSpecialty.coding.userSelected","Organization.type.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Organization","Organization.type:departmentSpecialty.text","Organization.type.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Organization","Organization.name","Organization.name","","OrganisatieNaam of AfdelingNaam
","",0,1,"","","Y","string {[]} {[]}
","OrganizationName or DepartmentName","The full name associated with the organization, which may include information about the organization's location. Specifics of the parent organization can be found through the partOf element.","If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.","Need to use the name as the label of the organization.","","","","","","","",,,,,"",,,,"Organization.name",0,1,"org-1
",""
"Organization","Organization.alias","Organization.alias","","OrganisatieAlias
","",0,*,"","","","string {[]} {[]}
","OrganizationAlias","Other names that this Organization is known as.","There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.","Over time locations and organizations go through many changes and can be known by different names.

For searching knowing previous names that the organization was known by can be very useful.","","","","","","","",,,,,"",,,,"Organization.alias",0,*,"",""
"Organization","Organization.telecom","Organization.telecom","","Contactgegevens
","",0,*,"","","","ContactPoint {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-contactpoint]]} {[]}
","ContactInformation","Contact information includes a person's telephone numbers and email addresses. This datatype defines a common basis for expressing all contact information around the world, but adds extensions to express Dutch contacts specifically, according to the HCIM ContactInformation (v1.0, 2017). A Dutch ContactPoint still is a proper FHIR ContactPoint, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype. The table below explains how the HCIM concepts are mapped to the various FHIR elements. The HCIM code itself should also be included using the TelecomType extension.

| HCIM                                               | `.ext:TelecomType` | `.system` | `.use`   |
|----------------------------------------------------|:------------------:|:---------:|:--------:|
| Primary Home Land Line                             | _LL_               | _phone_   | _home_   |
| Temporary Land Line                                | _LL_               | _phone_   | _temp_   |
| Primary Work Land Line                             | _LL_               | _phone_   | _work_   |
|                                                    |                    |           |          |
| Primary Home Fax                                   | _FAX_              | _fax_     | _home_   |
| Temporary Fax                                      | _FAX_              | _fax_     | _temp_   |
| Primary Work Fax                                   | _FAX_              | _fax_     | _work_   |
|                                                    |                    |           |          |
| Primary Home Mobile Phone                          | _MC_               | _phone_   | _home_   |
| Temporary Mobile Phone                             | _MC_               | _phone_   | _temp_   |
| Primary Work Mobile Phone                          | _MC_               | _phone_   | _work_   |
|                                                    |                    |           |          |
| Primary Home Pager                                 | _PG_               | _pager_   | _home_   |
| Temporary Pager                                    | _PG_               | _pager_   | _temp_   |
| Primary Work Pager                                 | _PG_               | _pager_   | _work_   |
|                                                    |                    |           |          |
| Private email address                              |                    | _email_   | _home_   |
| Work email address                                 |                    | _email_   | _work_   |
|                                                    |                    |           |          |
| Mobile phone number undetermined private/business  |                    | _phone_   | _mobile_ |","The use code home is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.","Human contact for the organization.","","","","","<valueContactPoint xmlns=""http://hl7.org/fhir"">
  <system value=""phone""/>
  <value value=""+31611234567""/>
  <use value=""work""/>
</valueContactPoint>","","",,,,,"",,,,"Organization.telecom",0,*,"org-3
ele-1","org-3:The telecom of an organization can never be of use 'home' {where(use = 'home').empty()}
ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}cpt-2:A system is required if a value is provided. {value.empty() or system.exists()}"
"Organization","Organization.address","Organization.address","","AdresInformatie
Adresgegevens","",0,*,"","","","Address {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-address]]} {[]}
","AddressInformation","This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the HCIM AddressInformation (v1.0, 2017). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype.

To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.

**Separate address parts**

The first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.

**Custom address types**

The second addition is that the HCIM defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the HCIM concepts are mapped to the various FHIR elements (see the ConceptMaps <http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse> and <http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType> as well). The HCIM code itself should also be included using the AddressType extension.

| HCIM                              |` .ext:AddressType` | `.ext:official` | `.use` | `.type`    |
|-----------------------------------|:------------------:|:---------------:|:------:|:----------:|
| Postal Address/Postadres          | _PST_              |                 |        | _postal_   |
| Primary Home/Officieel adres      | _HP_               | true            | _home_ |            |
| Visit Address/Woon-/verblijfadres | _PHYS_             |                 | _home_ | _physical_ |
| Temporary Address/Tijdelijk adres | _TMP_              |                 | _temp_ |            |
| Work Place/Werkadres              | _WP_               |                 | _work_ |            |
| Vacation Home/Vakantie adres      | _HV_               |                 | _temp_ |            |

 If Address.type is _both_ then this is to be understood as a dual purpose address (postal and physical). Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.

NOTE: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the HCIM ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.","Note: address is for postal addresses, not physical locations.","May need to keep track of the organization's addresses for contacting, billing or reporting requirements.","","","","","<valueAddress xmlns=""http://hl7.org/fhir"">
  <extension url=""http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType"">
    <valueCodeableConcept>
      <coding>
        <system value=""http://hl7.org/fhir/v3/AddressUse""/>
        <code value=""HV""/>
        <display value=""Vakantie adres""/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <use value=""temp""/>
  <line value=""Binnenkant 12A Hoog"">
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"">
      <valueString value=""Binnenkant""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"">
      <valueString value=""12""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"">
      <valueString value=""A""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"">
      <valueString value=""Hoog""/>
    </extension>
  </line>
  <city value=""Amsterdam""/>
  <state value=""NH""/>
  <postalCode value=""1000AA""/>
  <country value=""NLD""/>
</valueAddress>","","",,,,,"",,,,"Organization.address",0,*,"org-2
ele-1nl-streetname-if-official-and-other-line-parts","org-2:An address of an organization can never be of use 'home' {where(use = 'home').empty()}
ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}nl-streetname-if-official-and-other-line-parts:Address.streetName in an official address SHALL have a value if one of houseNumber|buildingNumberSuffix|additionalLocator has a value {(extension.where(url = 'http://fhir.nl/fhir/StructureDefinition/nl-core-address-official').where(value = true)).empty() or (line.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty().not() and (line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty().not()))}"
"Organization","Organization.partOf","Organization.partOf","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization]]}
","The organization of which this organization forms a part","The organization of which this organization forms a part.","","Need to be able to track the hierarchy of organizations within an organization.","","","","","","","",,,,,"",,,,"Organization.partOf",0,1,"",""
"Organization","Organization.contact","Organization.contact","","","",0,*,"","","","BackboneElement {[]} {[]}
","Contact for the organization for a certain purpose","Contact for the organization for a certain purpose.","Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.","Need to keep track of assigned contact points within bigger organization.","","","","","","","",,,,,"",,,,"Organization.contact",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Organization","Organization.contact.id","Organization.contact.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Organization","Organization.contact.extension","Organization.contact.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Organization","Organization.contact.modifierExtension","Organization.contact.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Organization","Organization.contact.purpose","Organization.contact.purpose","","","",0,1,"","","","CodeableConcept {[]} {[]}
","The type of contact","Indicates a purpose for which the contact can be reached.","","Need to distinguish between multiple contact persons.","","","","","","","",,"extensible","The purpose for which you would contact a contact party","http://hl7.org/fhir/ValueSet/contactentity-type","",,,,"Organization.contact.purpose",0,1,"",""
"Organization","Organization.contact.name","Organization.contact.name","","","",0,1,"","","","HumanName {[]} {[]}
","A name associated with the contact","A name associated with the contact.","","Need to be able to track the person by name.","","","","","","","",,,,,"",,,,"Organization.contact.name",0,1,"",""
"Organization","Organization.contact.telecom","Organization.contact.telecom","","","",0,*,"","","","ContactPoint {[]} {[]}
","Contact details (telephone, email, etc.)  for a contact","A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.","","People have (primary) ways to contact them in some way such as phone, email.","","","","","","","",,,,,"",,,,"Organization.contact.telecom",0,*,"",""
"Organization","Organization.contact.address","Organization.contact.address","","","",0,1,"","","","Address {[]} {[]}
","Visiting or postal addresses for the contact","Visiting or postal addresses for the contact.","","May need to keep track of a contact party's address for contacting, billing or reporting requirements.","","","","","","","",,,,,"",,,,"Organization.contact.address",0,1,"",""
"Organization","Organization.endpoint","Organization.endpoint","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Endpoint]]}
","Technical endpoints providing access to services operated for the organization","Technical endpoints providing access to services operated for the organization.","","Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.","","","","","","","",,,,,"",,,,"Organization.endpoint",0,*,"",""
"Patient","Patient","Patient","","SubjectOfCare Client Resident
Patiënt","",0,*,"","","","null {[]} {[]}
","Patient","Demographics and other administrative information about an individual or animal receiving care or other health-related services.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}"
"Patient","Patient.id","Patient.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Patient","Patient.meta","Patient.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Patient","Patient.implicitRules","Patient.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Patient","Patient.language","Patient.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"Patient","Patient.text","Patient.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Patient","Patient.contained","Patient.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Patient","Patient.extension","Patient.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"",""
"Patient","Patient.extension:preferredPharmacy","Patient.extension","preferredPharmacy","extensions
user contentVerwijst naar de voorkeursapotheek van de patiënt","",0,1,"","","","Extension {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-preferred-pharmacy]]} {[]}
","References a patient's preferered pharmacy","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.extension:nationality","Patient.extension","nationality","extensions
user contentNationaliteit","",0,*,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/patient-nationality]]} {[]}
","Nationality","The nationality of the patient.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.extension:nationality.id","Patient.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.extension:nationality.extension","Patient.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.extension:nationality.extension:code","Patient.extension.extension","code","","",0,1,"","","","Extension {[]} {[]}
","Nationality Code","Code representing nationality of patient.","","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Patient","Patient.extension:nationality.extension:code.id","Patient.extension.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.extension:nationality.extension:code.extension","Patient.extension.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.extension:nationality.extension:code.url","Patient.extension.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""code""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.extension:nationality.extension:code.valueCodeableConcept","Patient.extension.extension.valueCodeableConcept","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","Indicates the country of citizenship.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.6.3--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.extension:nationality.extension:period","Patient.extension.extension","period","","",0,1,"","","","Extension {[]} {[]}
","Nationality Period","Period when nationality was effective.","","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Patient","Patient.extension:nationality.extension:period.id","Patient.extension.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.extension:nationality.extension:period.extension","Patient.extension.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.extension:nationality.extension:period.url","Patient.extension.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""period""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.extension:nationality.extension:period.valuePeriod","Patient.extension.extension.valuePeriod","","","",0,1,"","","","Period {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.extension:nationality.url","Patient.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/patient-nationality""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.extension:nationality.value[x]","Patient.extension.value[x]","","","",0,0,"","","","base64Binary {[]} {[]}
boolean {[]} {[]}code {[]} {[]}date {[]} {[]}dateTime {[]} {[]}decimal {[]} {[]}id {[]} {[]}instant {[]} {[]}integer {[]} {[]}markdown {[]} {[]}oid {[]} {[]}positiveInt {[]} {[]}string {[]} {[]}time {[]} {[]}unsignedInt {[]} {[]}uri {[]} {[]}Address {[]} {[]}Age {[]} {[]}Annotation {[]} {[]}Attachment {[]} {[]}CodeableConcept {[]} {[]}Coding {[]} {[]}ContactPoint {[]} {[]}Count {[]} {[]}Distance {[]} {[]}Duration {[]} {[]}HumanName {[]} {[]}Identifier {[]} {[]}Money {[]} {[]}Period {[]} {[]}Quantity {[]} {[]}Range {[]} {[]}Ratio {[]} {[]}Reference {[]} {[]}SampledData {[]} {[]}Signature {[]} {[]}Timing {[]} {[]}Meta {[]} {[]}","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.extension:legalStatus","Patient.extension","legalStatus","extensions
user content","",0,2,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus]]} {[]}
","legalStatus","The legal situation that applies to the patient during the intervention. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status.","The concept LegalStatus of the HCIM FreedomRestrictingMeasures plays an important role in the context of mental healthcare (GGZ). This concept will become an independent HCIM with the next release of HCIM (2018 release).  

The LegalStatus concept and associated ValueSet will be split in two concepts: legal status and representative. These concepts are currently captured in one ValueSet. It is possible to have a legal status AND a representative. Therefore, we allow this extension to have a cardinality of 0..2.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.extension:lifeStance","Patient.extension","lifeStance","extensions
user content","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.extension:lifeStance.id","Patient.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.extension:lifeStance.extension","Patient.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.extension:lifeStance.url","Patient.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.extension:lifeStance.value[x]","Patient.extension.value[x]","","Levensovertuiging
","",1,1,"","","","CodeableConcept {[]} {[]}
","LifeStance","Patient’s life stance and/or religion.","","","","","","","","","",,"preferred","LevensovertuigingCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.5.1--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.extension:lifeStance.value[x].id","Patient.extension.value[x].id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.extension:lifeStance.value[x].extension","Patient.extension.value[x].extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.extension:lifeStance.value[x].coding","Patient.extension.value[x].coding","","","",1,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Patient","Patient.extension:lifeStance.value[x].coding.id","Patient.extension.value[x].coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.extension:lifeStance.value[x].coding.extension","Patient.extension.value[x].coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.extension:lifeStance.value[x].coding.system","Patient.extension.value[x].coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Patient","Patient.extension:lifeStance.value[x].coding.version","Patient.extension.value[x].coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Patient","Patient.extension:lifeStance.value[x].coding.code","Patient.extension.value[x].coding.code","","","",1,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Patient","Patient.extension:lifeStance.value[x].coding.display","Patient.extension.value[x].coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Patient","Patient.extension:lifeStance.value[x].coding.userSelected","Patient.extension.value[x].coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Patient","Patient.extension:lifeStance.value[x].text","Patient.extension.value[x].text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Patient","Patient.modifierExtension","Patient.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Patient","Patient.identifier","Patient.identifier","","Identificatienummer
","",1,*,"","","Y","Identifier {[]} {[]}
","PatientIdentificationNumber","The Burgerservicenummer or BSN, as one of the possible patient identification numbers, should at least be sent unless there is a reason not to. Reasons for not sending the burgerservicenummer include but are not limited to, research and apps without a contract for processing data (Dutch: bewerkingsovereenkomst).","","Patients are almost always assigned specific numerical identifiers.","","","","","","","",,,,,"","value:system}
","",,"open","Patient.identifier",0,*,"",""
"Patient","Patient.identifier:BSN","Patient.identifier","BSN","BSN
","",1,1,"Y","","Y","Identifier {[]} {[]}
","BSN","An identifier for this patient.","","Patients are almost always assigned specific numerical identifiers.","","","","","","","",,,,,"",,,,"Patient.identifier",0,*,"",""
"Patient","Patient.identifier:BSN.id","Patient.identifier.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.identifier:BSN.extension","Patient.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.identifier:BSN.use","Patient.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary (If known)","The purpose of this identifier.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use","",,,,"Identifier.use",0,1,"",""
"Patient","Patient.identifier:BSN.type","Patient.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. 

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"",""
"Patient","Patient.identifier:BSN.system","Patient.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://fhir.nl/fhir/NamingSystem/bsn""/>","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"",""
"Patient","Patient.identifier:BSN.value","Patient.identifier.value","","BSN
","",1,1,"","","Y","string {[]} {[]}
","BSN (Burgerservicenummer (Dutch person identification number))","Burgerservicenummer is the Dutch person identification number which is also allowed for use in healthcare.","The official format according to the 'Logisch Ontwerp BSN 1.4.pdf' is N8..9 and SHALL conform to an 11-proof algorithm. In order to check if the number is 11-proof the number, if N8, SHALL be prefixed with a leading zero. The expected format in FHIR is N9 with leading zero applied to any N8 bsn.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"",""
"Patient","Patient.identifier:BSN.period","Patient.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"",""
"Patient","Patient.identifier:BSN.assigner","Patient.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"",""
"Patient","Patient.active","Patient.active","","","",0,1,"","Y","Y","boolean {[]} {[]}
","Whether this patient's record is in active use","This field determines the status of the 'patient' record in the context of the organization that owns the record. Note that the record is not the medical record, but rather the actual patient 'resource'. Obviously when the patient 'resource' is not active, then by extension his medical record might also be inactive. Patient.active='false' may be used discourage use of the record, but that it is kept beause there is (medical) data attached to it. Another use case is a patient moving to a different GP practice. Patient.active would be 'false' in the system of the previous GP.","Default is true. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient

This element is labeled as a modifier because when the patient record is marked as not active it is not expected to be used/referenced without being changed back to active.","Need to be able to mark a patient record as not to be used because it was created in error.","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","","","","","",,,,,"",,,,"Patient.active",0,1,"",""
"Patient","Patient.name","Patient.name","","Naamgegevens
","",1,*,"Y","","Y","HumanName {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-humanname]]} {[]}
","NameInformation","A human's name with the ability to identify parts and usage.","Dutch names require that certain name parts are separately communicable. For this reason, extensions are added onto the base HumanName element to mark the meaning of each part. A Dutch HumanName is still a proper FHIR HumanName; however, there might be an incompatibilty with the default FHIR mechanism for communicating given names. See the compatibility note below for more information.

The extension elements cover birth name (NL: eigennaam / geslachtsnaam) and partner/spouse name. Both may have a prefix (NL: voorvoegsel). When a person marries, he or she may keep their own name, assume the partner name, append the partner name to their own name, or the other way around.

**Incompatibility note**: It has come to light that this specification deviates from the way that the HumanName datatype is normally used. This will be fixed in a future release. However, current implementations should be aware of the special considerations regarding the use of this specification. 

The issue at hand is the way alternative representations of a name, like initials or a nickname, are communicated. Normally this is done using multiple HumanName instances, which are differentiated using the `.use` element. However, this specification allows for including all alternative representations in the _same_ HumanName instance, with the expectation that the extensions provide enough information for receiving systems to differentiate them. However, this means that contrary to the normal usage of this datatype, repetitions of `.given` names cannot be concatenated to get the full list of given names; the list might be a mix of full names, nicknames and initials.

Since multiple implementations are based on this specification, sending systems are advised (but not required) to keep the approach with one HumanName instance, while receiving systems should be able to handle this one-instance approach. More specifically:

* Sending and receiving systems SHOULD always use the specified extensions when using this datatype.
* Sending systems are encouraged to populate the `.text` element to unambigiously communicate the person's name.
* Sending systems are encouraged to send either the full given names or the initials, but not both. This alleviates the duplication of names in `.given`.
* When a sending system uses the current one-instance approach for communicating multiple representations, `.use` MAY NOT be populated. After all, it is not possible to select a single `.use` when the instance contains different representations.
* When a receiving system interprets the instance as the single-instance-multiple-representations approach, the `.given` names marked as initials SHOULD be interpreted as alternatives to the full given names. Note the underlying HCIM expects both the _list_ of full names and _list_ of initials to be a single string; there's no match for an initial to a full name. The instance SHOULD be regarded as using this approach when:
  * They encounter a single instance
  * And the `.use` element is absent
  * And all the name parts are differentiated using the specified extensions
* In any other circumstance, receiving systems SHOULD interpret the usage as the normal use.

Example: miss Irma XXX_Helleman marries mister de Haas and assumes the name Irma XXX_Helleman-de Haas:

* `.family` = ""XXX_Helleman-de Haas""
* `.given` = ""Irma"" (with `.given:iso21090EnQualifier` = _BR_)
* `.family:humannameOwnName` = ""XXX_Helleman""
* `.family:humannamePartnerPrefix` = ""de ""
* `.family:humannamePartnerName` = ""Haas""","Need to be able to track the patient by multiple names. Examples are your official name and a partner name.","","","","","<valueHumanName xmlns=""http://hl7.org/fhir"">
  <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"">
    <valueCode value=""NL4""/>
  </extension>
  <text value=""Irma XXX_Helleman-de Haas""/>
  <family value=""XXX_Helleman-de Haas"">
    <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-own-name"">
      <valueString value=""XXX_Helleman""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"">
      <valueString value=""de""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-partner-name"">
      <valueString value=""Haas""/>
    </extension>
  </family>
  <given value=""Irma"">
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"">
      <valueCode value=""CL""/>
    </extension>
  </given>
</valueHumanName>","","",,,,,"",,,,"Patient.name",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
nl-core-humanname-1:if you specify a prefix for an own name then an own name is also expected {name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not()}nl-core-humanname-2:if you specify a voorvoegsel for a partner name then a partner name is also expected {name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not()}zv-pat-1:Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. {(family.exists() or given.exists() or text.exists())}zv-pat-2:To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. {text.exists()}"
"Patient","Patient.name.id","Patient.name.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.name.extension","Patient.name.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.name.extension:humannameAssemblyOrder","Patient.name.extension","humannameAssemblyOrder","extensions
user contentVoorkeursvolgorde van de naamdelen.","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/humanname-assembly-order]]} {[]}
","Preferred display order of name parts","A code that represents the preferred display order of the components of this human name.","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.","","","","","","","","",,"required","Human Name Assembly Order","http://hl7.org/fhir/ValueSet/name-assembly-order","",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.name.extension:humannameAssemblyOrder.id","Patient.name.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.name.extension:humannameAssemblyOrder.extension","Patient.name.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.name.extension:humannameAssemblyOrder.url","Patient.name.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/humanname-assembly-order""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.name.extension:humannameAssemblyOrder.valueCode:valueCode","Patient.name.extension.valueCode","valueCode","","",0,1,"","","","code {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"required","A code that represents the preferred display order of the components of a human name","http://hl7.org/fhir/ValueSet/name-assembly-order","",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.name.use","Patient.name.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | nickname | anonymous | old | maiden","Identifies the purpose for this name.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary or old name etc.for a current/permanent one. Applications can assume that a name is current unless it explicitly says that it is temporary or old.","Allows the appropriate name for a particular context of use to be selected from among a set of names.","","","","","","","",,"required","The use of a human name","http://hl7.org/fhir/ValueSet/name-use","",,,,"HumanName.use",0,1,"",""
"Patient","Patient.name.text","Patient.name.text","","","",0,1,"","","Y","string {[]} {[]}
","Text representation of the full name","A full text representation of the name.","Can provide both a text representation and structured parts.","A renderable, unencoded form.","","","","","","","",,,,,"",,,,"HumanName.text",0,1,"",""
"Patient","Patient.name.family","Patient.name.family","","surname
Achternaam","",0,1,"","","Y","string {[]} {[]}
","Surname","The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.","Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).","","","","","","","","",,,,,"",,,,"HumanName.family",0,1,"",""
"Patient","Patient.name.family.id","Patient.name.family.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.name.family.extension","Patient.name.family.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"Patient","Patient.name.family.extension:humannameOwnPrefix","Patient.name.family.extension","humannameOwnPrefix","extensions
user contentVoorvoegselGeslachtsnaam","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/humanname-own-prefix]]} {[]}
","PrefixOwnName","The prefix portion (e.g. voorvoegsel) inclusive of the space between the prefix and the surname, if applicable, of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.","An example of a voorvoegsel is the ""van"" in ""Ludwig van Beethoven"". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.name.family.extension:humannameOwnPrefix.id","Patient.name.family.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.name.family.extension:humannameOwnPrefix.extension","Patient.name.family.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.name.family.extension:humannameOwnPrefix.url","Patient.name.family.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/humanname-own-prefix""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.name.family.extension:humannameOwnPrefix.valueString:valueString","Patient.name.family.extension.valueString","valueString","","",0,1,"","","","string {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.name.family.extension:humannameOwnName","Patient.name.family.extension","humannameOwnName","extensions
user contentGeslachtsnaam","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/humanname-own-name]]} {[]}
","OwnName","The person’s official last name.","The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's ""maiden name"".","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.name.family.extension:humannameOwnName.id","Patient.name.family.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.name.family.extension:humannameOwnName.extension","Patient.name.family.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.name.family.extension:humannameOwnName.url","Patient.name.family.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/humanname-own-name""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.name.family.extension:humannameOwnName.valueString:valueString","Patient.name.family.extension.valueString","valueString","","",0,1,"","","","string {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.name.family.extension:humannamePartnerPrefix","Patient.name.family.extension","humannamePartnerPrefix","extensions
user contentVoorvoegselGeslachtsnaamPartner","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix]]} {[]}
","PrefixSurname","Voorvoegsel derived from person's partner's surname inclusive of the space between the prefix and the surname, if applicable.","An example of a voorvoegsel is the ""van"" in ""Ludwig van Beethoven"". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to identify it as a separate sub-component.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.name.family.extension:humannamePartnerPrefix.id","Patient.name.family.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.name.family.extension:humannamePartnerPrefix.extension","Patient.name.family.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.name.family.extension:humannamePartnerPrefix.url","Patient.name.family.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.name.family.extension:humannamePartnerPrefix.valueString:valueString","Patient.name.family.extension.valueString","valueString","","",0,1,"","","","string {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.name.family.extension:humannamePartnerName","Patient.name.family.extension","humannamePartnerName","extensions
user contentGeslachtsnaamPartner","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/humanname-partner-name]]} {[]}
","LastNamePartner","Partner’s official last name.","The portion of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own name. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's ""maiden name"".","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.name.family.extension:humannamePartnerName.id","Patient.name.family.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.name.family.extension:humannamePartnerName.extension","Patient.name.family.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.name.family.extension:humannamePartnerName.url","Patient.name.family.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/humanname-partner-name""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.name.family.extension:humannamePartnerName.valueString:valueString","Patient.name.family.extension.valueString","valueString","","",0,1,"","","","string {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.name.family.value","Patient.name.family.value","","","",0,1,"","","","string {[]} {[]}
","Primitive value for string","The actual value","","","","","","","","","",1048576,,,,"",,,,"string.value",0,1,"",""
"Patient","Patient.name.given","Patient.name.given","","first name
middle nameVoornamenInitialenRoepnaam","",0,*,"","","Y","string {[]} {[]}
","Given","Note that in order to mark the type of a given name, the FHIR standard extension for ISO 21090 EN Qualifiers is to be used. Examples include call me name (Dutch: roepnaam) and initials. Each initial is expected to be delimited by a dot.","Note that in order to mark the type of a given name, the FHIR standard extension for ISO 21090 EN Qualifiers is to be used. Examples include call me name (Dutch: roepnaam) and initials. Each initial is expected to be delimited by a dot. To be conformant to the HCIM for NameInformation, at least the following qualifiers SHALL be supported: _BR_, _IN_ and _CL_. The qualifier _BR_ maps to the HCIM concept FirstNames, _IN_ maps to Initials and _CL_ to GivenName.

Please see the compatibility note on the containing element as well!","","","","","","","","",,,,,"",,,,"HumanName.given",0,*,"",""
"Patient","Patient.name.given.id","Patient.name.given.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.name.given.extension","Patient.name.given.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"Patient","Patient.name.given.extension:iso21090EnQualifier","Patient.name.given.extension","iso21090EnQualifier","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier]]} {[]}
","LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV","A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.","Used to indicate additional information about the name part and how it should be used.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.name.given.extension:iso21090EnQualifier.id","Patient.name.given.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.name.given.extension:iso21090EnQualifier.extension","Patient.name.given.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.name.given.extension:iso21090EnQualifier.url","Patient.name.given.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.name.given.extension:iso21090EnQualifier.valueCode:valueCode","Patient.name.given.extension.valueCode","valueCode","","",0,1,"","","","code {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"required","A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type","http://hl7.org/fhir/ValueSet/name-part-qualifier","",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.name.given.value","Patient.name.given.value","","","",0,1,"","","","string {[]} {[]}
","Primitive value for string","The actual value","","","","","","","","","",1048576,,,,"",,,,"string.value",0,1,"",""
"Patient","Patient.name.prefix","Patient.name.prefix","","","",0,*,"","","Y","string {[]} {[]}
","Parts that come before the name","Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.","","","","","","","","","",,,,,"",,,,"HumanName.prefix",0,*,"",""
"Patient","Patient.name.suffix","Patient.name.suffix","","","",0,*,"","","Y","string {[]} {[]}
","Parts that come after the name","Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.","","","","","","","","","",,,,,"",,,,"HumanName.suffix",0,*,"",""
"Patient","Patient.name.period","Patient.name.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when name was/is in use","Indicates the period of time when this name was valid for the named person.","","Allows names to be placed in historical context.","","","","","","","",,,,,"",,,,"HumanName.period",0,1,"",""
"Patient","Patient.telecom","Patient.telecom","","Contactgegevens
","",0,*,"","","Y","ContactPoint {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-contactpoint]]} {[]}
","ContactInformation","A contact detail for the individual. Note that there is no support for multiple use values like 'mobile business'.","A Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).","People have (primary) ways to contact them in some way such as phone, email.","","","","","<valueContactPoint xmlns=""http://hl7.org/fhir"">
  <system value=""phone""/>
  <value value=""+31611234567""/>
  <use value=""work""/>
</valueContactPoint>","","",,,,,"",,,,"Patient.telecom",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
cpt-2:A system is required if a value is provided. {value.empty() or system.exists()}"
"Patient","Patient.gender","Patient.gender","","Geslacht
","",0,1,"Y","","Y","code {[]} {[]}
","Gender","Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.","The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosonal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a ""hard"" error.","Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes.","","","","","","","",,"required","The gender of a person used for administrative purposes.","http://hl7.org/fhir/ValueSet/administrative-gender","",,,,"Patient.gender",0,1,"",""
"Patient","Patient.gender.id","Patient.gender.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.gender.extension","Patient.gender.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"Patient","Patient.gender.extension:GeslachtCodelijst","Patient.gender.extension","GeslachtCodelijst","extensions
user contentBevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.Geslacht","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]} {[]}
","Gender","Patient’s administrative gender.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.gender.extension:GeslachtCodelijst.id","Patient.gender.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.gender.extension:GeslachtCodelijst.extension","Patient.gender.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.gender.extension:GeslachtCodelijst.url","Patient.gender.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/code-specification""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.gender.extension:GeslachtCodelijst.value[x]","Patient.gender.extension.value[x]","","","",1,1,"","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","GeslachtCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.gender.value","Patient.gender.value","","","",0,1,"","","","code {[]} {[]}
","Primitive value for code","Primitive value for code","","","","","","","","","",,,,,"",,,,"string.value",0,1,"",""
"Patient","Patient.birthDate","Patient.birthDate","","Geboortedatum
","",0,1,"Y","","Y","date {[]} {[]}
","Patients date of birth. The date of birth is mandatory for a patient. An incomplete date, e.g. only year or only year + month, is permitted.","The date of birth for the individual.","At least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension ""patient-birthTime"" available that should be used where Time is required (such as in maternaty/infant care systems).","Age of the individual drives many clinical processes.","","","","","","","",,,,,"",,,,"Patient.birthDate",0,1,"",""
"Patient","Patient.deceased[x]","Patient.deceased[x]","","Overlijdensindicator/DatumOverlijden
","",0,1,"Y","Y","Y","boolean {[]} {[]}
dateTime {[]} {[]}","DeathIndicator/DateOfDeath","Indicates if the individual is deceased or not.","If there's no value in the instance it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.","The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.","","","","","","","",,,,,"",,,,"Patient.deceased[x]",0,1,"",""
"Patient","Patient.address","Patient.address","","AdresInformatie
Adresgegevens","",0,*,"","","Y","Address {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-address]]} {[]}
","AddressInformation","This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the HCIM AddressInformation (v1.0, 2017). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype.

To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.

**Separate address parts**

The first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.

**Custom address types**

The second addition is that the HCIM defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the HCIM concepts are mapped to the various FHIR elements (see the ConceptMaps <http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse> and <http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType> as well). The HCIM code itself should also be included using the AddressType extension.

| HCIM                              |` .ext:AddressType` | `.ext:official` | `.use` | `.type`    |
|-----------------------------------|:------------------:|:---------------:|:------:|:----------:|
| Postal Address/Postadres          | _PST_              |                 |        | _postal_   |
| Primary Home/Officieel adres      | _HP_               | true            | _home_ |            |
| Visit Address/Woon-/verblijfadres | _PHYS_             |                 | _home_ | _physical_ |
| Temporary Address/Tijdelijk adres | _TMP_              |                 | _temp_ |            |
| Work Place/Werkadres              | _WP_               |                 | _work_ |            |
| Vacation Home/Vakantie adres      | _HV_               |                 | _temp_ |            |

 If Address.type is _both_ then this is to be understood as a dual purpose address (postal and physical). Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.

NOTE: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the HCIM ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.","Note: address is for postal addresses, not physical locations.","May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.","","","","","<valueAddress xmlns=""http://hl7.org/fhir"">
  <extension url=""http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType"">
    <valueCodeableConcept>
      <coding>
        <system value=""http://hl7.org/fhir/v3/AddressUse""/>
        <code value=""HV""/>
        <display value=""Vakantie adres""/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <use value=""temp""/>
  <line value=""Binnenkant 12A Hoog"">
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"">
      <valueString value=""Binnenkant""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"">
      <valueString value=""12""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"">
      <valueString value=""A""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"">
      <valueString value=""Hoog""/>
    </extension>
  </line>
  <city value=""Amsterdam""/>
  <state value=""NH""/>
  <postalCode value=""1000AA""/>
  <country value=""NLD""/>
</valueAddress>","","",,,,,"",,,,"Patient.address",0,*,"ele-1
nl-streetname-if-official-and-other-line-parts","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
nl-streetname-if-official-and-other-line-parts:Address.streetName in an official address SHALL have a value if one of houseNumber|buildingNumberSuffix|additionalLocator has a value {(extension.where(url = 'http://fhir.nl/fhir/StructureDefinition/nl-core-address-official').where(value = true)).empty() or (line.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty().not() and (line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty().not()))}"
"Patient","Patient.maritalStatus","Patient.maritalStatus","","BurgerlijkeStaat
","",0,1,"","","","CodeableConcept {[]} {[]}
","MaritalStatus","This field contains a patient's most recent marital (civil) status. A person’s marital status according to the terms and definition in the Dutch civil code.","","Most, if not all systems capture it.","","","","","","","",,"extensible","The domestic partnership status of a person.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.9.1--20171231000000","",,,,"Patient.maritalStatus",0,1,"",""
"Patient","Patient.multipleBirth[x]","Patient.multipleBirth[x]","","Meerlingindicator
","",0,1,"","","","boolean {[]} {[]}
integer {[]} {[]}","MultipleBirthIndicator","Indicates whether the patient is part of a multiple (bool) or indicates the actual birth order (integer).","Where the valueInteger is provided, the number is the birth number in the sequence.
E.g. The middle birth in tripplets would be valueInteger=2 and the third born would have valueInteger=3
If a bool value was provided for this tripplets examle, then all 3 patient records would have valueBool=true (the ordering is not indicated).","For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.","","","","","","","",,,,,"",,,,"Patient.multipleBirth[x]",0,1,"",""
"Patient","Patient.photo","Patient.photo","","","",0,*,"","","","Attachment {[]} {[]}
","Image of the patient","Image of the patient.","","Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.","","","","","","","",,,,,"",,,,"Patient.photo",0,*,"",""
"Patient","Patient.contact","Patient.contact","","Contactpersoon
","",0,*,"","","","BackboneElement {[]} {[]}
","ContactPerson","Contacts are related persons in some way, but not all related persons are contacts. The HCIM ContactPerson is designed to deal with both related persons and contacts. An HCIM ContactPerson who is a contact, is expected to have an NL-CM:3.1.2 Role primary contact ('Eerste relatie/contactpersoon') or secondary contact ('Tweede relatie/contactpersoon'). See Patient.contact.relationship in slice 'role'.","Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.","Need to track people you can contact about the patient.","","","","","","","",,,,,"",,,,"Patient.contact",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
pat-1:SHALL at least contain a contact's details or a reference to an organization {name.exists() or telecom.exists() or address.exists() or organization.exists()}"
"Patient","Patient.contact.id","Patient.contact.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.contact.extension","Patient.contact.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Patient","Patient.contact.modifierExtension","Patient.contact.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Patient","Patient.contact.relationship","Patient.contact.relationship","","","",0,*,"","","","CodeableConcept {[]} {[]}
","The kind of relationship","The nature of the relationship between the patient and the contact person.","","Used to determine which contact person is the most relevant to approach, depending on circumstances.","","","","","","","",,"extensible","The nature of the relationship between a patient and a contact person for that patient.","http://hl7.org/fhir/ValueSet/v2-0131","","value:$this}
","",,"open","Patient.contact.relationship",0,*,"",""
"Patient","Patient.contact.relationship:relationship","Patient.contact.relationship","relationship","Relatie
","",0,*,"","","","CodeableConcept {[]} {[]}
","Relationship","The nature of the relationship between the patient and the contact person.","","Used to determine which contact person is the most relevant to approach, depending on circumstances.","","","","","","","",,"required","The nature of the relationship between a patient and a contact person for that patient.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.1--20171231000000","",,,,"Patient.contact.relationship",0,*,"",""
"Patient","Patient.contact.relationship:role","Patient.contact.relationship","role","Rol
","",0,*,"","","","CodeableConcept {[]} {[]}
","Role","Expectation is to have at least one of primary contact ('Eerste relatie/contactpersoon') or secondary contact ('Tweede relatie/contactpersoon')","","Used to determine which contact person is the most relevant to approach, depending on circumstances.","","","","","","","",,"required","The nature of the relationship between a patient and a contact person for that patient.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.2--20171231000000","",,,,"Patient.contact.relationship",0,*,"",""
"Patient","Patient.contact.name","Patient.contact.name","","Naamgegevens
","",0,1,"","","","HumanName {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-humanname]]} {[]}
","NameInformation","A human's name with the ability to identify parts and usage.","Dutch names require that certain name parts are separately communicable. For this reason, extensions are added onto the base HumanName element to mark the meaning of each part. A Dutch HumanName is still a proper FHIR HumanName; however, there might be an incompatibilty with the default FHIR mechanism for communicating given names. See the compatibility note below for more information.

The extension elements cover birth name (NL: eigennaam / geslachtsnaam) and partner/spouse name. Both may have a prefix (NL: voorvoegsel). When a person marries, he or she may keep their own name, assume the partner name, append the partner name to their own name, or the other way around.

**Incompatibility note**: It has come to light that this specification deviates from the way that the HumanName datatype is normally used. This will be fixed in a future release. However, current implementations should be aware of the special considerations regarding the use of this specification. 

The issue at hand is the way alternative representations of a name, like initials or a nickname, are communicated. Normally this is done using multiple HumanName instances, which are differentiated using the `.use` element. However, this specification allows for including all alternative representations in the _same_ HumanName instance, with the expectation that the extensions provide enough information for receiving systems to differentiate them. However, this means that contrary to the normal usage of this datatype, repetitions of `.given` names cannot be concatenated to get the full list of given names; the list might be a mix of full names, nicknames and initials.

Since multiple implementations are based on this specification, sending systems are advised (but not required) to keep the approach with one HumanName instance, while receiving systems should be able to handle this one-instance approach. More specifically:

* Sending and receiving systems SHOULD always use the specified extensions when using this datatype.
* Sending systems are encouraged to populate the `.text` element to unambigiously communicate the person's name.
* Sending systems are encouraged to send either the full given names or the initials, but not both. This alleviates the duplication of names in `.given`.
* When a sending system uses the current one-instance approach for communicating multiple representations, `.use` MAY NOT be populated. After all, it is not possible to select a single `.use` when the instance contains different representations.
* When a receiving system interprets the instance as the single-instance-multiple-representations approach, the `.given` names marked as initials SHOULD be interpreted as alternatives to the full given names. Note the underlying HCIM expects both the _list_ of full names and _list_ of initials to be a single string; there's no match for an initial to a full name. The instance SHOULD be regarded as using this approach when:
  * They encounter a single instance
  * And the `.use` element is absent
  * And all the name parts are differentiated using the specified extensions
* In any other circumstance, receiving systems SHOULD interpret the usage as the normal use.

Example: miss Irma XXX_Helleman marries mister de Haas and assumes the name Irma XXX_Helleman-de Haas:

* `.family` = ""XXX_Helleman-de Haas""
* `.given` = ""Irma"" (with `.given:iso21090EnQualifier` = _BR_)
* `.family:humannameOwnName` = ""XXX_Helleman""
* `.family:humannamePartnerPrefix` = ""de ""
* `.family:humannamePartnerName` = ""Haas""","Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.","","","","","<valueHumanName xmlns=""http://hl7.org/fhir"">
  <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"">
    <valueCode value=""NL4""/>
  </extension>
  <text value=""Irma XXX_Helleman-de Haas""/>
  <family value=""XXX_Helleman-de Haas"">
    <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-own-name"">
      <valueString value=""XXX_Helleman""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"">
      <valueString value=""de""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-partner-name"">
      <valueString value=""Haas""/>
    </extension>
  </family>
  <given value=""Irma"">
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"">
      <valueCode value=""CL""/>
    </extension>
  </given>
</valueHumanName>","","",,,,,"",,,,"Patient.contact.name",0,1,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
nl-core-humanname-1:if you specify a prefix for an own name then an own name is also expected {name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not()}nl-core-humanname-2:if you specify a voorvoegsel for a partner name then a partner name is also expected {name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not()}"
"Patient","Patient.contact.name.id","Patient.contact.name.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.contact.name.extension","Patient.contact.name.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.contact.name.extension:humannameAssemblyOrder","Patient.contact.name.extension","humannameAssemblyOrder","extensions
user contentVoorkeursvolgorde van de naamdelen.","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/humanname-assembly-order]]} {[]}
","Preferred display order of name parts","A code that represents the preferred display order of the components of this human name.","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.","","","","","","","","",,"required","Human Name Assembly Order","http://hl7.org/fhir/ValueSet/name-assembly-order","",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.contact.name.extension:humannameAssemblyOrder.id","Patient.contact.name.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.contact.name.extension:humannameAssemblyOrder.extension","Patient.contact.name.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.contact.name.extension:humannameAssemblyOrder.url","Patient.contact.name.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/humanname-assembly-order""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.contact.name.extension:humannameAssemblyOrder.valueCode:valueCode","Patient.contact.name.extension.valueCode","valueCode","","",0,1,"","","","code {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"required","A code that represents the preferred display order of the components of a human name","http://hl7.org/fhir/ValueSet/name-assembly-order","",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.contact.name.use","Patient.contact.name.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | nickname | anonymous | old | maiden","Identifies the purpose for this name.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary or old name etc.for a current/permanent one. Applications can assume that a name is current unless it explicitly says that it is temporary or old.","Allows the appropriate name for a particular context of use to be selected from among a set of names.","","","","","","","",,"required","The use of a human name","http://hl7.org/fhir/ValueSet/name-use","",,,,"HumanName.use",0,1,"",""
"Patient","Patient.contact.name.text","Patient.contact.name.text","","","",0,1,"","","Y","string {[]} {[]}
","Text representation of the full name","A full text representation of the name.","Can provide both a text representation and structured parts.","A renderable, unencoded form.","","","","","","","",,,,,"",,,,"HumanName.text",0,1,"",""
"Patient","Patient.contact.name.family","Patient.contact.name.family","","surname
Achternaam","",0,1,"","","Y","string {[]} {[]}
","Surname","The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.","Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).","","","","","","","","",,,,,"",,,,"HumanName.family",0,1,"",""
"Patient","Patient.contact.name.family.id","Patient.contact.name.family.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.contact.name.family.extension","Patient.contact.name.family.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"Patient","Patient.contact.name.family.extension:humannameOwnPrefix","Patient.contact.name.family.extension","humannameOwnPrefix","extensions
user contentVoorvoegselGeslachtsnaam","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/humanname-own-prefix]]} {[]}
","PrefixOwnName","The prefix portion (e.g. voorvoegsel) inclusive of the space between the prefix and the surname, if applicable, of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.","An example of a voorvoegsel is the ""van"" in ""Ludwig van Beethoven"". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.contact.name.family.extension:humannameOwnPrefix.id","Patient.contact.name.family.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.contact.name.family.extension:humannameOwnPrefix.extension","Patient.contact.name.family.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.contact.name.family.extension:humannameOwnPrefix.url","Patient.contact.name.family.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/humanname-own-prefix""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.contact.name.family.extension:humannameOwnPrefix.valueString:valueString","Patient.contact.name.family.extension.valueString","valueString","","",0,1,"","","","string {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.contact.name.family.extension:humannameOwnName","Patient.contact.name.family.extension","humannameOwnName","extensions
user contentGeslachtsnaam","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/humanname-own-name]]} {[]}
","OwnName","The person’s official last name.","The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's ""maiden name"".","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.contact.name.family.extension:humannameOwnName.id","Patient.contact.name.family.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.contact.name.family.extension:humannameOwnName.extension","Patient.contact.name.family.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.contact.name.family.extension:humannameOwnName.url","Patient.contact.name.family.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/humanname-own-name""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.contact.name.family.extension:humannameOwnName.valueString:valueString","Patient.contact.name.family.extension.valueString","valueString","","",0,1,"","","","string {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.contact.name.family.extension:humannamePartnerPrefix","Patient.contact.name.family.extension","humannamePartnerPrefix","extensions
user contentVoorvoegselGeslachtsnaamPartner","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix]]} {[]}
","PrefixSurname","Voorvoegsel derived from person's partner's surname inclusive of the space between the prefix and the surname, if applicable.","An example of a voorvoegsel is the ""van"" in ""Ludwig van Beethoven"". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to identify it as a separate sub-component.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.contact.name.family.extension:humannamePartnerPrefix.id","Patient.contact.name.family.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.contact.name.family.extension:humannamePartnerPrefix.extension","Patient.contact.name.family.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.contact.name.family.extension:humannamePartnerPrefix.url","Patient.contact.name.family.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.contact.name.family.extension:humannamePartnerPrefix.valueString:valueString","Patient.contact.name.family.extension.valueString","valueString","","",0,1,"","","","string {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.contact.name.family.extension:humannamePartnerName","Patient.contact.name.family.extension","humannamePartnerName","extensions
user contentGeslachtsnaamPartner","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/humanname-partner-name]]} {[]}
","LastNamePartner","Partner’s official last name.","The portion of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own name. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's ""maiden name"".","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.contact.name.family.extension:humannamePartnerName.id","Patient.contact.name.family.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.contact.name.family.extension:humannamePartnerName.extension","Patient.contact.name.family.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.contact.name.family.extension:humannamePartnerName.url","Patient.contact.name.family.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/humanname-partner-name""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.contact.name.family.extension:humannamePartnerName.valueString:valueString","Patient.contact.name.family.extension.valueString","valueString","","",0,1,"","","","string {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.contact.name.family.value","Patient.contact.name.family.value","","","",0,1,"","","","string {[]} {[]}
","Primitive value for string","The actual value","","","","","","","","","",1048576,,,,"",,,,"string.value",0,1,"",""
"Patient","Patient.contact.name.given","Patient.contact.name.given","","first name
middle nameVoornamenInitialenRoepnaam","",0,*,"","","Y","string {[]} {[]}
","Given","Note that in order to mark the type of a given name, the FHIR standard extension for ISO 21090 EN Qualifiers is to be used. Examples include call me name (Dutch: roepnaam) and initials. Each initial is expected to be delimited by a dot.","Note that in order to mark the type of a given name, the FHIR standard extension for ISO 21090 EN Qualifiers is to be used. Examples include call me name (Dutch: roepnaam) and initials. Each initial is expected to be delimited by a dot. To be conformant to the HCIM for NameInformation, at least the following qualifiers SHALL be supported: _BR_, _IN_ and _CL_. The qualifier _BR_ maps to the HCIM concept FirstNames, _IN_ maps to Initials and _CL_ to GivenName.

Please see the compatibility note on the containing element as well!","","","","","","","","",,,,,"",,,,"HumanName.given",0,*,"",""
"Patient","Patient.contact.name.given.id","Patient.contact.name.given.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.contact.name.given.extension","Patient.contact.name.given.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"Patient","Patient.contact.name.given.extension:iso21090EnQualifier","Patient.contact.name.given.extension","iso21090EnQualifier","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier]]} {[]}
","LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV","A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.","Used to indicate additional information about the name part and how it should be used.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.contact.name.given.extension:iso21090EnQualifier.id","Patient.contact.name.given.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.contact.name.given.extension:iso21090EnQualifier.extension","Patient.contact.name.given.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.contact.name.given.extension:iso21090EnQualifier.url","Patient.contact.name.given.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.contact.name.given.extension:iso21090EnQualifier.valueCode:valueCode","Patient.contact.name.given.extension.valueCode","valueCode","","",0,1,"","","","code {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"required","A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type","http://hl7.org/fhir/ValueSet/name-part-qualifier","",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.contact.name.given.value","Patient.contact.name.given.value","","","",0,1,"","","","string {[]} {[]}
","Primitive value for string","The actual value","","","","","","","","","",1048576,,,,"",,,,"string.value",0,1,"",""
"Patient","Patient.contact.name.prefix","Patient.contact.name.prefix","","","",0,*,"","","Y","string {[]} {[]}
","Parts that come before the name","Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.","","","","","","","","","",,,,,"",,,,"HumanName.prefix",0,*,"",""
"Patient","Patient.contact.name.suffix","Patient.contact.name.suffix","","","",0,*,"","","Y","string {[]} {[]}
","Parts that come after the name","Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.","","","","","","","","","",,,,,"",,,,"HumanName.suffix",0,*,"",""
"Patient","Patient.contact.name.period","Patient.contact.name.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when name was/is in use","Indicates the period of time when this name was valid for the named person.","","Allows names to be placed in historical context.","","","","","","","",,,,,"",,,,"HumanName.period",0,1,"",""
"Patient","Patient.contact.telecom","Patient.contact.telecom","","Contactgegevens
","",0,*,"","","","ContactPoint {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-contactpoint]]} {[]}
","ContactInformation","Contact information includes a person's telephone numbers and email addresses. This datatype defines a common basis for expressing all contact information around the world, but adds extensions to express Dutch contacts specifically, according to the HCIM ContactInformation (v1.0, 2017). A Dutch ContactPoint still is a proper FHIR ContactPoint, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype. The table below explains how the HCIM concepts are mapped to the various FHIR elements. The HCIM code itself should also be included using the TelecomType extension.

| HCIM                                               | `.ext:TelecomType` | `.system` | `.use`   |
|----------------------------------------------------|:------------------:|:---------:|:--------:|
| Primary Home Land Line                             | _LL_               | _phone_   | _home_   |
| Temporary Land Line                                | _LL_               | _phone_   | _temp_   |
| Primary Work Land Line                             | _LL_               | _phone_   | _work_   |
|                                                    |                    |           |          |
| Primary Home Fax                                   | _FAX_              | _fax_     | _home_   |
| Temporary Fax                                      | _FAX_              | _fax_     | _temp_   |
| Primary Work Fax                                   | _FAX_              | _fax_     | _work_   |
|                                                    |                    |           |          |
| Primary Home Mobile Phone                          | _MC_               | _phone_   | _home_   |
| Temporary Mobile Phone                             | _MC_               | _phone_   | _temp_   |
| Primary Work Mobile Phone                          | _MC_               | _phone_   | _work_   |
|                                                    |                    |           |          |
| Primary Home Pager                                 | _PG_               | _pager_   | _home_   |
| Temporary Pager                                    | _PG_               | _pager_   | _temp_   |
| Primary Work Pager                                 | _PG_               | _pager_   | _work_   |
|                                                    |                    |           |          |
| Private email address                              |                    | _email_   | _home_   |
| Work email address                                 |                    | _email_   | _work_   |
|                                                    |                    |           |          |
| Mobile phone number undetermined private/business  |                    | _phone_   | _mobile_ |","Telecommunication data details (phone/email) is physically modeled in the HCIM Patient, which is why the telecommunication mappings appear to be coming from the HCIM Patient instead of the HCIM ContactPerson","People have (primary) ways to contact them in some way such as phone, email.","","","","","<valueContactPoint xmlns=""http://hl7.org/fhir"">
  <system value=""phone""/>
  <value value=""+31611234567""/>
  <use value=""work""/>
</valueContactPoint>","","",,,,,"",,,,"Patient.contact.telecom",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
cpt-2:A system is required if a value is provided. {value.empty() or system.exists()}"
"Patient","Patient.contact.address","Patient.contact.address","","AdresInformatie
Adresgegevens","",0,1,"","","","Address {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-address]]} {[]}
","AddressInformation","This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the HCIM AddressInformation (v1.0, 2017). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype.

To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.

**Separate address parts**

The first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.

**Custom address types**

The second addition is that the HCIM defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the HCIM concepts are mapped to the various FHIR elements (see the ConceptMaps <http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse> and <http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType> as well). The HCIM code itself should also be included using the AddressType extension.

| HCIM                              |` .ext:AddressType` | `.ext:official` | `.use` | `.type`    |
|-----------------------------------|:------------------:|:---------------:|:------:|:----------:|
| Postal Address/Postadres          | _PST_              |                 |        | _postal_   |
| Primary Home/Officieel adres      | _HP_               | true            | _home_ |            |
| Visit Address/Woon-/verblijfadres | _PHYS_             |                 | _home_ | _physical_ |
| Temporary Address/Tijdelijk adres | _TMP_              |                 | _temp_ |            |
| Work Place/Werkadres              | _WP_               |                 | _work_ |            |
| Vacation Home/Vakantie adres      | _HV_               |                 | _temp_ |            |

 If Address.type is _both_ then this is to be understood as a dual purpose address (postal and physical). Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.

NOTE: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the HCIM ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.","Note: address is for postal addresses, not physical locations.","Need to keep track where the contact person can be contacted per postal mail or visited.","","","","","<valueAddress xmlns=""http://hl7.org/fhir"">
  <extension url=""http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType"">
    <valueCodeableConcept>
      <coding>
        <system value=""http://hl7.org/fhir/v3/AddressUse""/>
        <code value=""HV""/>
        <display value=""Vakantie adres""/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <use value=""temp""/>
  <line value=""Binnenkant 12A Hoog"">
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"">
      <valueString value=""Binnenkant""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"">
      <valueString value=""12""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"">
      <valueString value=""A""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"">
      <valueString value=""Hoog""/>
    </extension>
  </line>
  <city value=""Amsterdam""/>
  <state value=""NH""/>
  <postalCode value=""1000AA""/>
  <country value=""NLD""/>
</valueAddress>","","",,,,,"",,,,"Patient.contact.address",0,1,"ele-1
nl-streetname-if-official-and-other-line-parts","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
nl-streetname-if-official-and-other-line-parts:Address.streetName in an official address SHALL have a value if one of houseNumber|buildingNumberSuffix|additionalLocator has a value {(extension.where(url = 'http://fhir.nl/fhir/StructureDefinition/nl-core-address-official').where(value = true)).empty() or (line.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty().not() and (line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty().not()))}"
"Patient","Patient.contact.gender","Patient.contact.gender","","","",0,1,"","","","code {[]} {[]}
","male | female | other | unknown","Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.","","Needed to address the person correctly.","","","","","","","",,"required","The gender of a person used for administrative purposes.","http://hl7.org/fhir/ValueSet/administrative-gender","",,,,"Patient.contact.gender",0,1,"",""
"Patient","Patient.contact.organization","Patient.contact.organization","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that is associated with the contact","Organization on behalf of which the contact is acting or for which the contact is working.","","For guardians or business related contacts, the organization is relevant.","","","","","","","",,,,,"",,,,"Patient.contact.organization",0,1,"pat-1
",""
"Patient","Patient.contact.period","Patient.contact.period","","","",0,1,"","","","Period {[]} {[]}
","The period during which this contact person or organization is valid to be contacted relating to this patient","The period during which this contact person or organization is valid to be contacted relating to this patient.","","","","","","","","","",,,,,"",,,,"Patient.contact.period",0,1,"",""
"Patient","Patient.animal","Patient.animal","","","",0,1,"","Y","Y","BackboneElement {[]} {[]}
","This patient is known to be an animal (non-human)","This patient is known to be an animal.","The animal element is labeled ""Is Modifier"" since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject declared animal records.   The absense of the animal element does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required.  (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal).","Many clinical systems are extended to care for animal patients as well as human.","","","","","","","",,,,,"",,,,"Patient.animal",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Patient","Patient.animal.id","Patient.animal.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.animal.extension","Patient.animal.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Patient","Patient.animal.modifierExtension","Patient.animal.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Patient","Patient.animal.species","Patient.animal.species","","","",1,1,"","","Y","CodeableConcept {[]} {[]}
","E.g. Dog, Cow","Identifies the high level taxonomic categorization of the kind of animal.","If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognised taxonomic classification.  It may or may not be Linnaean taxonomy and may or may not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species.  (The common example is that the word ""Hereford"" does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for ""Hereford Cattle Breed"" does.).","Need to know what kind of animal.","","","","","","","",,"example","The species of an animal.","http://hl7.org/fhir/ValueSet/animal-species","",,,,"Patient.animal.species",1,1,"",""
"Patient","Patient.animal.breed","Patient.animal.breed","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","E.g. Poodle, Angus","Identifies the detailed categorization of the kind of animal.","Breed MAY be used to provide further taxonomic or non-taxonomic classification.  It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type.","May need to know the specific kind within the species.","","","","","","","",,"example","The breed of an animal.","http://hl7.org/fhir/ValueSet/animal-breeds","",,,,"Patient.animal.breed",0,1,"",""
"Patient","Patient.animal.genderStatus","Patient.animal.genderStatus","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","E.g. Neutered, Intact","Indicates the current state of the animal's reproductive organs.","","Gender status can affect housing and animal behavior.","","","","","","","",,"example","The state of the animal's reproductive organs.","http://hl7.org/fhir/ValueSet/animal-genderstatus","",,,,"Patient.animal.genderStatus",0,1,"",""
"Patient","Patient.communication","Patient.communication","","Taalvaardigheid
","",0,*,"","","","BackboneElement {[]} {[]}
","A list of Languages which may be used to communicate with the patient about his or her health","Languages which may be used to communicate with the patient about his or her health.","If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.","If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.","","","","","","","",,,,,"",,,,"Patient.communication",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Patient","Patient.communication.id","Patient.communication.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.communication.extension","Patient.communication.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"Patient","Patient.communication.extension:languageProficiency","Patient.communication.extension","languageProficiency","extensions
user content","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/patient-proficiency]]} {[]}
","Proficiency level of the communication","Proficiency level of the communication.","The HCIM concepts LanguageControlListening, LanguageControlReading, LanguageControlSpeaking are captuperd using a mocked offical HL7 core extension from the R4 FHIR specification. Each of these three concepts is encoded as a copy of the extension, typed using the code in the type slice according to the following mapping:
* LanguaneControlListening maps to code 'RSP' (Received spoken)
* LanguageControlReading maps to code 'RWR' (Received written)
* LanguageControlSpeaking maps to code 'ESP' (Expressed spoken)","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.communication.extension:languageProficiency.id","Patient.communication.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.communication.extension:languageProficiency.extension","Patient.communication.extension.extension","","extensions
user content","",2,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.communication.extension:languageProficiency.extension:type","Patient.communication.extension.extension","type","extensions
user content","",1,1,"","","","Extension {[]} {[]}
","The proficiency type of the communication","What type of communication for the proficiency (spoken, written, etc.).","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Patient","Patient.communication.extension:languageProficiency.extension:type.id","Patient.communication.extension.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.communication.extension:languageProficiency.extension:type.extension","Patient.communication.extension.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.communication.extension:languageProficiency.extension:type.url","Patient.communication.extension.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""type""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.communication.extension:languageProficiency.extension:type.valueCoding:valueCoding","Patient.communication.extension.extension.valueCoding","valueCoding","","",1,1,"","","","Coding {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","The proficiency type for the communication.","http://hl7.org/fhir/ValueSet/v3-LanguageAbilityMode","",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.communication.extension:languageProficiency.extension:level","Patient.communication.extension.extension","level","extensions
user content","",1,1,"","","","Extension {[]} {[]}
","The proficiency level of the communication","How well the patient can communicate this communication (good, poor, etc.).","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Patient","Patient.communication.extension:languageProficiency.extension:level.id","Patient.communication.extension.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.communication.extension:languageProficiency.extension:level.extension","Patient.communication.extension.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.communication.extension:languageProficiency.extension:level.url","Patient.communication.extension.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""level""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.communication.extension:languageProficiency.extension:level.valueCoding:valueCoding","Patient.communication.extension.extension.valueCoding","valueCoding","","",1,1,"","","","Coding {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","The proficiency level for the communication.","http://hl7.org/fhir/ValueSet/v3-LanguageAbilityProficiency","",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.communication.extension:languageProficiency.url","Patient.communication.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/patient-proficiency""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Patient","Patient.communication.extension:languageProficiency.value[x]","Patient.communication.extension.value[x]","","","",0,0,"","","","base64Binary {[]} {[]}
boolean {[]} {[]}code {[]} {[]}date {[]} {[]}dateTime {[]} {[]}decimal {[]} {[]}id {[]} {[]}instant {[]} {[]}integer {[]} {[]}markdown {[]} {[]}oid {[]} {[]}positiveInt {[]} {[]}string {[]} {[]}time {[]} {[]}unsignedInt {[]} {[]}uri {[]} {[]}Address {[]} {[]}Age {[]} {[]}Annotation {[]} {[]}Attachment {[]} {[]}CodeableConcept {[]} {[]}Coding {[]} {[]}ContactPoint {[]} {[]}Count {[]} {[]}Distance {[]} {[]}Duration {[]} {[]}HumanName {[]} {[]}Identifier {[]} {[]}Money {[]} {[]}Period {[]} {[]}Quantity {[]} {[]}Range {[]} {[]}Ratio {[]} {[]}Reference {[]} {[]}SampledData {[]} {[]}Signature {[]} {[]}Timing {[]} {[]}Meta {[]} {[]}","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"Patient","Patient.communication.extension:comment","Patient.communication.extension","comment","extensions
user contentToelichting","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/Comment]]} {[]}
","Comment","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.communication.modifierExtension","Patient.communication.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Patient","Patient.communication.language","Patient.communication.language","","CommunicatieTaal
","",1,1,"","","","CodeableConcept {[]} {[]}
","CommunicationLanguage","The language of communication. 

The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. ""en"" for English, or ""en-US"" for American English versus ""en-EN"" for England English.","The FHIR value set http://hl7.org/fhir/valueset-languages.html is used instead of the HCIM value set CommunicationLanguageCodelist. The FHIR value set uses the code system urn:ietf:bcp:47 which includes the ISO-639-2 alpha code system used by the HCIM value set.","Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Patient.communication.language",1,1,"",""
"Patient","Patient.communication.preferred","Patient.communication.preferred","","","",0,1,"","","","boolean {[]} {[]}
","Language preference indicator","Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).","This language is specifically identified for communicating healthcare information.","People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.","","","","","","","",,,,,"",,,,"Patient.communication.preferred",0,1,"",""
"Patient","Patient.generalPractitioner","Patient.generalPractitioner","","careProvider
Huisarts","",0,1,"","","","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner]]}
","GeneralPractitioner","Patient's nominated care provider.","This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disablity setting, or even organization that will provide people to perform the care provider roles.

It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.","","","","","","","","",,,,,"",,,,"Patient.generalPractitioner",0,*,"",""
"Patient","Patient.generalPractitioner.id","Patient.generalPractitioner.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.generalPractitioner.extension","Patient.generalPractitioner.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Patient","Patient.generalPractitioner.extension:practitionerRole","Patient.generalPractitioner.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Patient","Patient.generalPractitioner.reference","Patient.generalPractitioner.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"Patient","Patient.generalPractitioner.identifier","Patient.generalPractitioner.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"Patient","Patient.generalPractitioner.display","Patient.generalPractitioner.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"Patient","Patient.managingOrganization","Patient.managingOrganization","","","",0,1,"Y","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that is the custodian of the patient record","Organization that is the custodian of the patient record.","There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).","Need to know who recognizes this patient record, manages and updates it.","","","","","","","",,,,,"",,,,"Patient.managingOrganization",0,1,"",""
"Patient","Patient.link","Patient.link","","","",0,*,"","Y","Y","BackboneElement {[]} {[]}
","Link to another patient resource that concerns the same actual person","Link to another patient resource that concerns the same actual patient.","There is no assumption that linked patient records have mutual links. 

This element is labelled as a modifier because it may not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'.","There are multiple usecases: 

* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.","","","","","","","",,,,,"",,,,"Patient.link",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Patient","Patient.link.id","Patient.link.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Patient","Patient.link.extension","Patient.link.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Patient","Patient.link.modifierExtension","Patient.link.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Patient","Patient.link.other","Patient.link.other","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]}
","The other patient or related person resource that the link refers to","The other patient resource that the link refers to.","Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.","","","","","","","","",,,,,"",,,,"Patient.link.other",1,1,"",""
"Patient","Patient.link.type","Patient.link.type","","","",1,1,"","","Y","code {[]} {[]}
","replaced-by | replaces | refer | seealso - type of link","The type of link between this patient resource and another patient resource.","","","","","","","","","",,"required","The type of link between this patient resource and another patient resource.","http://hl7.org/fhir/ValueSet/link-type","",,,,"Patient.link.type",1,1,"",""
"PlanDefinition","PlanDefinition","PlanDefinition","","","",0,*,"","","","null {[]} {[]}
","The definition of a plan for a series of actions, independent of any specific patient or context","This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical artifacts such as clinical decision support rules, order sets and protocols.","","","","","","","","","",,,,,"",,,,"PlanDefinition",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}"
"PlanDefinition","PlanDefinition.id","PlanDefinition.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"PlanDefinition","PlanDefinition.meta","PlanDefinition.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"PlanDefinition","PlanDefinition.implicitRules","PlanDefinition.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"PlanDefinition","PlanDefinition.language","PlanDefinition.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages|3.0.2","",,,,"Resource.language",0,1,"",""
"PlanDefinition","PlanDefinition.text","PlanDefinition.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"PlanDefinition","PlanDefinition.contained","PlanDefinition.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"PlanDefinition","PlanDefinition.extension","PlanDefinition.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"PlanDefinition","PlanDefinition.modifierExtension","PlanDefinition.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"PlanDefinition","PlanDefinition.url","PlanDefinition.url","","","",0,1,"","","Y","uri {[]} {[]}
","Logical URI to reference this plan definition (globally unique)","An absolute URI that is used to identify this plan definition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this plan definition is (or will be) published. The URL SHOULD include the major version of the plan definition. For more information see [Technical and Business Versions](http://hl7.org/fhir/STU3/resource.html#versions).","Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred.  Multiple instances may share the same url if they have a distinct version.","Allows the plan definition to be referenced by a single globally unique identifier.","","","","","","","",,,,,"",,,,"PlanDefinition.url",0,1,"",""
"PlanDefinition","PlanDefinition.identifier","PlanDefinition.identifier","","","",0,*,"","","Y","Identifier {[]} {[]}
","Additional identifier for the plan definition","A formal identifier that is used to identify this plan definition when it is represented in other formats, or referenced in a specification, model, design or an instance.","Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to identify this plan definition outside of FHIR, where it is not possible to use the logical URI.","Allows externally provided and/or usable business identifiers to be easily associated with the module.","","","","","","","",,,,,"",,,,"PlanDefinition.identifier",0,*,"",""
"PlanDefinition","PlanDefinition.version","PlanDefinition.version","","","",0,1,"","","Y","string {[]} {[]}
","Business version of the plan definition","The identifier that is used to identify this version of the plan definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the plan definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.","There may be different plan definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a refrence to a particular business version of the plan definition with the format [url]|[version].","","","","","","","","",,,,,"",,,,"PlanDefinition.version",0,1,"",""
"PlanDefinition","PlanDefinition.name","PlanDefinition.name","","","",0,1,"","","Y","string {[]} {[]}
","Name for this plan definition (computer friendly)","A natural language name identifying the plan definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.","The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure that it is computable friendly.","Support human navigation and code generation.","","","","","","","",,,,,"",,,,"PlanDefinition.name",0,1,"",""
"PlanDefinition","PlanDefinition.title","PlanDefinition.title","","","",0,1,"","","Y","string {[]} {[]}
","Name for this plan definition (human friendly)","A short, descriptive, user-friendly title for the plan definition.","This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.","","","","","","","","",,,,,"",,,,"PlanDefinition.title",0,1,"",""
"PlanDefinition","PlanDefinition.type","PlanDefinition.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","order-set | protocol | eca-rule","The type of asset the plan definition represents, e.g. an order set, protocol, or event-condition-action rule.","","","","","","","","","",,"extensible","The type of PlanDefinition","http://hl7.org/fhir/ValueSet/plan-definition-type|3.0.2","",,,,"PlanDefinition.type",0,1,"",""
"PlanDefinition","PlanDefinition.status","PlanDefinition.status","","","",1,1,"","Y","Y","code {[]} {[]}
","draft | active | retired | unknown","The status of this plan definition. Enables tracking the life-cycle of the content.","Allows filtering of plan definitions that are appropriate for use vs. not.  
This is labeled as ""Is Modifier"" because applications should not use a retired plan definition without due consideration.","","","","","","","","",,"required","The lifecycle status of a Value Set or Concept Map.","http://hl7.org/fhir/ValueSet/publication-status|3.0.2","",,,,"PlanDefinition.status",1,1,"",""
"PlanDefinition","PlanDefinition.experimental","PlanDefinition.experimental","","","",0,1,"","Y","Y","boolean {[]} {[]}
","For testing purposes, not real usage","A boolean value to indicate that this plan definition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.","Allows filtering of plan definition that are appropriate for use vs. not. This is labeled as ""Is Modifier"" because applications should not use an experimental plan definition in production.","Enables experimental content to be developed following the same lifecycle that would be used for a production-level plan definition.","","","","","","","",,,,,"",,,,"PlanDefinition.experimental",0,1,"",""
"PlanDefinition","PlanDefinition.date","PlanDefinition.date","","Revision Date
","",0,1,"","","Y","dateTime {[]} {[]}
","Date this was last changed","The date  (and optionally time) when the plan definition was published. The date must change if and when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the plan definition changes.","Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the plan definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.","","","","","","","","",,,,,"",,,,"PlanDefinition.date",0,1,"",""
"PlanDefinition","PlanDefinition.publisher","PlanDefinition.publisher","","","",0,1,"","","Y","string {[]} {[]}
","Name of the publisher (organization or individual)","The name of the individual or organization that published the plan definition.","Usually an organization, but may be an individual. The publisher (or steward) of the plan definition is the organization or individual primarily responsible for the maintenance and upkeep of the plan definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the plan definition. This item SHOULD be populated unless the information is available from context.","Helps establish the ""authority/credibility"" of the plan definition.  May also allow for contact.","","","","","","","",,,,,"",,,,"PlanDefinition.publisher",0,1,"",""
"PlanDefinition","PlanDefinition.description","PlanDefinition.description","","","",0,1,"","","Y","markdown {[]} {[]}
","Natural language description of the plan definition","A free text natural language description of the plan definition from a consumer's perspective.","This description can be used to capture details such as why the plan definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the plan definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile is presumed to be the predominant language in the place the profile was created).","","","","","","","","",,,,,"",,,,"PlanDefinition.description",0,1,"",""
"PlanDefinition","PlanDefinition.purpose","PlanDefinition.purpose","","","",0,1,"","","","markdown {[]} {[]}
","Why this plan definition is defined","Explaination of why this plan definition is needed and why it has been designed as it has.","This element does not describe the usage of the plan definition Instead  it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this plan definition.","","","","","","","","",,,,,"",,,,"PlanDefinition.purpose",0,1,"",""
"PlanDefinition","PlanDefinition.usage","PlanDefinition.usage","","","",0,1,"","","","string {[]} {[]}
","Describes the clinical usage of the asset","A detailed description of how the asset is used from a clinical perspective.","","","","","","","","","",,,,,"",,,,"PlanDefinition.usage",0,1,"",""
"PlanDefinition","PlanDefinition.approvalDate","PlanDefinition.approvalDate","","","",0,1,"","","","date {[]} {[]}
","When the plan definition was approved by publisher","The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.","The 'date' element may be more recent than the approval date because of minor changes / editorial corrections.","","","","","","","","",,,,,"",,,,"PlanDefinition.approvalDate",0,1,"",""
"PlanDefinition","PlanDefinition.lastReviewDate","PlanDefinition.lastReviewDate","","","",0,1,"","","","date {[]} {[]}
","When the plan definition was last reviewed","The date on which the resource content was last reviewed. Review happens periodically after approval, but doesn't change the original approval date.","If specified, this is usually after the approval date.","Gives a sense of how ""current"" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.","","","","","","","",,,,,"",,,,"PlanDefinition.lastReviewDate",0,1,"",""
"PlanDefinition","PlanDefinition.effectivePeriod","PlanDefinition.effectivePeriod","","","",0,1,"","","Y","Period {[]} {[]}
","When the plan definition is expected to be used","The period during which the plan definition content was or is planned to be in active use.","The effective period for a plan definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.","Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of a the plan definition are or are expected to be used instead.","","","","","","","",,,,,"",,,,"PlanDefinition.effectivePeriod",0,1,"",""
"PlanDefinition","PlanDefinition.useContext","PlanDefinition.useContext","","","",0,*,"","","Y","UsageContext {[]} {[]}
","Context the content is intended to support","The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching for appropriate plan definition instances.","When multiple useContexts are specified, there is no expectation whether all or any of the contexts apply.","Assist in searching for appropriate content.","","","","","","","",,,,,"",,,,"PlanDefinition.useContext",0,*,"",""
"PlanDefinition","PlanDefinition.jurisdiction","PlanDefinition.jurisdiction","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Intended jurisdiction for plan definition (if applicable)","A legal or geographic region in which the plan definition is intended to be used.","It may be possible for the plan definition to be used in jurisdictions other than those for which it was originally designed or intended.","","","","","","","","",,"extensible","Countries and regions within which this artifact is targeted for use","http://hl7.org/fhir/ValueSet/jurisdiction|3.0.2","",,,,"PlanDefinition.jurisdiction",0,*,"",""
"PlanDefinition","PlanDefinition.topic","PlanDefinition.topic","","","",0,*,"","","","CodeableConcept {[]} {[]}
","E.g. Education, Treatment, Assessment, etc","Descriptive topics related to the content of the plan definition. Topics provide a high-level categorization of the definition that can be useful for filtering and searching.","","Repositories must be able to determine how to categorize the asset so that it can be found by topical searches.","","","","","","","",,"example","High-level categorization of the definition, used for searching, sorting, and filtering","http://hl7.org/fhir/ValueSet/definition-topic|3.0.2","",,,,"PlanDefinition.topic",0,*,"",""
"PlanDefinition","PlanDefinition.contributor","PlanDefinition.contributor","","","",0,*,"","","","Contributor {[]} {[]}
","A content contributor","A contributor to the content of the asset, including authors, editors, reviewers, and endorsers.","","Consumers of the content must be able to quickly determine who contributed to the content of the asset.","","","","","","","",,,,,"",,,,"PlanDefinition.contributor",0,*,"",""
"PlanDefinition","PlanDefinition.contact","PlanDefinition.contact","","","",0,*,"","","Y","ContactDetail {[]} {[]}
","Contact details for the publisher","Contact details to assist a user in finding and communicating with the publisher.","May be a web site, an email address, a telephone number, etc.","","","","","","","","",,,,,"",,,,"PlanDefinition.contact",0,*,"",""
"PlanDefinition","PlanDefinition.copyright","PlanDefinition.copyright","","License
Restrictions","",0,1,"","","","markdown {[]} {[]}
","Use and/or publishing restrictions","A copyright statement relating to the plan definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the plan definition.","","Consumers must be able to determine any legal restrictions on the use of the plan definition and/or its content.","","","","","","","",,,,,"",,,,"PlanDefinition.copyright",0,1,"",""
"PlanDefinition","PlanDefinition.relatedArtifact","PlanDefinition.relatedArtifact","","","",1,*,"Y","","","RelatedArtifact {[]} {[]}
","Related artifacts for the asset","Related artifacts such as additional documentation, justification, or bibliographic references.","Zet hier een link naar de 'officiele' specificaties van het Behandelplan.","Assets must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.","","","","","","","",,,,,"",,,,"PlanDefinition.relatedArtifact",0,*,"",""
"PlanDefinition","PlanDefinition.library","PlanDefinition.library","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Library]]}
","Logic used by the plan definition","A reference to a Library resource containing any formal logic used by the plan definition.","","","","","","","","","",,,,,"",,,,"PlanDefinition.library",0,*,"",""
"PlanDefinition","PlanDefinition.goal","PlanDefinition.goal","","","",0,*,"","","","BackboneElement {[]} {[]}
","What the plan is trying to accomplish","Goals that describe what the activities within the plan are intended to achieve. For example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.","","Goal information needs to be captured for order sets, protocols, and care plan definitions to better describe the objectives of the protocol activities and to guide the creation of specific goals within the derived care plans and orders.","","","","","","","",,,,,"",,,,"PlanDefinition.goal",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"PlanDefinition","PlanDefinition.goal.id","PlanDefinition.goal.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PlanDefinition","PlanDefinition.goal.extension","PlanDefinition.goal.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"PlanDefinition","PlanDefinition.goal.modifierExtension","PlanDefinition.goal.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"PlanDefinition","PlanDefinition.goal.category","PlanDefinition.goal.category","","","",0,1,"","","","CodeableConcept {[]} {[]}
","E.g. Treatment, dietary, behavioral, etc","Indicates a category the goal falls within.","","","","","","","","","",,"example","Example codes for grouping goals for filtering or presentation","http://hl7.org/fhir/ValueSet/goal-category|3.0.2","",,,,"PlanDefinition.goal.category",0,1,"",""
"PlanDefinition","PlanDefinition.goal.description","PlanDefinition.goal.description","","","",1,1,"","","","CodeableConcept {[]} {[]}
","Code or text describing the goal","Human-readable and/or coded description of a specific desired objective of care, such as ""control blood pressure"" or ""negotiate an obstacle course"" or ""dance with child at wedding"".","If no code is available, use CodeableConcept.text.","","","","","","","","",,"example","Describes goals that can be achieved","http://hl7.org/fhir/ValueSet/clinical-findings|3.0.2","",,,,"PlanDefinition.goal.description",1,1,"",""
"PlanDefinition","PlanDefinition.goal.priority","PlanDefinition.goal.priority","","","",0,1,"","","","CodeableConcept {[]} {[]}
","high-priority | medium-priority | low-priority","Identifies the expected level of importance associated with reaching/sustaining the defined goal.","","","","","","","","","",,"preferred","Indicates the level of importance associated with reaching or sustaining a goal","http://hl7.org/fhir/ValueSet/goal-priority|3.0.2","",,,,"PlanDefinition.goal.priority",0,1,"",""
"PlanDefinition","PlanDefinition.goal.start","PlanDefinition.goal.start","","","",0,1,"","","","CodeableConcept {[]} {[]}
","When goal pursuit begins","The event after which the goal should begin being pursued.","","","","","","","","","",,"example","Identifies the types of events that might trigger the start of a goal","http://hl7.org/fhir/ValueSet/goal-start-event|3.0.2","",,,,"PlanDefinition.goal.start",0,1,"",""
"PlanDefinition","PlanDefinition.goal.addresses","PlanDefinition.goal.addresses","","","",0,*,"","","","CodeableConcept {[]} {[]}
","What does the goal address","Identifies problems, conditions, issues, or concerns the goal is intended to address.","","","","","","","","","",,"example","Identifies problems, conditions, issues, or concerns that goals may address","http://hl7.org/fhir/ValueSet/condition-code|3.0.2","",,,,"PlanDefinition.goal.addresses",0,*,"",""
"PlanDefinition","PlanDefinition.goal.documentation","PlanDefinition.goal.documentation","","","",0,*,"","","","RelatedArtifact {[]} {[]}
","Supporting documentation for the goal","Didactic or other informational resources associated with the goal that provide further supporting information about the goal. Information resources can include inline text commentary and links to web resources.","","","","","","","","","",,,,,"",,,,"PlanDefinition.goal.documentation",0,*,"",""
"PlanDefinition","PlanDefinition.goal.target","PlanDefinition.goal.target","","","",0,*,"","","","BackboneElement {[]} {[]}
","Target outcome for the goal","Indicates what should be done and within what timeframe.","","","","","","","","","",,,,,"",,,,"PlanDefinition.goal.target",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"PlanDefinition","PlanDefinition.goal.target.id","PlanDefinition.goal.target.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PlanDefinition","PlanDefinition.goal.target.extension","PlanDefinition.goal.target.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"PlanDefinition","PlanDefinition.goal.target.modifierExtension","PlanDefinition.goal.target.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"PlanDefinition","PlanDefinition.goal.target.measure","PlanDefinition.goal.target.measure","","","",0,1,"","","","CodeableConcept {[]} {[]}
","The parameter whose value is to be tracked","The parameter whose value is to be tracked, e.g. body weigth, blood pressure, or hemoglobin A1c level.","","","","","","","","","",,"example","Identifies types of parameters that can be tracked to determine goal achievement","http://hl7.org/fhir/ValueSet/observation-codes|3.0.2","",,,,"PlanDefinition.goal.target.measure",0,1,"",""
"PlanDefinition","PlanDefinition.goal.target.detail[x]","PlanDefinition.goal.target.detail[x]","","","",0,1,"","","","Quantity {[]} {[]}
Range {[]} {[]}CodeableConcept {[]} {[]}","The target value to be achieved","The target value of the measure to be achieved to signify fulfillment of the goal, e.g. 150 pounds or 7.0%. Either the high or low or both values of the range can be specified. Whan a low value is missing, it indicates that the goal is achieved at any value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any value at or above the low value.","","","","","","","","","",,,,,"",,,,"PlanDefinition.goal.target.detail[x]",0,1,"",""
"PlanDefinition","PlanDefinition.goal.target.due","PlanDefinition.goal.target.due","","","",0,1,"","","","Duration {[]} {[]}
","Reach goal within","Indicates the timeframe after the start of the goal in which the goal should be met.","","","","","","","","","",,,,,"",,,,"PlanDefinition.goal.target.due",0,1,"",""
"PlanDefinition","PlanDefinition.action","PlanDefinition.action","","","",0,*,"","","","BackboneElement {[]} {[]}
","Action defined by the plan","An action to be taken as part of the plan.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"PlanDefinition","PlanDefinition.action.id","PlanDefinition.action.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PlanDefinition","PlanDefinition.action.extension","PlanDefinition.action.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"PlanDefinition","PlanDefinition.action.modifierExtension","PlanDefinition.action.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"PlanDefinition","PlanDefinition.action.label","PlanDefinition.action.label","","","",0,1,"","","","string {[]} {[]}
","User-visible label for the action (e.g. 1. or A.)","A user-visible label for the action.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.label",0,1,"",""
"PlanDefinition","PlanDefinition.action.title","PlanDefinition.action.title","","","",0,1,"","","","string {[]} {[]}
","User-visible title","The title of the action displayed to a user.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.title",0,1,"",""
"PlanDefinition","PlanDefinition.action.description","PlanDefinition.action.description","","","",0,1,"","","","string {[]} {[]}
","Short description of the action","A short description of the action used to provide a summary to display to the user.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.description",0,1,"",""
"PlanDefinition","PlanDefinition.action.textEquivalent","PlanDefinition.action.textEquivalent","","","",0,1,"","","","string {[]} {[]}
","Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system","A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that may not be capable of interpreting it dynamically.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.textEquivalent",0,1,"",""
"PlanDefinition","PlanDefinition.action.code","PlanDefinition.action.code","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Code representing the meaning of the action or sub-actions","A code that provides meaning for the action or action group. For example, a section may have a LOINC code for a the section of a documentation template.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.code",0,*,"",""
"PlanDefinition","PlanDefinition.action.reason","PlanDefinition.action.reason","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Why the action should be performed","A description of why this action is necessary or appropriate.","This is different than the clinical evidence documentation, it's an actual business description of the reason for performing the action.","","","","","","","","",,,,,"",,,,"PlanDefinition.action.reason",0,*,"",""
"PlanDefinition","PlanDefinition.action.documentation","PlanDefinition.action.documentation","","","",0,*,"","","","RelatedArtifact {[]} {[]}
","Supporting documentation for the intended performer of the action","Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.documentation",0,*,"",""
"PlanDefinition","PlanDefinition.action.goalId","PlanDefinition.action.goalId","","","",0,*,"","","","id {[]} {[]}
","What goals this action supports","Identifies goals that this action supports. The reference must be to a goal element defined within this plan definition.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.goalId",0,*,"",""
"PlanDefinition","PlanDefinition.action.triggerDefinition","PlanDefinition.action.triggerDefinition","","","",0,*,"","","","TriggerDefinition {[]} {[]}
","When the action should be triggered","A description of when the action should be triggered.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.triggerDefinition",0,*,"",""
"PlanDefinition","PlanDefinition.action.condition","PlanDefinition.action.condition","","","",0,*,"","","","BackboneElement {[]} {[]}
","Whether or not the action is applicable","An expression that describes applicability criteria, or start/stop conditions for the action.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.condition",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"PlanDefinition","PlanDefinition.action.condition.id","PlanDefinition.action.condition.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PlanDefinition","PlanDefinition.action.condition.extension","PlanDefinition.action.condition.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"PlanDefinition","PlanDefinition.action.condition.modifierExtension","PlanDefinition.action.condition.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"PlanDefinition","PlanDefinition.action.condition.kind","PlanDefinition.action.condition.kind","","","",1,1,"","","","code {[]} {[]}
","applicability | start | stop","The kind of condition.","Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe when enter/exit criteria for an action.","","","","","","","","",,"required","Defines the kinds of conditions that can appear on actions","http://hl7.org/fhir/ValueSet/action-condition-kind|3.0.2","",,,,"PlanDefinition.action.condition.kind",1,1,"",""
"PlanDefinition","PlanDefinition.action.condition.description","PlanDefinition.action.condition.description","","","",0,1,"","","","string {[]} {[]}
","Natural language description of the condition","A brief, natural language description of the condition that effectively communicates the intended semantics.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.condition.description",0,1,"",""
"PlanDefinition","PlanDefinition.action.condition.language","PlanDefinition.action.condition.language","","","",0,1,"","","","string {[]} {[]}
","Language of the expression","The media type of the language for the expression.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.condition.language",0,1,"",""
"PlanDefinition","PlanDefinition.action.condition.expression","PlanDefinition.action.condition.expression","","","",0,1,"","","","string {[]} {[]}
","Boolean-valued expression","An expression that returns true or false, indicating whether or not the condition is satisfied.","The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.","","","","","","","","",,,,,"",,,,"PlanDefinition.action.condition.expression",0,1,"",""
"PlanDefinition","PlanDefinition.action.input","PlanDefinition.action.input","","","",0,*,"","","","DataRequirement {[]} {[]}
","Input data requirements","Defines input data requirements for the action.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.input",0,*,"",""
"PlanDefinition","PlanDefinition.action.output","PlanDefinition.action.output","","","",1,*,"Y","","","DataRequirement {[]} {[]}
","Output data definition","Defines the outputs of the action, if any.","Specificeer hier de zib FHIR resource en hun filters.","","","","","","","","",,,,,"",,,,"PlanDefinition.action.output",0,*,"",""
"PlanDefinition","PlanDefinition.action.relatedAction","PlanDefinition.action.relatedAction","","","",0,*,"","","","BackboneElement {[]} {[]}
","Relationship to another action","A relationship to another action such as ""before"" or ""30-60 minutes after start of"".","When an action depends on multiple actions, the meaning is that all actions are dependencies, rather than that any of the actions are a dependency.","","","","","","","","",,,,,"",,,,"PlanDefinition.action.relatedAction",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"PlanDefinition","PlanDefinition.action.relatedAction.id","PlanDefinition.action.relatedAction.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PlanDefinition","PlanDefinition.action.relatedAction.extension","PlanDefinition.action.relatedAction.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"PlanDefinition","PlanDefinition.action.relatedAction.modifierExtension","PlanDefinition.action.relatedAction.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"PlanDefinition","PlanDefinition.action.relatedAction.actionId","PlanDefinition.action.relatedAction.actionId","","","",1,1,"","","","id {[]} {[]}
","What action is this related to","The element id of the related action.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.relatedAction.actionId",1,1,"",""
"PlanDefinition","PlanDefinition.action.relatedAction.relationship","PlanDefinition.action.relatedAction.relationship","","","",1,1,"","","","code {[]} {[]}
","before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end","The relationship of this action to the related action.","","","","","","","","","",,"required","Defines the types of relationships between actions","http://hl7.org/fhir/ValueSet/action-relationship-type|3.0.2","",,,,"PlanDefinition.action.relatedAction.relationship",1,1,"",""
"PlanDefinition","PlanDefinition.action.relatedAction.offset[x]","PlanDefinition.action.relatedAction.offset[x]","","","",0,1,"","","","Duration {[]} {[]}
Range {[]} {[]}","Time offset for the relationship","A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.relatedAction.offset[x]",0,1,"",""
"PlanDefinition","PlanDefinition.action.timing[x]","PlanDefinition.action.timing[x]","","","",0,1,"","","","dateTime {[]} {[]}
Period {[]} {[]}Duration {[]} {[]}Range {[]} {[]}Timing {[]} {[]}","When the action should take place","An optional value describing when the action should be performed.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.timing[x]",0,1,"",""
"PlanDefinition","PlanDefinition.action.participant","PlanDefinition.action.participant","","","",0,*,"","","","BackboneElement {[]} {[]}
","Who should participate in the action","Indicates who should participate in performing the action described.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.participant",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"PlanDefinition","PlanDefinition.action.participant.id","PlanDefinition.action.participant.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PlanDefinition","PlanDefinition.action.participant.extension","PlanDefinition.action.participant.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"PlanDefinition","PlanDefinition.action.participant.modifierExtension","PlanDefinition.action.participant.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"PlanDefinition","PlanDefinition.action.participant.type","PlanDefinition.action.participant.type","","","",1,1,"","","","code {[]} {[]}
","patient | practitioner | related-person","The type of participant in the action.","","","","","","","","","",,"required","The type of participant for the action","http://hl7.org/fhir/ValueSet/action-participant-type|3.0.2","",,,,"PlanDefinition.action.participant.type",1,1,"",""
"PlanDefinition","PlanDefinition.action.participant.role","PlanDefinition.action.participant.role","","","",0,1,"","","","CodeableConcept {[]} {[]}
","E.g. Nurse, Surgeon, Parent, etc","The role the participant should play in performing the described action.","","","","","","","","","",,"example","Defines roles played by participants for the action","http://hl7.org/fhir/ValueSet/action-participant-role|3.0.2","",,,,"PlanDefinition.action.participant.role",0,1,"",""
"PlanDefinition","PlanDefinition.action.type","PlanDefinition.action.type","","","",0,1,"","","","Coding {[]} {[]}
","create | update | remove | fire-event","The type of action to perform (create, update, remove).","","","","","","","","","",,"required","The type of action to be performed","http://hl7.org/fhir/ValueSet/action-type|3.0.2","",,,,"PlanDefinition.action.type",0,1,"",""
"PlanDefinition","PlanDefinition.action.groupingBehavior","PlanDefinition.action.groupingBehavior","","","",0,1,"","","","code {[]} {[]}
","visual-group | logical-group | sentence-group","Defines the grouping behavior for the action and its children.","","","","","","","","","",,"required","Defines organization behavior of a group","http://hl7.org/fhir/ValueSet/action-grouping-behavior|3.0.2","",,,,"PlanDefinition.action.groupingBehavior",0,1,"",""
"PlanDefinition","PlanDefinition.action.selectionBehavior","PlanDefinition.action.selectionBehavior","","","",0,1,"","","","code {[]} {[]}
","any | all | all-or-none | exactly-one | at-most-one | one-or-more","Defines the selection behavior for the action and its children.","","","","","","","","","",,"required","Defines selection behavior of a group","http://hl7.org/fhir/ValueSet/action-selection-behavior|3.0.2","",,,,"PlanDefinition.action.selectionBehavior",0,1,"",""
"PlanDefinition","PlanDefinition.action.requiredBehavior","PlanDefinition.action.requiredBehavior","","","",0,1,"","","","code {[]} {[]}
","must | could | must-unless-documented","Defines the requiredness behavior for the action.","","","","","","","","","",,"required","Defines requiredness behavior for selecting an action or an action group","http://hl7.org/fhir/ValueSet/action-required-behavior|3.0.2","",,,,"PlanDefinition.action.requiredBehavior",0,1,"",""
"PlanDefinition","PlanDefinition.action.precheckBehavior","PlanDefinition.action.precheckBehavior","","","",0,1,"","","","code {[]} {[]}
","yes | no","Defines whether the action should usually be preselected.","","","","","","","","","",,"required","Defines selection frequency behavior for an action or group","http://hl7.org/fhir/ValueSet/action-precheck-behavior|3.0.2","",,,,"PlanDefinition.action.precheckBehavior",0,1,"",""
"PlanDefinition","PlanDefinition.action.cardinalityBehavior","PlanDefinition.action.cardinalityBehavior","","","",0,1,"","","","code {[]} {[]}
","single | multiple","Defines whether the action can be selected multiple times.","","","","","","","","","",,"required","Defines behavior for an action or a group for how many times that item may be repeated","http://hl7.org/fhir/ValueSet/action-cardinality-behavior|3.0.2","",,,,"PlanDefinition.action.cardinalityBehavior",0,1,"",""
"PlanDefinition","PlanDefinition.action.definition","PlanDefinition.action.definition","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/ActivityDefinition], CanonicalType[http://hl7.org/fhir/StructureDefinition/PlanDefinition]]}
","Description of the activity to be performed","A reference to an ActivityDefinition that describes the action to be taken in detail, or a PlanDefinition that describes a series of actions to be taken.","Note that the definition is optional, and if no definition is specified, a dynamicValue with a root (~) path can be used to define the entire resource dynamically.","","","","","","","","",,,,,"",,,,"PlanDefinition.action.definition",0,1,"",""
"PlanDefinition","PlanDefinition.action.transform","PlanDefinition.action.transform","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/StructureMap]]}
","Transform to apply the template","A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.transform",0,1,"",""
"PlanDefinition","PlanDefinition.action.dynamicValue","PlanDefinition.action.dynamicValue","","","",0,*,"","","","BackboneElement {[]} {[]}
","Dynamic aspects of the definition","Customizations that should be applied to the statically defined resource. For example, if the dosage of a medication must be computed based on the patient's weight, a customization would be used to specify an expression that calculated the weight, and the path on the resource that would contain the result.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.dynamicValue",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"PlanDefinition","PlanDefinition.action.dynamicValue.id","PlanDefinition.action.dynamicValue.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PlanDefinition","PlanDefinition.action.dynamicValue.extension","PlanDefinition.action.dynamicValue.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"PlanDefinition","PlanDefinition.action.dynamicValue.modifierExtension","PlanDefinition.action.dynamicValue.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"PlanDefinition","PlanDefinition.action.dynamicValue.description","PlanDefinition.action.dynamicValue.description","","","",0,1,"","","","string {[]} {[]}
","Natural language description of the dynamic value","A brief, natural language description of the intended semantics of the dynamic value.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.dynamicValue.description",0,1,"",""
"PlanDefinition","PlanDefinition.action.dynamicValue.path","PlanDefinition.action.dynamicValue.path","","","",0,1,"","","","string {[]} {[]}
","The path to the element to be set dynamically","The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.dynamicValue.path",0,1,"",""
"PlanDefinition","PlanDefinition.action.dynamicValue.language","PlanDefinition.action.dynamicValue.language","","","",0,1,"","","","string {[]} {[]}
","Language of the expression","The media type of the language for the expression.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.dynamicValue.language",0,1,"",""
"PlanDefinition","PlanDefinition.action.dynamicValue.expression","PlanDefinition.action.dynamicValue.expression","","","",0,1,"","","","string {[]} {[]}
","An expression that provides the dynamic value for the customization","An expression specifying the value of the customized element.","The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.","","","","","","","","",,,,,"",,,,"PlanDefinition.action.dynamicValue.expression",0,1,"",""
"PlanDefinition","PlanDefinition.action.action","PlanDefinition.action.action","","","",0,*,"","","","null {[]} {[]}
","A sub-action","Sub actions that are contained within the action. The behavior of this action determines the functionality of the sub-actions. For example, a selection behavior of at-most-one indicates that of the sub-actions, at most one may be chosen as part of realizing the action definition.","","","","","","","","","",,,,,"",,,,"PlanDefinition.action.action",0,*,"",""
"Practitioner","Practitioner","Practitioner","","Zorgverlener
","",0,*,"","","","null {[]} {[]}
","HealthProfessional","A person who is directly or indirectly involved in the provisioning of healthcare.","Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}zv-pra-3:Either Practitioner BIG or AGB-Z identifier SHALL be present. {identifier.where(system='http://fhir.nl/fhir/NamingSystem/agb-z') or identifier.where(system='http://fhir.nl/fhir/NamingSystem/big')}"
"Practitioner","Practitioner.id","Practitioner.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Practitioner","Practitioner.meta","Practitioner.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Practitioner","Practitioner.implicitRules","Practitioner.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Practitioner","Practitioner.language","Practitioner.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"Practitioner","Practitioner.text","Practitioner.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Practitioner","Practitioner.contained","Practitioner.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Practitioner","Practitioner.extension","Practitioner.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"Practitioner","Practitioner.modifierExtension","Practitioner.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Practitioner","Practitioner.identifier","Practitioner.identifier","","ZorgverlenerIdentificatieNummer
","",1,*,"","","Y","Identifier {[]} {[]}
","HealthProfessionalIdentificationNumber","The health professional identification number is a number that uniquely identifies the health professional.  

The following numbers are used in the Netherlands:
1. UZI Health Professionals. Identification of health professionals (people) in the Dutch healthcare industry.
2. VEKTIS AGB-Z. Identifies health professionals and healthcare organizations.
3. BIG-ID. The ID of the health professional listed in the BIG Register.

This information is not readily available for foreign health professionals.","","Often, specific identities are assigned for the agent.","","","","","","","",,,,,"","value:system}
","",,"open","Practitioner.identifier",0,*,"",""
"Practitioner","Practitioner.identifier:UZI","Practitioner.identifier","UZI","UZI
","",0,1,"","","Y","Identifier {[]} {[]}
","UZI","Unieke Zorgverlener Identificatie (Dutch physician identification number)","","Often, specific identities are assigned for the agent.","","","","","","","",,,,,"",,,,"Practitioner.identifier",0,*,"",""
"Practitioner","Practitioner.identifier:UZI.id","Practitioner.identifier.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Practitioner","Practitioner.identifier:UZI.extension","Practitioner.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Practitioner","Practitioner.identifier:UZI.use","Practitioner.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary (If known)","The purpose of this identifier.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use","",,,,"Identifier.use",0,1,"",""
"Practitioner","Practitioner.identifier:UZI.type","Practitioner.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. 

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"",""
"Practitioner","Practitioner.identifier:UZI.system","Practitioner.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://fhir.nl/fhir/NamingSystem/uzi-nr-pers""/>","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"",""
"Practitioner","Practitioner.identifier:UZI.value","Practitioner.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","The value that is unique","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/STU3/extension-rendered-value.html).","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"",""
"Practitioner","Practitioner.identifier:UZI.period","Practitioner.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"",""
"Practitioner","Practitioner.identifier:UZI.assigner","Practitioner.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"",""
"Practitioner","Practitioner.identifier:AGB","Practitioner.identifier","AGB","AGB
","",0,1,"Y","","Y","Identifier {[]} {[]}
","AGB","An identifier that applies to this person in this role.","","Often, specific identities are assigned for the agent.","","","","","","","",,,,,"",,,,"Practitioner.identifier",0,*,"",""
"Practitioner","Practitioner.identifier:AGB.id","Practitioner.identifier.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Practitioner","Practitioner.identifier:AGB.extension","Practitioner.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Practitioner","Practitioner.identifier:AGB.use","Practitioner.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary (If known)","The purpose of this identifier.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use","",,,,"Identifier.use",0,1,"",""
"Practitioner","Practitioner.identifier:AGB.type","Practitioner.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. 

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"",""
"Practitioner","Practitioner.identifier:AGB.system","Practitioner.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://fhir.nl/fhir/NamingSystem/agb-z""/>","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"",""
"Practitioner","Practitioner.identifier:AGB.value","Practitioner.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","The value that is unique","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/STU3/extension-rendered-value.html).","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"",""
"Practitioner","Practitioner.identifier:AGB.period","Practitioner.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"",""
"Practitioner","Practitioner.identifier:AGB.assigner","Practitioner.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"",""
"Practitioner","Practitioner.identifier:BIG","Practitioner.identifier","BIG","BIG
","",0,1,"Y","","Y","Identifier {[]} {[]}
","BIG","An identifier that applies to this person in this role.","","Often, specific identities are assigned for the agent.","","","","","","","",,,,,"",,,,"Practitioner.identifier",0,*,"",""
"Practitioner","Practitioner.identifier:BIG.id","Practitioner.identifier.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Practitioner","Practitioner.identifier:BIG.extension","Practitioner.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Practitioner","Practitioner.identifier:BIG.use","Practitioner.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary (If known)","The purpose of this identifier.","This is labeled as ""Is Modifier"" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use","",,,,"Identifier.use",0,1,"",""
"Practitioner","Practitioner.identifier:BIG.type","Practitioner.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. 

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"",""
"Practitioner","Practitioner.identifier:BIG.system","Practitioner.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://fhir.nl/fhir/NamingSystem/big""/>","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"",""
"Practitioner","Practitioner.identifier:BIG.value","Practitioner.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","The value that is unique","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/STU3/extension-rendered-value.html).","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"",""
"Practitioner","Practitioner.identifier:BIG.period","Practitioner.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"",""
"Practitioner","Practitioner.identifier:BIG.assigner","Practitioner.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"",""
"Practitioner","Practitioner.active","Practitioner.active","","","",0,1,"","","Y","boolean {[]} {[]}
","Whether this practitioner's record is in active use","Whether this practitioner's record is in active use.","Default is true. 

If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.","Need to be able to mark a practitioner record as not to be used because it was created in error.","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","","","","","",,,,,"",,,,"Practitioner.active",0,1,"",""
"Practitioner","Practitioner.name","Practitioner.name","","Naamgegevens
","",1,*,"Y","","Y","HumanName {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-humanname]]} {[]}
","NameInformation","Health professional’s full name. If a health professional identification number is entered, it will be the name as listed in UZI, AGB or by the healthcare center.","Dutch names require that certain name parts are separately communicable. For this reason, extensions are added onto the base HumanName element to mark the meaning of each part. A Dutch HumanName is still a proper FHIR HumanName; however, there might be an incompatibilty with the default FHIR mechanism for communicating given names. See the compatibility note below for more information.

The extension elements cover birth name (NL: eigennaam / geslachtsnaam) and partner/spouse name. Both may have a prefix (NL: voorvoegsel). When a person marries, he or she may keep their own name, assume the partner name, append the partner name to their own name, or the other way around.

**Incompatibility note**: It has come to light that this specification deviates from the way that the HumanName datatype is normally used. This will be fixed in a future release. However, current implementations should be aware of the special considerations regarding the use of this specification. 

The issue at hand is the way alternative representations of a name, like initials or a nickname, are communicated. Normally this is done using multiple HumanName instances, which are differentiated using the `.use` element. However, this specification allows for including all alternative representations in the _same_ HumanName instance, with the expectation that the extensions provide enough information for receiving systems to differentiate them. However, this means that contrary to the normal usage of this datatype, repetitions of `.given` names cannot be concatenated to get the full list of given names; the list might be a mix of full names, nicknames and initials.

Since multiple implementations are based on this specification, sending systems are advised (but not required) to keep the approach with one HumanName instance, while receiving systems should be able to handle this one-instance approach. More specifically:

* Sending and receiving systems SHOULD always use the specified extensions when using this datatype.
* Sending systems are encouraged to populate the `.text` element to unambigiously communicate the person's name.
* Sending systems are encouraged to send either the full given names or the initials, but not both. This alleviates the duplication of names in `.given`.
* When a sending system uses the current one-instance approach for communicating multiple representations, `.use` MAY NOT be populated. After all, it is not possible to select a single `.use` when the instance contains different representations.
* When a receiving system interprets the instance as the single-instance-multiple-representations approach, the `.given` names marked as initials SHOULD be interpreted as alternatives to the full given names. Note the underlying HCIM expects both the _list_ of full names and _list_ of initials to be a single string; there's no match for an initial to a full name. The instance SHOULD be regarded as using this approach when:
  * They encounter a single instance
  * And the `.use` element is absent
  * And all the name parts are differentiated using the specified extensions
* In any other circumstance, receiving systems SHOULD interpret the usage as the normal use.

Example: miss Irma XXX_Helleman marries mister de Haas and assumes the name Irma XXX_Helleman-de Haas:

* `.family` = ""XXX_Helleman-de Haas""
* `.given` = ""Irma"" (with `.given:iso21090EnQualifier` = _BR_)
* `.family:humannameOwnName` = ""XXX_Helleman""
* `.family:humannamePartnerPrefix` = ""de ""
* `.family:humannamePartnerName` = ""Haas""","The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.","","","","","<valueHumanName xmlns=""http://hl7.org/fhir"">
  <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"">
    <valueCode value=""NL4""/>
  </extension>
  <text value=""Irma XXX_Helleman-de Haas""/>
  <family value=""XXX_Helleman-de Haas"">
    <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-own-name"">
      <valueString value=""XXX_Helleman""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"">
      <valueString value=""de""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/humanname-partner-name"">
      <valueString value=""Haas""/>
    </extension>
  </family>
  <given value=""Irma"">
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"">
      <valueCode value=""CL""/>
    </extension>
  </given>
</valueHumanName>","","",,,,,"",,,,"Practitioner.name",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
nl-core-humanname-1:if you specify a prefix for an own name then an own name is also expected {name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not()}nl-core-humanname-2:if you specify a voorvoegsel for a partner name then a partner name is also expected {name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not()}zv-pra-1:Either Practitioner.name.given and/or Practitioner.name.family and/or Practitioner.name.text SHALL be present. {(family.exists() or given.exists() or text.exists())}zv-pra-2:To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. {text.exists()}"
"Practitioner","Practitioner.telecom","Practitioner.telecom","","Contactgegevens
","",0,*,"","","Y","ContactPoint {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-contactpoint]]} {[]}
","ContactInformation","Contact information includes a person's telephone numbers and email addresses. This datatype defines a common basis for expressing all contact information around the world, but adds extensions to express Dutch contacts specifically, according to the HCIM ContactInformation (v1.0, 2017). A Dutch ContactPoint still is a proper FHIR ContactPoint, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype. The table below explains how the HCIM concepts are mapped to the various FHIR elements. The HCIM code itself should also be included using the TelecomType extension.

| HCIM                                               | `.ext:TelecomType` | `.system` | `.use`   |
|----------------------------------------------------|:------------------:|:---------:|:--------:|
| Primary Home Land Line                             | _LL_               | _phone_   | _home_   |
| Temporary Land Line                                | _LL_               | _phone_   | _temp_   |
| Primary Work Land Line                             | _LL_               | _phone_   | _work_   |
|                                                    |                    |           |          |
| Primary Home Fax                                   | _FAX_              | _fax_     | _home_   |
| Temporary Fax                                      | _FAX_              | _fax_     | _temp_   |
| Primary Work Fax                                   | _FAX_              | _fax_     | _work_   |
|                                                    |                    |           |          |
| Primary Home Mobile Phone                          | _MC_               | _phone_   | _home_   |
| Temporary Mobile Phone                             | _MC_               | _phone_   | _temp_   |
| Primary Work Mobile Phone                          | _MC_               | _phone_   | _work_   |
|                                                    |                    |           |          |
| Primary Home Pager                                 | _PG_               | _pager_   | _home_   |
| Temporary Pager                                    | _PG_               | _pager_   | _temp_   |
| Primary Work Pager                                 | _PG_               | _pager_   | _work_   |
|                                                    |                    |           |          |
| Private email address                              |                    | _email_   | _home_   |
| Work email address                                 |                    | _email_   | _work_   |
|                                                    |                    |           |          |
| Mobile phone number undetermined private/business  |                    | _phone_   | _mobile_ |","Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification

These typically will have home numbers, or mobile numbers that are not role specific.","Need to know how to reach a practitioner independent to any roles the practitioner may have.","","","","","<valueContactPoint xmlns=""http://hl7.org/fhir"">
  <system value=""phone""/>
  <value value=""+31611234567""/>
  <use value=""work""/>
</valueContactPoint>","","",,,,,"",,,,"Practitioner.telecom",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
cpt-2:A system is required if a value is provided. {value.empty() or system.exists()}"
"Practitioner","Practitioner.address","Practitioner.address","","AdresInformatie
Adresgegevens","",0,*,"","","Y","Address {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-address]]} {[]}
","AddressInformation","This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the HCIM AddressInformation (v1.0, 2017). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype.

To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.

**Separate address parts**

The first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.

**Custom address types**

The second addition is that the HCIM defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the HCIM concepts are mapped to the various FHIR elements (see the ConceptMaps <http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse> and <http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType> as well). The HCIM code itself should also be included using the AddressType extension.

| HCIM                              |` .ext:AddressType` | `.ext:official` | `.use` | `.type`    |
|-----------------------------------|:------------------:|:---------------:|:------:|:----------:|
| Postal Address/Postadres          | _PST_              |                 |        | _postal_   |
| Primary Home/Officieel adres      | _HP_               | true            | _home_ |            |
| Visit Address/Woon-/verblijfadres | _PHYS_             |                 | _home_ | _physical_ |
| Temporary Address/Tijdelijk adres | _TMP_              |                 | _temp_ |            |
| Work Place/Werkadres              | _WP_               |                 | _work_ |            |
| Vacation Home/Vakantie adres      | _HV_               |                 | _temp_ |            |

 If Address.type is _both_ then this is to be understood as a dual purpose address (postal and physical). Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.

NOTE: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the HCIM ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.","Note: address is for postal addresses, not physical locations.","The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.","","","","","<valueAddress xmlns=""http://hl7.org/fhir"">
  <extension url=""http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType"">
    <valueCodeableConcept>
      <coding>
        <system value=""http://hl7.org/fhir/v3/AddressUse""/>
        <code value=""HV""/>
        <display value=""Vakantie adres""/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <use value=""temp""/>
  <line value=""Binnenkant 12A Hoog"">
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"">
      <valueString value=""Binnenkant""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"">
      <valueString value=""12""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"">
      <valueString value=""A""/>
    </extension>
    <extension url=""http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"">
      <valueString value=""Hoog""/>
    </extension>
  </line>
  <city value=""Amsterdam""/>
  <state value=""NH""/>
  <postalCode value=""1000AA""/>
  <country value=""NLD""/>
</valueAddress>","","",,,,,"",,,,"Practitioner.address",0,*,"ele-1
nl-streetname-if-official-and-other-line-parts","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
nl-streetname-if-official-and-other-line-parts:Address.streetName in an official address SHALL have a value if one of houseNumber|buildingNumberSuffix|additionalLocator has a value {(extension.where(url = 'http://fhir.nl/fhir/StructureDefinition/nl-core-address-official').where(value = true)).empty() or (line.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty().not() and (line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty().not()))}"
"Practitioner","Practitioner.gender","Practitioner.gender","","","",0,1,"","","Y","code {[]} {[]}
","male | female | other | unknown","Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.","","Needed to address the person correctly.","","","","","","","",,"required","The gender of a person used for administrative purposes.","http://hl7.org/fhir/ValueSet/administrative-gender","",,,,"Practitioner.gender",0,1,"",""
"Practitioner","Practitioner.birthDate","Practitioner.birthDate","","","",0,1,"","","Y","date {[]} {[]}
","The date  on which the practitioner was born","The date of birth for the practitioner.","","Needed for identification.","","","","","","","",,,,,"",,,,"Practitioner.birthDate",0,1,"",""
"Practitioner","Practitioner.photo","Practitioner.photo","","","",0,*,"","","","Attachment {[]} {[]}
","Image of the person","Image of the person.","","Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.","","","","","","","",,,,,"",,,,"Practitioner.photo",0,*,"",""
"Practitioner","Practitioner.qualification","Practitioner.qualification","","","",0,*,"Y","","","BackboneElement {[]} {[]}
","Qualifications obtained by training and certification","Qualifications obtained by training and certification.","","","","","","","","","",,,,,"",,,,"Practitioner.qualification",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
zv-pra-4:A SNOMED CT (beroep) code SHOULD be present. {code.coding.where(system='http://snomed.info/sct')}"
"Practitioner","Practitioner.qualification.id","Practitioner.qualification.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Practitioner","Practitioner.qualification.extension","Practitioner.qualification.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Practitioner","Practitioner.qualification.modifierExtension","Practitioner.qualification.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Practitioner","Practitioner.qualification.identifier","Practitioner.qualification.identifier","","","",0,*,"","","","Identifier {[]} {[]}
","An identifier for this qualification for the practitioner","An identifier that applies to this person's qualification in this role.","","Often, specific identities are assigned for the qualification.","","","","","","","",,,,,"",,,,"Practitioner.qualification.identifier",0,*,"",""
"Practitioner","Practitioner.qualification.code","Practitioner.qualification.code","","","",1,1,"","","","CodeableConcept {[]} {[]}
","Coded representation of the qualification","Coded representation of the qualification.","","","","","","","","","",,"example","Specific qualification the practitioner has to provide a service","http://hl7.org/fhir/ValueSet/v2-2.7-0360","",,,,"Practitioner.qualification.code",1,1,"",""
"Practitioner","Practitioner.qualification.period","Practitioner.qualification.period","","","",0,1,"","","","Period {[]} {[]}
","Period during which the qualification is valid","Period during which the qualification is valid.","","Qualifications are often for a limited period of time, and can be revoked.","","","","","","","",,,,,"",,,,"Practitioner.qualification.period",0,1,"",""
"Practitioner","Practitioner.qualification.issuer","Practitioner.qualification.issuer","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that regulates and issues the qualification","Organization that regulates and issues the qualification.","","","","","","","","","",,,,,"",,,,"Practitioner.qualification.issuer",0,1,"",""
"Practitioner","Practitioner.communication","Practitioner.communication","","","",0,*,"","","","CodeableConcept {[]} {[]}
","A language the practitioner is able to use in patient communication","A language the practitioner is able to use in patient communication.","The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.","Knowing which language a practitioner speaks can help in facilitating communication with patients.","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Practitioner.communication",0,*,"",""
"PractitionerRole","PractitionerRole","PractitionerRole","","","",0,*,"","","","null {[]} {[]}
","Roles/organizations the practitioner is associated with","A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}zv-prr-1:PractitionerRole Specialty COD016 Vektiz AGB medische specialismen code SHOULD be present. {identifier.where(system='urn:oid:2.16.840.1.113883.2.4.6.7')}"
"PractitionerRole","PractitionerRole.id","PractitionerRole.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"PractitionerRole","PractitionerRole.meta","PractitionerRole.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"PractitionerRole","PractitionerRole.implicitRules","PractitionerRole.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"PractitionerRole","PractitionerRole.language","PractitionerRole.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"PractitionerRole","PractitionerRole.text","PractitionerRole.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"PractitionerRole","PractitionerRole.contained","PractitionerRole.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"PractitionerRole","PractitionerRole.extension","PractitionerRole.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"PractitionerRole","PractitionerRole.modifierExtension","PractitionerRole.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"PractitionerRole","PractitionerRole.identifier","PractitionerRole.identifier","","","",0,*,"","","Y","Identifier {[]} {[]}
","Business Identifiers that are specific to a role/location","Business Identifiers that are specific to a role/location.","","Often, specific identities are assigned for the agent.","","","","","","","",,,,,"",,,,"PractitionerRole.identifier",0,*,"",""
"PractitionerRole","PractitionerRole.active","PractitionerRole.active","","","",0,1,"","","Y","boolean {[]} {[]}
","Whether this practitioner's record is in active use","Whether this practitioner's record is in active use.","Default is true. 

If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.","Need to be able to mark a practitioner record as not to be used because it was created in error.","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","","","","","",,,,,"",,,,"PractitionerRole.active",0,1,"",""
"PractitionerRole","PractitionerRole.period","PractitionerRole.period","","","",0,1,"","","Y","Period {[]} {[]}
","The period during which the practitioner is authorized to perform in these role(s)","The period during which the person is authorized to act as a practitioner in these role(s) for the organization.","","Even after the agencies is revoked, the fact that it existed must still be recorded.","","","","","","","",,,,,"",,,,"PractitionerRole.period",0,1,"",""
"PractitionerRole","PractitionerRole.practitioner","PractitionerRole.practitioner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner]]}
","Practitioner that is able to provide the defined services for the organation","Practitioner that is able to provide the defined services for the organation.","","","","","","","","","",,,,,"",,,,"PractitionerRole.practitioner",0,1,"",""
"PractitionerRole","PractitionerRole.organization","PractitionerRole.organization","","Zorgaanbieder
","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization]]}
","HealthcareProvider","The organization where the Practitioner performs the roles associated.","","","","","","","","","",,,,,"",,,,"PractitionerRole.organization",0,1,"",""
"PractitionerRole","PractitionerRole.code","PractitionerRole.code","","","",0,*,"Y","","Y","CodeableConcept {[]} {[]}
","Roles which this practitioner may perform","Zie [ConceptMap-epic-rolcode](ConceptMap-epic-rolcode.html) en [ConceptMap-rolcodenl](ConceptMap-rolcodenl.html)","A person may have more than one role. Note: in earlier versions of this profile there used to be an association with the HCIM element NL-CM:17.1.5 HealthProfessionalRole. This mapping was semantically incorrect. The HCIM element is a property of the association of PractitionerRole to some healthcare act. In a number of FHIR Resources the association is implicit from the semantics of the resource element like in `Observation.performer`. In others you can make this explicit like `Encounter.participant.type`, `CareTeam.participant.role` and `Procedure.performer.role`. Please refer to the relevant profiles on those resources for associations with HCIM NL-CM:17.1.5 HealthProfessionalRole.","Need to know what authority the practitioner has - what can they do?","","","","","","","",,"extensible","A custom code defined by a concept map.","http://fhir.hl7.nl/zorgviewer/ValueSet/SubjectRoleCodelist","",,,,"PractitionerRole.code",0,*,"",""
"PractitionerRole","PractitionerRole.specialty","PractitionerRole.specialty","","Specialisme
","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Specialty","Health professional’s medical specialty. This refers to the recognized medical specialties as stated in the BIG Act. A PractitionerRole instance SHALL be a singular association between a person acting in a certain specialty for a certain organization. It's possible however that either specialty or organization or both is/are unknown. It is also possible that equivalent specialisms are available in multiple coding systems e.g. 01.015 UZI (Huisarts) and 0101 AGB (Huisartsen, niet apotheekhoudend). For this reason you may use multiple coding elements, each indicating the relevant code from a different system.","","","","","","","","","",,"preferred","Specific specialty associated with the agency","http://hl7.org/fhir/ValueSet/c80-practice-codes","",,,,"PractitionerRole.specialty",0,*,"",""
"PractitionerRole","PractitionerRole.specialty.id","PractitionerRole.specialty.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.extension","PractitionerRole.specialty.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"PractitionerRole","PractitionerRole.specialty.coding","PractitionerRole.specialty.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:system}
","",,"open","CodeableConcept.coding",0,*,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyUZI","PractitionerRole.specialty.coding","SpecialtyUZI","SpecialismeUZI
","",0,*,"","","Y","Coding {[]} {[]}
","SpecialtyUZI","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.6--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyUZI.id","PractitionerRole.specialty.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyUZI.extension","PractitionerRole.specialty.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyUZI.system","PractitionerRole.specialty.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://fhir.nl/fhir/NamingSystem/uzi-rolcode""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyUZI.version","PractitionerRole.specialty.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyUZI.code","PractitionerRole.specialty.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyUZI.display","PractitionerRole.specialty.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyUZI.userSelected","PractitionerRole.specialty.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyAGB","PractitionerRole.specialty.coding","SpecialtyAGB","SpecialismeAGB
","",0,*,"Y","","Y","Coding {[]} {[]}
","SpecialtyAGB","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.7--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyAGB.id","PractitionerRole.specialty.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyAGB.extension","PractitionerRole.specialty.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyAGB.system","PractitionerRole.specialty.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""urn:oid:2.16.840.1.113883.2.4.6.7""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyAGB.version","PractitionerRole.specialty.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyAGB.code","PractitionerRole.specialty.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyAGB.display","PractitionerRole.specialty.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.coding:SpecialtyAGB.userSelected","PractitionerRole.specialty.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"PractitionerRole","PractitionerRole.specialty.text","PractitionerRole.specialty.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"PractitionerRole","PractitionerRole.location","PractitionerRole.location","","","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]]}
","The location(s) at which this practitioner provides care","The location(s) at which this practitioner provides care.","","","","","","","","","",,,,,"",,,,"PractitionerRole.location",0,*,"",""
"PractitionerRole","PractitionerRole.healthcareService","PractitionerRole.healthcareService","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/HealthcareService]]}
","The list of healthcare services that this worker provides for this role's Organization/Location(s)","The list of healthcare services that this worker provides for this role's Organization/Location(s).","","","","","","","","","",,,,,"",,,,"PractitionerRole.healthcareService",0,*,"",""
"PractitionerRole","PractitionerRole.telecom","PractitionerRole.telecom","","Contactgegevens
","",0,*,"","","Y","ContactPoint {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-contactpoint]]} {[]}
","ContactInformation","Contact information includes a person's telephone numbers and email addresses. This datatype defines a common basis for expressing all contact information around the world, but adds extensions to express Dutch contacts specifically, according to the HCIM ContactInformation (v1.0, 2017). A Dutch ContactPoint still is a proper FHIR ContactPoint, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype. The table below explains how the HCIM concepts are mapped to the various FHIR elements. The HCIM code itself should also be included using the TelecomType extension.

| HCIM                                               | `.ext:TelecomType` | `.system` | `.use`   |
|----------------------------------------------------|:------------------:|:---------:|:--------:|
| Primary Home Land Line                             | _LL_               | _phone_   | _home_   |
| Temporary Land Line                                | _LL_               | _phone_   | _temp_   |
| Primary Work Land Line                             | _LL_               | _phone_   | _work_   |
|                                                    |                    |           |          |
| Primary Home Fax                                   | _FAX_              | _fax_     | _home_   |
| Temporary Fax                                      | _FAX_              | _fax_     | _temp_   |
| Primary Work Fax                                   | _FAX_              | _fax_     | _work_   |
|                                                    |                    |           |          |
| Primary Home Mobile Phone                          | _MC_               | _phone_   | _home_   |
| Temporary Mobile Phone                             | _MC_               | _phone_   | _temp_   |
| Primary Work Mobile Phone                          | _MC_               | _phone_   | _work_   |
|                                                    |                    |           |          |
| Primary Home Pager                                 | _PG_               | _pager_   | _home_   |
| Temporary Pager                                    | _PG_               | _pager_   | _temp_   |
| Primary Work Pager                                 | _PG_               | _pager_   | _work_   |
|                                                    |                    |           |          |
| Private email address                              |                    | _email_   | _home_   |
| Work email address                                 |                    | _email_   | _work_   |
|                                                    |                    |           |          |
| Mobile phone number undetermined private/business  |                    | _phone_   | _mobile_ |","","Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.","","","","","<valueContactPoint xmlns=""http://hl7.org/fhir"">
  <system value=""phone""/>
  <value value=""+31611234567""/>
  <use value=""work""/>
</valueContactPoint>","","",,,,,"",,,,"PractitionerRole.telecom",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
cpt-2:A system is required if a value is provided. {value.empty() or system.exists()}"
"PractitionerRole","PractitionerRole.availableTime","PractitionerRole.availableTime","","","",0,*,"","","","BackboneElement {[]} {[]}
","Times the Service Site is available","A collection of times that the Service Site is available.","More detailed availability information may be provided in associated Schedule/Slot resources.","","","","","","","","",,,,,"",,,,"PractitionerRole.availableTime",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"PractitionerRole","PractitionerRole.availableTime.id","PractitionerRole.availableTime.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PractitionerRole","PractitionerRole.availableTime.extension","PractitionerRole.availableTime.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"PractitionerRole","PractitionerRole.availableTime.modifierExtension","PractitionerRole.availableTime.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"PractitionerRole","PractitionerRole.availableTime.daysOfWeek","PractitionerRole.availableTime.daysOfWeek","","","",0,*,"","","","code {[]} {[]}
","mon | tue | wed | thu | fri | sat | sun","Indicates which days of the week are available between the start and end Times.","","","","","","","","","",,"required","The days of the week.","http://hl7.org/fhir/ValueSet/days-of-week","",,,,"PractitionerRole.availableTime.daysOfWeek",0,*,"",""
"PractitionerRole","PractitionerRole.availableTime.allDay","PractitionerRole.availableTime.allDay","","","",0,1,"","","","boolean {[]} {[]}
","Always available? e.g. 24 hour service","Is this always available? (hence times are irrelevant) e.g. 24 hour service.","","","","","","","","","",,,,,"",,,,"PractitionerRole.availableTime.allDay",0,1,"",""
"PractitionerRole","PractitionerRole.availableTime.availableStartTime","PractitionerRole.availableTime.availableStartTime","","","",0,1,"","","","time {[]} {[]}
","Opening time of day (ignored if allDay = true)","The opening time of day. Note: If the AllDay flag is set, then this time is ignored.","The timezone is expected to be for where this HealthcareService is provided at.","","","","","","","","",,,,,"",,,,"PractitionerRole.availableTime.availableStartTime",0,1,"",""
"PractitionerRole","PractitionerRole.availableTime.availableEndTime","PractitionerRole.availableTime.availableEndTime","","","",0,1,"","","","time {[]} {[]}
","Closing time of day (ignored if allDay = true)","The closing time of day. Note: If the AllDay flag is set, then this time is ignored.","The timezone is expected to be for where this HealthcareService is provided at.","","","","","","","","",,,,,"",,,,"PractitionerRole.availableTime.availableEndTime",0,1,"",""
"PractitionerRole","PractitionerRole.notAvailable","PractitionerRole.notAvailable","","","",0,*,"","","","BackboneElement {[]} {[]}
","Not available during this time due to provided reason","The HealthcareService is not available during this period of time due to the provided reason.","","","","","","","","","",,,,,"",,,,"PractitionerRole.notAvailable",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"PractitionerRole","PractitionerRole.notAvailable.id","PractitionerRole.notAvailable.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"PractitionerRole","PractitionerRole.notAvailable.extension","PractitionerRole.notAvailable.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"PractitionerRole","PractitionerRole.notAvailable.modifierExtension","PractitionerRole.notAvailable.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"PractitionerRole","PractitionerRole.notAvailable.description","PractitionerRole.notAvailable.description","","","",1,1,"","","","string {[]} {[]}
","Reason presented to the user explaining why time not available","The reason that can be presented to the user as to why this time is not available.","","","","","","","","","",,,,,"",,,,"PractitionerRole.notAvailable.description",1,1,"",""
"PractitionerRole","PractitionerRole.notAvailable.during","PractitionerRole.notAvailable.during","","","",0,1,"","","","Period {[]} {[]}
","Service not availablefrom this date","Service is not available (seasonally or for a public holiday) from this date.","","","","","","","","","",,,,,"",,,,"PractitionerRole.notAvailable.during",0,1,"",""
"PractitionerRole","PractitionerRole.availabilityExceptions","PractitionerRole.availabilityExceptions","","","",0,1,"","","","string {[]} {[]}
","Description of availability exceptions","A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.","","","","","","","","","",,,,,"",,,,"PractitionerRole.availabilityExceptions",0,1,"",""
"PractitionerRole","PractitionerRole.endpoint","PractitionerRole.endpoint","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Endpoint]]}
","Technical endpoints providing access to services operated for the practitioner with this role","Technical endpoints providing access to services operated for the practitioner with this role.","","Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.

So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.","","","","","","","",,,,,"",,,,"PractitionerRole.endpoint",0,*,"",""
"Probleemlijst","Bundle","Bundle","","","",0,*,"","","","null {[]} {[]}
","Contains a collection of resources","A container for a collection of resources.","","","","","","","","","",,,,,"",,,,"Bundle",0,*,"","bdl-7:FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId {entry.where(fullUrl).select(fullUrl&resource.meta.versionId).isDistinct()}
bdl-9:A document must have an identifier with a system and a value {type = 'document' implies (identifier.system.exists() and identifier.value.exists())}bdl-3:entry.request only for some types of bundles {entry.request.empty() or type = 'batch' or type = 'transaction' or type = 'history'}bdl-4:entry.response only for some types of bundles {entry.response.empty() or type = 'batch-response' or type = 'transaction-response'}bdl-1:total only when a search or history {total.empty() or (type = 'searchset') or (type = 'history')}bdl-2:entry.search only when a search {entry.search.empty() or (type = 'searchset')}"
"Probleemlijst","Bundle.id","Bundle.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Probleemlijst","Bundle.meta","Bundle.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Probleemlijst","Bundle.implicitRules","Bundle.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Probleemlijst","Bundle.language","Bundle.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages|3.0.2","",,,,"Resource.language",0,1,"",""
"Probleemlijst","Bundle.identifier","Bundle.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Persistent identifier for the bundle","A persistent identifier for the batch that won't change as a batch is copied from server to server.","Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results, and servers ignore Bundle.identifier when processing batches and transactions. For Documents  the .identifier SHALL be populated such that the .identifier is globally unique.","","","","","","","","",,,,,"",,,,"Bundle.identifier",0,1,"",""
"Probleemlijst","Bundle.type","Bundle.type","","","",1,1,"","","Y","code {[]} {[]}
","searchset","Indicates the purpose of this bundle - how it was intended to be used.","It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""searchset""/>","","","","",,"required","Indicates the purpose of a bundle - how it was intended to be used.","http://hl7.org/fhir/ValueSet/bundle-type|3.0.2","",,,,"Bundle.type",1,1,"",""
"Probleemlijst","Bundle.total","Bundle.total","","","",0,1,"","","Y","unsignedInt {[]} {[]}
","If search, the total number of matches","If a set of search matches, this is the total number of matches for the search (as opposed to the number of results in this bundle).","Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.","","","","","","","","",,,,,"",,,,"Bundle.total",0,1,"bdl-1
",""
"Probleemlijst","Bundle.link","Bundle.link","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Links related to this Bundle","A series of links that provide context to this bundle.","","","","","","","","","",,,,,"",,,,"Bundle.link",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Probleemlijst","Bundle.link.id","Bundle.link.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.link.extension","Bundle.link.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.link.modifierExtension","Bundle.link.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.link.relation","Bundle.link.relation","","","",1,1,"","","Y","string {[]} {[]}
","See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1","A name which details the functional use for this link - see [http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1](http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1).","","","","","","","","","",,,,,"",,,,"Bundle.link.relation",1,1,"",""
"Probleemlijst","Bundle.link.url","Bundle.link.url","","","",1,1,"","","Y","uri {[]} {[]}
","Reference details for the link","The reference details for the link.","","","","","","","","","",,,,,"",,,,"Bundle.link.url",1,1,"",""
"Probleemlijst","Bundle.entry","Bundle.entry","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Entry in the bundle - will have a resource, or information","An entry in a bundle resource - will either contain a resource, or information about a resource (transactions and history only).","","","","","","","","","",,,,,"","type:resource}
","",,"open","Bundle.entry",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
bdl-8:fullUrl cannot be a version specific reference {fullUrl.contains('/_history/').not()}bdl-5:must be a resource unless there's a request or response {resource.exists() or request.exists() or response.exists()}"
"Probleemlijst","Bundle.entry.id","Bundle.entry.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry.extension","Bundle.entry.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry.modifierExtension","Bundle.entry.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry.link","Bundle.entry.link","","","",0,*,"","","Y","null {[]} {[]}
","Links related to this entry","A series of links that provide context to this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.link",0,*,"",""
"Probleemlijst","Bundle.entry.fullUrl","Bundle.entry.fullUrl","","","",0,1,"","","Y","uri {[]} {[]}
","Absolute URL for resource (server address, or UUID/OID)","The Absolute URL for the resource.  The fullUrl SHALL not disagree with the id in the resource. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: 
* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
* Results from operations might involve resources that are not identified.","fullUrl may not be [unique in the context of a resource](http://hl7.org/fhir/STU3/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/STU3/references.html), the absolute URL may not end with the logical id of the resource (Resource.id), but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/STU3/references.html#regex), then it SHALL end with the Resource.id.","","","","","","","","",,,,,"",,,,"Bundle.entry.fullUrl",0,1,"",""
"Probleemlijst","Bundle.entry.resource","Bundle.entry.resource","","","",0,1,"","","Y","Resource {[]} {[]}
","A resource in the bundle","The Resources for the entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.resource",0,1,"",""
"Probleemlijst","Bundle.entry.search","Bundle.entry.search","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Search related information","Information about the search process that lead to the creation of this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.search",0,1,"bdl-2
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Probleemlijst","Bundle.entry.search.id","Bundle.entry.search.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry.search.extension","Bundle.entry.search.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry.search.modifierExtension","Bundle.entry.search.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry.search.mode","Bundle.entry.search.mode","","","",0,1,"","","Y","code {[]} {[]}
","match | include | outcome - why this is in the result set","Why this entry is in the result set - whether it's included as a match or because of an _include requirement.","There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","","","","","","","","",,"required","Why an entry is in the result set - whether it's included as a match or because of an _include requirement.","http://hl7.org/fhir/ValueSet/search-entry-mode|3.0.2","",,,,"Bundle.entry.search.mode",0,1,"",""
"Probleemlijst","Bundle.entry.search.score","Bundle.entry.search.score","","","",0,1,"","","Y","decimal {[]} {[]}
","Search ranking (between 0 and 1)","When searching, the server's search ranking score for the entry.","Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.","","","","","","","","",,,,,"",,,,"Bundle.entry.search.score",0,1,"",""
"Probleemlijst","Bundle.entry.request","Bundle.entry.request","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.request",0,1,"bdl-3
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Probleemlijst","Bundle.entry.request.id","Bundle.entry.request.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry.request.extension","Bundle.entry.request.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry.request.modifierExtension","Bundle.entry.request.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry.request.method","Bundle.entry.request.method","","","",1,1,"","","Y","code {[]} {[]}
","GET | POST | PUT | DELETE","The HTTP verb for this entry in either a change history, or a transaction/ transaction response.","","","","","","","","","",,"required","HTTP verbs (in the HTTP command line).","http://hl7.org/fhir/ValueSet/http-verb|3.0.2","",,,,"Bundle.entry.request.method",1,1,"",""
"Probleemlijst","Bundle.entry.request.url","Bundle.entry.request.url","","","",1,1,"","","Y","uri {[]} {[]}
","URL for HTTP equivalent of this entry","The URL for this entry, relative to the root (the address to which the request is posted).","E.g. for a Patient Create, the method would be ""POST"" and the URL would be ""Patient"". For a Patient Update, the method would be PUT, and the URL would be ""Patient/[id]"".","","","","","","","","",,,,,"",,,,"Bundle.entry.request.url",1,1,"",""
"Probleemlijst","Bundle.entry.request.ifNoneMatch","Bundle.entry.request.ifNoneMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing cache currency","If the ETag values match, return a 304 Not Modified status. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneMatch",0,1,"",""
"Probleemlijst","Bundle.entry.request.ifModifiedSince","Bundle.entry.request.ifModifiedSince","","","",0,1,"","","Y","instant {[]} {[]}
","For managing update contention","Only perform the operation if the last updated date matches. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifModifiedSince",0,1,"",""
"Probleemlijst","Bundle.entry.request.ifMatch","Bundle.entry.request.ifMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing update contention","Only perform the operation if the Etag value matches. For more information, see the API section [""Managing Resource Contention""](http://hl7.org/fhir/STU3/http.html#concurrency).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifMatch",0,1,"",""
"Probleemlijst","Bundle.entry.request.ifNoneExist","Bundle.entry.request.ifNoneExist","","","",0,1,"","","Y","string {[]} {[]}
","For conditional creates","Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [""Conditional Create""](http://hl7.org/fhir/STU3/http.html#ccreate). This is just the query portion of the URL - what follows the ""?"" (not including the ""?"").","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneExist",0,1,"",""
"Probleemlijst","Bundle.entry.response","Bundle.entry.response","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response",0,1,"bdl-4
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Probleemlijst","Bundle.entry.response.id","Bundle.entry.response.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry.response.extension","Bundle.entry.response.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry.response.modifierExtension","Bundle.entry.response.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry.response.status","Bundle.entry.response.status","","","",1,1,"","","Y","string {[]} {[]}
","Status response code (text optional)","The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.status",1,1,"",""
"Probleemlijst","Bundle.entry.response.location","Bundle.entry.response.location","","","",0,1,"","","Y","uri {[]} {[]}
","The location, if the operation returns a location","The location header created by processing this operation.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.location",0,1,"",""
"Probleemlijst","Bundle.entry.response.etag","Bundle.entry.response.etag","","","",0,1,"","","Y","string {[]} {[]}
","The etag for the resource (if relevant)","The etag for the resource, it the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/STU3/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/STU3/http.html#concurrency)).","Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.etag",0,1,"",""
"Probleemlijst","Bundle.entry.response.lastModified","Bundle.entry.response.lastModified","","","",0,1,"","","Y","instant {[]} {[]}
","Server's date time modified","The date/time that the resource was modified on the server.","This has to match the same time in the meta header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.lastModified",0,1,"",""
"Probleemlijst","Bundle.entry.response.outcome","Bundle.entry.response.outcome","","","",0,1,"","","Y","Resource {[]} {[]}
","OperationOutcome with hints and warnings (for batch/transaction)","An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.outcome",0,1,"",""
"Probleemlijst","Bundle.entry:Condition","Bundle.entry","Condition","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Condition","An entry in a bundle resource - will either contain a resource, or information about a resource (transactions and history only).","","","","","","","","","",,,,,"",,,,"Bundle.entry",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
bdl-8:fullUrl cannot be a version specific reference {fullUrl.contains('/_history/').not()}bdl-5:must be a resource unless there's a request or response {resource.exists() or request.exists() or response.exists()}"
"Probleemlijst","Bundle.entry:Condition.id","Bundle.entry.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.extension","Bundle.entry.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry:Condition.modifierExtension","Bundle.entry.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry:Condition.link","Bundle.entry.link","","","",0,*,"","","Y","","Links related to this entry","A series of links that provide context to this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.link",0,*,"",""
"Probleemlijst","Bundle.entry:Condition.fullUrl","Bundle.entry.fullUrl","","","",1,1,"","","Y","uri {[]} {[]}
","Absolute URL for resource (server address, or UUID/OID)","The Absolute URL for the resource.  The fullUrl SHALL not disagree with the id in the resource. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: 
* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
* Results from operations might involve resources that are not identified.","fullUrl may not be [unique in the context of a resource](http://hl7.org/fhir/STU3/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/STU3/references.html), the absolute URL may not end with the logical id of the resource (Resource.id), but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/STU3/references.html#regex), then it SHALL end with the Resource.id.","","","","","","","","",,,,,"",,,,"Bundle.entry.fullUrl",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.resource","Bundle.entry.resource","","Concern
Probleem","",1,1,"","","Y","Condition {[CanonicalType[http://fhir.hl7.nl/zorgviewer/StructureDefinition/Condition]]} {[]}
","Problem","A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the person involved (the patient) themselves (in the form of a complaint) or by their healthcare provider (in the form of a diagnosis, for example).","Probleem","","","","","","","","",,,,,"",,,,"Bundle.entry.resource",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.search","Bundle.entry.search","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Search related information","Information about the search process that lead to the creation of this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.search",0,1,"bdl-2
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Probleemlijst","Bundle.entry:Condition.search.id","Bundle.entry.search.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.search.extension","Bundle.entry.search.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry:Condition.search.modifierExtension","Bundle.entry.search.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry:Condition.search.mode","Bundle.entry.search.mode","","","",0,1,"","","Y","code {[]} {[]}
","match | include | outcome - why this is in the result set","Why this entry is in the result set - whether it's included as a match or because of an _include requirement.","There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","","","","","","","","",,"required","Why an entry is in the result set - whether it's included as a match or because of an _include requirement.","http://hl7.org/fhir/ValueSet/search-entry-mode|3.0.2","",,,,"Bundle.entry.search.mode",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.search.score","Bundle.entry.search.score","","","",0,1,"","","Y","decimal {[]} {[]}
","Search ranking (between 0 and 1)","When searching, the server's search ranking score for the entry.","Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.","","","","","","","","",,,,,"",,,,"Bundle.entry.search.score",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.request","Bundle.entry.request","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.request",0,1,"bdl-3
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Probleemlijst","Bundle.entry:Condition.request.id","Bundle.entry.request.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.request.extension","Bundle.entry.request.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry:Condition.request.modifierExtension","Bundle.entry.request.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry:Condition.request.method","Bundle.entry.request.method","","","",1,1,"","","Y","code {[]} {[]}
","GET | POST | PUT | DELETE","The HTTP verb for this entry in either a change history, or a transaction/ transaction response.","","","","","","","","","",,"required","HTTP verbs (in the HTTP command line).","http://hl7.org/fhir/ValueSet/http-verb|3.0.2","",,,,"Bundle.entry.request.method",1,1,"",""
"Probleemlijst","Bundle.entry:Condition.request.url","Bundle.entry.request.url","","","",1,1,"","","Y","uri {[]} {[]}
","URL for HTTP equivalent of this entry","The URL for this entry, relative to the root (the address to which the request is posted).","E.g. for a Patient Create, the method would be ""POST"" and the URL would be ""Patient"". For a Patient Update, the method would be PUT, and the URL would be ""Patient/[id]"".","","","","","","","","",,,,,"",,,,"Bundle.entry.request.url",1,1,"",""
"Probleemlijst","Bundle.entry:Condition.request.ifNoneMatch","Bundle.entry.request.ifNoneMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing cache currency","If the ETag values match, return a 304 Not Modified status. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneMatch",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.request.ifModifiedSince","Bundle.entry.request.ifModifiedSince","","","",0,1,"","","Y","instant {[]} {[]}
","For managing update contention","Only perform the operation if the last updated date matches. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifModifiedSince",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.request.ifMatch","Bundle.entry.request.ifMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing update contention","Only perform the operation if the Etag value matches. For more information, see the API section [""Managing Resource Contention""](http://hl7.org/fhir/STU3/http.html#concurrency).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifMatch",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.request.ifNoneExist","Bundle.entry.request.ifNoneExist","","","",0,1,"","","Y","string {[]} {[]}
","For conditional creates","Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [""Conditional Create""](http://hl7.org/fhir/STU3/http.html#ccreate). This is just the query portion of the URL - what follows the ""?"" (not including the ""?"").","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneExist",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.response","Bundle.entry.response","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response",0,1,"bdl-4
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Probleemlijst","Bundle.entry:Condition.response.id","Bundle.entry.response.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.response.extension","Bundle.entry.response.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry:Condition.response.modifierExtension","Bundle.entry.response.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry:Condition.response.status","Bundle.entry.response.status","","","",1,1,"","","Y","string {[]} {[]}
","Status response code (text optional)","The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.status",1,1,"",""
"Probleemlijst","Bundle.entry:Condition.response.location","Bundle.entry.response.location","","","",0,1,"","","Y","uri {[]} {[]}
","The location, if the operation returns a location","The location header created by processing this operation.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.location",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.response.etag","Bundle.entry.response.etag","","","",0,1,"","","Y","string {[]} {[]}
","The etag for the resource (if relevant)","The etag for the resource, it the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/STU3/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/STU3/http.html#concurrency)).","Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.etag",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.response.lastModified","Bundle.entry.response.lastModified","","","",0,1,"","","Y","instant {[]} {[]}
","Server's date time modified","The date/time that the resource was modified on the server.","This has to match the same time in the meta header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.lastModified",0,1,"",""
"Probleemlijst","Bundle.entry:Condition.response.outcome","Bundle.entry.response.outcome","","","",0,1,"","","Y","Resource {[]} {[]}
","OperationOutcome with hints and warnings (for batch/transaction)","An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.outcome",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare","Bundle.entry","EpisodeOfCare","","",0,*,"","","Y","BackboneElement {[]} {[]}
","EpisodeOfCare","An entry in a bundle resource - will either contain a resource, or information about a resource (transactions and history only).","","","","","","","","","",,,,,"",,,,"Bundle.entry",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
bdl-8:fullUrl cannot be a version specific reference {fullUrl.contains('/_history/').not()}bdl-5:must be a resource unless there's a request or response {resource.exists() or request.exists() or response.exists()}"
"Probleemlijst","Bundle.entry:EpisodeOfCare.id","Bundle.entry.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.extension","Bundle.entry.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.modifierExtension","Bundle.entry.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.link","Bundle.entry.link","","","",0,*,"","","Y","","Links related to this entry","A series of links that provide context to this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.link",0,*,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.fullUrl","Bundle.entry.fullUrl","","","",1,1,"","","Y","uri {[]} {[]}
","Absolute URL for resource (server address, or UUID/OID)","The Absolute URL for the resource.  The fullUrl SHALL not disagree with the id in the resource. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: 
* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
* Results from operations might involve resources that are not identified.","fullUrl may not be [unique in the context of a resource](http://hl7.org/fhir/STU3/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/STU3/references.html), the absolute URL may not end with the logical id of the resource (Resource.id), but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/STU3/references.html#regex), then it SHALL end with the Resource.id.","","","","","","","","",,,,,"",,,,"Bundle.entry.fullUrl",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.resource","Bundle.entry.resource","","Case Program Problem
","",1,1,"","","Y","EpisodeOfCare {[CanonicalType[http://fhir.hl7.nl/zorgviewer/StructureDefinition/EpisodeOfCare]]} {[]}
","An association of a Patient with an Organization and  Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility","An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time.","Zorgepisode","","","","","","","","",,,,,"",,,,"Bundle.entry.resource",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.search","Bundle.entry.search","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Search related information","Information about the search process that lead to the creation of this entry.","","","","","","","","","",,,,,"",,,,"Bundle.entry.search",0,1,"bdl-2
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Probleemlijst","Bundle.entry:EpisodeOfCare.search.id","Bundle.entry.search.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.search.extension","Bundle.entry.search.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.search.modifierExtension","Bundle.entry.search.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.search.mode","Bundle.entry.search.mode","","","",0,1,"","","Y","code {[]} {[]}
","match | include | outcome - why this is in the result set","Why this entry is in the result set - whether it's included as a match or because of an _include requirement.","There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","","","","","","","","",,"required","Why an entry is in the result set - whether it's included as a match or because of an _include requirement.","http://hl7.org/fhir/ValueSet/search-entry-mode|3.0.2","",,,,"Bundle.entry.search.mode",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.search.score","Bundle.entry.search.score","","","",0,1,"","","Y","decimal {[]} {[]}
","Search ranking (between 0 and 1)","When searching, the server's search ranking score for the entry.","Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.","","","","","","","","",,,,,"",,,,"Bundle.entry.search.score",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.request","Bundle.entry.request","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.request",0,1,"bdl-3
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Probleemlijst","Bundle.entry:EpisodeOfCare.request.id","Bundle.entry.request.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.request.extension","Bundle.entry.request.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.request.modifierExtension","Bundle.entry.request.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.request.method","Bundle.entry.request.method","","","",1,1,"","","Y","code {[]} {[]}
","GET | POST | PUT | DELETE","The HTTP verb for this entry in either a change history, or a transaction/ transaction response.","","","","","","","","","",,"required","HTTP verbs (in the HTTP command line).","http://hl7.org/fhir/ValueSet/http-verb|3.0.2","",,,,"Bundle.entry.request.method",1,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.request.url","Bundle.entry.request.url","","","",1,1,"","","Y","uri {[]} {[]}
","URL for HTTP equivalent of this entry","The URL for this entry, relative to the root (the address to which the request is posted).","E.g. for a Patient Create, the method would be ""POST"" and the URL would be ""Patient"". For a Patient Update, the method would be PUT, and the URL would be ""Patient/[id]"".","","","","","","","","",,,,,"",,,,"Bundle.entry.request.url",1,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.request.ifNoneMatch","Bundle.entry.request.ifNoneMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing cache currency","If the ETag values match, return a 304 Not Modified status. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneMatch",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.request.ifModifiedSince","Bundle.entry.request.ifModifiedSince","","","",0,1,"","","Y","instant {[]} {[]}
","For managing update contention","Only perform the operation if the last updated date matches. See the API documentation for [""Conditional Read""](http://hl7.org/fhir/STU3/http.html#cread).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifModifiedSince",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.request.ifMatch","Bundle.entry.request.ifMatch","","","",0,1,"","","Y","string {[]} {[]}
","For managing update contention","Only perform the operation if the Etag value matches. For more information, see the API section [""Managing Resource Contention""](http://hl7.org/fhir/STU3/http.html#concurrency).","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifMatch",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.request.ifNoneExist","Bundle.entry.request.ifNoneExist","","","",0,1,"","","Y","string {[]} {[]}
","For conditional creates","Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [""Conditional Create""](http://hl7.org/fhir/STU3/http.html#ccreate). This is just the query portion of the URL - what follows the ""?"" (not including the ""?"").","","","","","","","","","",,,,,"",,,,"Bundle.entry.request.ifNoneExist",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.response","Bundle.entry.response","","","",0,1,"","","Y","BackboneElement {[]} {[]}
","Transaction Related Information","Additional information about how this entry should be processed as part of a transaction.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response",0,1,"bdl-4
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Probleemlijst","Bundle.entry:EpisodeOfCare.response.id","Bundle.entry.response.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.response.extension","Bundle.entry.response.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.response.modifierExtension","Bundle.entry.response.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.response.status","Bundle.entry.response.status","","","",1,1,"","","Y","string {[]} {[]}
","Status response code (text optional)","The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.status",1,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.response.location","Bundle.entry.response.location","","","",0,1,"","","Y","uri {[]} {[]}
","The location, if the operation returns a location","The location header created by processing this operation.","","","","","","","","","",,,,,"",,,,"Bundle.entry.response.location",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.response.etag","Bundle.entry.response.etag","","","",0,1,"","","Y","string {[]} {[]}
","The etag for the resource (if relevant)","The etag for the resource, it the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/STU3/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/STU3/http.html#concurrency)).","Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.etag",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.response.lastModified","Bundle.entry.response.lastModified","","","",0,1,"","","Y","instant {[]} {[]}
","Server's date time modified","The date/time that the resource was modified on the server.","This has to match the same time in the meta header if a resource is included.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.lastModified",0,1,"",""
"Probleemlijst","Bundle.entry:EpisodeOfCare.response.outcome","Bundle.entry.response.outcome","","","",0,1,"","","Y","Resource {[]} {[]}
","OperationOutcome with hints and warnings (for batch/transaction)","An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.","","","","","","","","",,,,,"",,,,"Bundle.entry.response.outcome",0,1,"",""
"Probleemlijst","Bundle.signature","Bundle.signature","","","",0,1,"","","Y","Signature {[]} {[]}
","Digital Signature","Digital Signature - base64 encoded. XML-DSIg or a JWT.","The signature could be created by the ""author"" of the bundle or by the originating device.   Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.","This element allows capturing signatures on documents. It also allows signatures on messages, transactions or even query responses. It may support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.","","","","","","","",,,,,"",,,,"Bundle.signature",0,1,"",""
"Procedure","Procedure","Procedure","","Verrichting
","",0,*,"","","","null {[]} {[]}
","Procedure","An action that is or was performed on a patient. This can be a physical intervention like an operation, or less invasive like counseling or hypnotherapy.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}pro-1:Reason not done is only permitted if notDone indicator is true {notDoneReason.empty() or notDone = true}"
"Procedure","Procedure.id","Procedure.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Procedure","Procedure.meta","Procedure.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Procedure","Procedure.implicitRules","Procedure.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Procedure","Procedure.language","Procedure.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"Procedure","Procedure.text","Procedure.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Procedure","Procedure.contained","Procedure.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Procedure","Procedure.extension","Procedure.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"",""
"Procedure","Procedure.extension:procedureMethod","Procedure.extension","procedureMethod","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/procedure-method]]} {[]}
","The method used to perform the procedure","The method used to perform this procedure.","Improve definition. Add mappings.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Procedure","Procedure.extension:procedureMethod.id","Procedure.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure","Procedure.extension:procedureMethod.extension","Procedure.extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Procedure","Procedure.extension:procedureMethod.url","Procedure.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/StructureDefinition/procedure-method""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Procedure","Procedure.extension:procedureMethod.valueCodeableConcept:valueCodeableConcept","Procedure.extension.valueCodeableConcept","valueCodeableConcept","VerrichtingMethode
","",0,1,"","","","CodeableConcept {[]} {[]}
","ProcedureMethod","The method or technique that was used to perform the procedure, e.g. approach, lavage, pressuring, ets.","HCIM Procedure allows for the possiblity to define multiple procedure methods, but this core extension restricts this to just a single method, resulting in a cardinality mismatch with the zib. It is advised to use the most important procedure method in this extension.

This issue will be fixed in the next version of this profile.","","","","","","","","",,"extensible","VerrichtingMethodeCodelijst","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"Procedure","Procedure.modifierExtension","Procedure.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Procedure","Procedure.identifier","Procedure.identifier","","","",0,*,"","","Y","Identifier {[]} {[]}
","External Identifiers for this procedure","This records identifiers associated with this procedure that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).","","Need to allow connection to a wider workflow.","","","","","","","",,,,,"",,,,"Procedure.identifier",0,*,"",""
"Procedure","Procedure.definition","Procedure.definition","","","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PlanDefinition], CanonicalType[http://hl7.org/fhir/StructureDefinition/ActivityDefinition], CanonicalType[http://hl7.org/fhir/StructureDefinition/HealthcareService]]}
","Instantiates protocol or definition","A protocol, guideline, orderset or other definition that was adhered to in whole or in part by this procedure.","","","","","","","","","",,,,,"",,,,"Procedure.definition",0,*,"",""
"Procedure","Procedure.basedOn","Procedure.basedOn","","fulfills
","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/ProcedureRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ReferralRequest]]}
","A request for this procedure","A reference to a resource that contains details of the request for this procedure.","","","","","","","","","",,,,,"","type:$this.resolve()}
","",,"open","Procedure.basedOn",0,*,"",""
"Procedure","Procedure.basedOn:request","Procedure.basedOn","request","fulfills
","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest]]}
","ProcedureRequest","The ProcedureRequest that contains the details of the request for this procedure, including the requester information located at ProcedureRequest.requester.","The ProcedureRequest resource is used to capture the healthcare provider who requested the procedure as stated in the HCIM Procedure.","","","","","","","","",,,,,"",,,,"Procedure.basedOn",0,*,"",""
"Procedure","Procedure.partOf","Procedure.partOf","","container
","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationAdministration]]}
","Part of referenced event","A larger event of which this particular procedure is a component or step.","The MedicationAdministration has a partOf reference to Procedure, but this is not a circular reference.  For a surgical procedure, the anesthesia related medicationAdministration is part of the procedure.  For an IV medication administration,  the procedure to insert the IV port is part of the medication administration.","","","","","","","","",,,,,"",,,,"Procedure.partOf",0,*,"",""
"Procedure","Procedure.status","Procedure.status","","","",1,1,"","Y","Y","code {[]} {[]}
","preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown","A code specifying the state of the procedure. Generally this will be in-progress or completed state.","The unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","","","","","","","","",,"required","A code specifying the state of the procedure.","http://hl7.org/fhir/ValueSet/event-status","",,,,"Procedure.status",1,1,"",""
"Procedure","Procedure.notDone","Procedure.notDone","","","",0,1,"","Y","Y","boolean {[]} {[]}
","True if procedure was not performed as scheduled","Set this to true if the record is saying that the procedure was NOT performed.","If true, it means the procedure did not occur as described.  Typically it would be accompanied by attributes describing the type of activity.  It might also be accompanied by body site information or time information (i.e. no procedure was done to the left arm or no procedure was done in this 2-year period).  Specifying additional information such as performer, outcome, etc. is generally inappropriate.  For example, it's not that useful to say ""There was no appendectomy done at 12:03pm June 6th by Dr. Smith with a successful outcome"" as it implies that there *could* have been an appendectomy done at any other time, by any other clinician or with any other outcome.

This element is labeled as a modifier because it indicates that a procedure didn't happen.","","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""false""/>","","","","","","",,,,,"",,,,"Procedure.notDone",0,1,"",""
"Procedure","Procedure.notDoneReason","Procedure.notDoneReason","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Reason procedure was not performed","A code indicating why the procedure was not performed.","","","","","","","","","",,"example","A code that identifies the reason a procedure was not performed.","http://hl7.org/fhir/ValueSet/procedure-not-performed-reason","",,,,"Procedure.notDoneReason",0,1,"pro-1
",""
"Procedure","Procedure.category","Procedure.category","","","",1,1,"","","Y","CodeableConcept {[]} {[]}
","Classification of the procedure","A code that classifies the procedure for searching, sorting and display purposes. In the Basisgegevensset Zorg (BgZ) use case, this is used to search and retrieve Surgical Procedures.","","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://snomed.info/sct""/>
    <code value=""387713003""/>
    <display value=""Surgical procedure""/>
  </coding>
</valueCodeableConcept>","","",,"example","A code that classifies a procedure for searching, sorting and display purposes.","http://hl7.org/fhir/ValueSet/procedure-category","",,,,"Procedure.category",0,1,"",""
"Procedure","Procedure.code","Procedure.code","","type
VerrichtingType","",0,1,"Y","","Y","CodeableConcept {[]} {[]}
","ProcedureType","The name of the procedure.

As of 1 January 2013, all procedures in the primary process have to be documented with CBV codes. To meet this requirement, the DHD procedure thesaurus (CBV procedures set) is used to code procedures. It is possible that in addition to the CBV procedures set, the NIC will be used for nurse procedures and that a “coded value set” will be introduced for paramedic procedures.","","0..1 to account for primarily narrative only resources.","","","","","","","",,"example","A code to identify a specific procedure .","http://hl7.org/fhir/ValueSet/procedure-code","",,,,"Procedure.code",0,1,"",""
"Procedure","Procedure.code.id","Procedure.code.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure","Procedure.code.extension","Procedure.code.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Procedure","Procedure.code.coding","Procedure.code.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:system}
","",,"open","CodeableConcept.coding",0,*,"",""
"Procedure","Procedure.code.coding:VerrichtingTypeCodelijst","Procedure.code.coding","VerrichtingTypeCodelijst","VerrichtingType
","",0,*,"Y","","Y","Coding {[]} {[]}
","ProcedureType","DHD procedure thesaurus","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","","http://fhir.hl7.nl/zorgviewer/ValueSet/VerrichtingTypeCodelist","",,,,"CodeableConcept.coding",0,*,"",""
"Procedure","Procedure.code.coding:VerrichtingTypeCodelijst.id","Procedure.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure","Procedure.code.coding:VerrichtingTypeCodelijst.extension","Procedure.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Procedure","Procedure.code.coding:VerrichtingTypeCodelijst.system","Procedure.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://snomed.info/sct""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"Procedure","Procedure.code.coding:VerrichtingTypeCodelijst.version","Procedure.code.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"Procedure","Procedure.code.coding:VerrichtingTypeCodelijst.code","Procedure.code.coding.code","","","",0,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"Procedure","Procedure.code.coding:VerrichtingTypeCodelijst.display","Procedure.code.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"Procedure","Procedure.code.coding:VerrichtingTypeCodelijst.userSelected","Procedure.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"Procedure","Procedure.code.text","Procedure.code.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Procedure","Procedure.subject","Procedure.subject","","patient
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient]]}
","Who the procedure was performed on","The person, animal or group on which the procedure was performed.","","","","","","","","","",,,,,"",,,,"Procedure.subject",1,1,"",""
"Procedure","Procedure.context","Procedure.context","","encounter
","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Encounter], CanonicalType[http://hl7.org/fhir/StructureDefinition/EpisodeOfCare]]}
","Encounter or episode associated with the procedure","The encounter during which the procedure was performed.","","","","","","","","","",,,,,"",,,,"Procedure.context",0,1,"",""
"Procedure","Procedure.performed[x]","Procedure.performed[x]","","","",0,1,"","","Y","Period {[]} {[]}
","Date/Period the procedure was performed","The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.","","","","","","","","","",,,,,"","type:$this}
","",,"closed","Procedure.performed[x]",0,1,"",""
"Procedure","Procedure.performed[x]:performedPeriod","Procedure.performed[x]","performedPeriod","","",0,1,"Y","","Y","Period {[]} {[]}
","Date/Period the procedure was performed","The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.","","","","","","","","","",,,,,"",,,,"Procedure.performed[x]",0,1,"",""
"Procedure","Procedure.performed[x]:performedPeriod.id","Procedure.performed[x].id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure","Procedure.performed[x]:performedPeriod.extension","Procedure.performed[x].extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Procedure","Procedure.performed[x]:performedPeriod.start","Procedure.performed[x].start","","VerrichtingStartDatum
","",0,1,"","","Y","dateTime {[]} {[]}
","ProcedureStartDate","The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.&#xD;&#xA;The element offers the option to indicate the start of the period of a series of related procedures.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"per-1
",""
"Procedure","Procedure.performed[x]:performedPeriod.end","Procedure.performed[x].end","","VerrichtingEindDatum
","",0,1,"","","Y","dateTime {[]} {[]}
","ProcedureEndDate","The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.&#xD;&#xA;The element offers the option to indicate the end of the period of a series of related procedures.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"per-1
",""
"Procedure","Procedure.performer","Procedure.performer","","UitgevoerdDoor
Locatie","",0,*,"","","Y","BackboneElement {[]} {[]}
","HealthProfessional | Location::HealthcareProvider","The healthcare professional that carried out the procedure. The healthcare center (location) where the procedure was or is carried out.","Note: Procedure.location could have been used for mapping the Location::HealthcareProvider. In most anticipated cases this would lead to an empty Location resource except for Location.managingOrganization. For efficiency the mapping has thus been done here. Should a Location::HealthcareProvider with an OrganizationLocation be targeted, then this may be solved using Organization.name 'OrganizationLocation' + Organization.partOf 'HealthcareProvider'","","","","","","","","",,,,,"",,,,"Procedure.performer",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Procedure","Procedure.performer.id","Procedure.performer.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure","Procedure.performer.extension","Procedure.performer.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Procedure","Procedure.performer.modifierExtension","Procedure.performer.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Procedure","Procedure.performer.role","Procedure.performer.role","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","The role the actor was in","For example: surgeon, anaethetist, endoscopist.","","","","","","","","","",,"example","A code that identifies the role of a performer of the procedure.","http://hl7.org/fhir/ValueSet/performer-role","",,,,"Procedure.performer.role",0,1,"",""
"Procedure","Procedure.performer.role.id","Procedure.performer.role.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure","Procedure.performer.role.extension","Procedure.performer.role.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Procedure","Procedure.performer.role.coding","Procedure.performer.role.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:$this}
","",,"open","CodeableConcept.coding",0,*,"",""
"Procedure","Procedure.performer.role.coding:healthProfessionalRole","Procedure.performer.role.coding","healthProfessionalRole","ZorgverlenerRol
","",0,*,"","","Y","Coding {[]} {[]}
","HealthProfessionalRole","The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,"required","","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000","",,,,"CodeableConcept.coding",0,*,"",""
"Procedure","Procedure.performer.role.text","Procedure.performer.role.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Procedure","Procedure.performer.actor","Procedure.performer.actor","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization]]}
","The reference to the practitioner","The practitioner who was involved in the procedure.","","A reference to Device supports use cases, such as pacemakers.","","","","","","","",,,,,"",,,,"Procedure.performer.actor",1,1,"",""
"Procedure","Procedure.performer.actor.id","Procedure.performer.actor.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure","Procedure.performer.actor.extension","Procedure.performer.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Procedure","Procedure.performer.actor.extension:practitionerRole","Procedure.performer.actor.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Procedure","Procedure.performer.actor.reference","Procedure.performer.actor.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"Procedure","Procedure.performer.actor.identifier","Procedure.performer.actor.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"Procedure","Procedure.performer.actor.display","Procedure.performer.actor.display","","","",0,1,"Y","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"Procedure","Procedure.performer.onBehalfOf","Procedure.performer.onBehalfOf","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization the device or practitioner was acting for","The organization the device or practitioner was acting on behalf of.","","Practitioners and Devices can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of when performing the action.","","","","","","","",,,,,"",,,,"Procedure.performer.onBehalfOf",0,1,"",""
"Procedure","Procedure.location","Procedure.location","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]]}
","Where the procedure happened","The location where the procedure actually happened.  E.g. a newborn at home, a tracheostomy at a restaurant.","","Ties a procedure to where the records are likely kept.","","","","","","","",,,,,"",,,,"Procedure.location",0,1,"",""
"Procedure","Procedure.location.id","Procedure.location.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure","Procedure.location.extension","Procedure.location.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Procedure","Procedure.location.reference","Procedure.location.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"Procedure","Procedure.location.identifier","Procedure.location.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"Procedure","Procedure.location.display","Procedure.location.display","","","",0,1,"Y","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"Procedure","Procedure.reasonCode","Procedure.reasonCode","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Coded reason procedure performed","The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text.","","","","","","","","","",,"example","A code that identifies the reason a procedure is  required.","http://hl7.org/fhir/ValueSet/procedure-reason","",,,,"Procedure.reasonCode",0,*,"",""
"Procedure","Procedure.reasonReference","Procedure.reasonReference","","Indicatie
","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-Problem]]}
","Indication","The indication is the reason for the procedure.","e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic.","","","","","","","","",,,,,"",,,,"Procedure.reasonReference",0,*,"",""
"Procedure","Procedure.bodySite","Procedure.bodySite","","VerrichtingAnatomischeLocatie
","",0,*,"","","Y","CodeableConcept {[]} {[]}
","ProcedureAnatomicalLocation","Anatomical location which is the focus of the procedure.","","","","","","","","","",,"extensible","Anatomical location which is the focus of the procedure.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000","",,,,"Procedure.bodySite",0,*,"",""
"Procedure","Procedure.bodySite.id","Procedure.bodySite.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure","Procedure.bodySite.extension","Procedure.bodySite.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Procedure","Procedure.bodySite.extension:ProcedureLaterality","Procedure.bodySite.extension","ProcedureLaterality","","",0,1,"Y","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier]]} {[]}
","Extension","Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.","","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Procedure","Procedure.bodySite.extension:ProcedureLaterality.id","Procedure.bodySite.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure","Procedure.bodySite.extension:ProcedureLaterality.extension","Procedure.bodySite.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Procedure","Procedure.bodySite.extension:ProcedureLaterality.url","Procedure.bodySite.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Procedure","Procedure.bodySite.extension:ProcedureLaterality.value[x]","Procedure.bodySite.extension.value[x]","","","",0,1,"","","","CodeableConcept {[]} {[]}
","BodySite qualifier","Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.","","","","","","","","","",,"extensible","ProcedureLateralityCodelist","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"Procedure","Procedure.bodySite.coding","Procedure.bodySite.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Procedure","Procedure.bodySite.text","Procedure.bodySite.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Procedure","Procedure.outcome","Procedure.outcome","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","The result of procedure","The outcome of the procedure - did it resolve reasons for the procedure being performed?","If outcome contains narrative text only, it can be captured using the CodeableConcept.text.","","","","","","","","",,"example","An outcome of a procedure - whether it was resolved or otherwise.","http://hl7.org/fhir/ValueSet/procedure-outcome","",,,,"Procedure.outcome",0,1,"",""
"Procedure","Procedure.report","Procedure.report","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-TextResult]]}
","Any report resulting from the procedure","Any report resulting from the procedure.","Note that the HCIM TextResultForTransfer-v1.2 has this relationship reversed, so the relationship goes from report to procedure.","","","","","","","","",,,,,"",,,,"Procedure.report",0,*,"",""
"Procedure","Procedure.complication","Procedure.complication","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Complication following the procedure","Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.","If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.","","","","","","","","",,"example","Codes describing complications that resulted from a procedure.","http://hl7.org/fhir/ValueSet/condition-code","",,,,"Procedure.complication",0,*,"",""
"Procedure","Procedure.complicationDetail","Procedure.complicationDetail","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Condition]]}
","A condition that is a result of the procedure","Any complications that occurred during the procedure, or in the immediate post-performance period.","","This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.","","","","","","","",,,,,"",,,,"Procedure.complicationDetail",0,*,"",""
"Procedure","Procedure.followUp","Procedure.followUp","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Instructions for follow up","If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note, or could potentially be more complex in which case the CarePlan resource can be used.","","","","","","","","","",,"example","Specific follow up required for a procedure e.g. removal of sutures.","http://hl7.org/fhir/ValueSet/procedure-followup","",,,,"Procedure.followUp",0,*,"",""
"Procedure","Procedure.note","Procedure.note","","","",0,*,"","","","Annotation {[]} {[]}
","Additional information about the procedure","Any other notes about the procedure.  E.g. the operative notes.","","","","","","","","","",,,,,"",,,,"Procedure.note",0,*,"",""
"Procedure","Procedure.focalDevice","Procedure.focalDevice","","","",0,*,"","","","BackboneElement {[]} {[]}
","Device changed in procedure","A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.","","","","","","","","","",,,,,"",,,,"Procedure.focalDevice",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Procedure","Procedure.focalDevice.id","Procedure.focalDevice.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure","Procedure.focalDevice.extension","Procedure.focalDevice.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Procedure","Procedure.focalDevice.modifierExtension","Procedure.focalDevice.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Procedure","Procedure.focalDevice.action","Procedure.focalDevice.action","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Kind of change to device","The kind of change that happened to the device during the procedure.","","","","","","","","","",,"preferred","A kind of change that happened to the device during the procedure.","http://hl7.org/fhir/ValueSet/device-action","",,,,"Procedure.focalDevice.action",0,1,"",""
"Procedure","Procedure.focalDevice.manipulated","Procedure.focalDevice.manipulated","","MedischHulpmiddel
","",1,1,"","","","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct]]}
","MedicalDevice","The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.","","","","","","","","","",,,,,"",,,,"Procedure.focalDevice.manipulated",1,1,"",""
"Procedure","Procedure.usedReference","Procedure.usedReference","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Medication], CanonicalType[http://hl7.org/fhir/StructureDefinition/Substance]]}
","Items used during procedure","Identifies medications, devices and any other substance used as part of the procedure.","For devices actually implanted or removed, use Procedure.device.","Used for tracking contamination, etc.","","","","","","","",,,,,"",,,,"Procedure.usedReference",0,*,"",""
"Procedure","Procedure.usedCode","Procedure.usedCode","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Coded items used during the procedure","Identifies coded items that were used as part of the procedure.","For devices actually implanted or removed, use Procedure.device.","","","","","","","","",,"example","Codes describing items used during a procedure","http://hl7.org/fhir/ValueSet/device-kind","",,,,"Procedure.usedCode",0,*,"",""
"Specimen","Specimen","Specimen","","Monster
","",0,*,"","","","null {[]} {[]}
","Specimen","A sample to be used for analysis. The HCIM LaboratoryTestResult only contains Specimen details at container and collection level. It is not prohibited, rather expected that other details will be present too.","","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}"
"Specimen","Specimen.id","Specimen.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Specimen","Specimen.meta","Specimen.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"Specimen","Specimen.implicitRules","Specimen.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"Specimen","Specimen.language","Specimen.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"Specimen","Specimen.text","Specimen.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"Specimen","Specimen.contained","Specimen.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"Specimen","Specimen.extension","Specimen.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"Specimen","Specimen.modifierExtension","Specimen.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"Specimen","Specimen.identifier","Specimen.identifier","","Monsternummer
","",0,*,"","","Y","Identifier {[]} {[]}
","SpecimenId","Identification number of the material obtained, as a reference for inquiries to the source organization. In a transmural setting, this number will consist of a specimen number including the identification of the issuing organization, to be unique outside of the borders of an organization.","","","","","","","","","",,,,,"",,,,"Specimen.identifier",0,*,"",""
"Specimen","Specimen.accessionIdentifier","Specimen.accessionIdentifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Identifier assigned by the lab","The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.","","","","","","","","","",,,,,"",,,,"Specimen.accessionIdentifier",0,1,"",""
"Specimen","Specimen.status","Specimen.status","","","",0,1,"","Y","Y","code {[]} {[]}
","available | unavailable | unsatisfactory | entered-in-error","The availability of the specimen.","This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","","","","","","","","",,"required","Codes providing the status/availability of a specimen.","http://hl7.org/fhir/ValueSet/specimen-status","",,,,"Specimen.status",0,1,"",""
"Specimen","Specimen.type","Specimen.type","","Monstermateriaal
","",0,1,"","","Y","CodeableConcept {[]} {[]}
","SpecimenMaterial","SpecimenMaterial describes the material obtained or the isolate that was derived from the material. If the LOINC test code also implicitly describes a material, this element may not conflict with the description. If desired, this component can provide a more detailed description of the material: LOINC codes only contain the materials at a main level. 
This is in line with the agreements made in the IHE/Nictiz program e-Lab. 
 
If the test is carried out on derived material (such as plasma), this element will still contain the material drawn (in this case, blood). In this case, the LOINC code will generally refer to plasma.","The type can change the way that a specimen is handled, and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems.","","","","","","","","",,"extensible","The type of the specimen.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.6--20171231000000","",,,,"Specimen.type",0,1,"",""
"Specimen","Specimen.type.id","Specimen.type.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Specimen","Specimen.type.extension","Specimen.type.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Specimen","Specimen.type.coding","Specimen.type.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Specimen","Specimen.type.text","Specimen.type.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Specimen","Specimen.subject","Specimen.subject","","BronMonster
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct], CanonicalType[http://hl7.org/fhir/StructureDefinition/Substance]]}
","SpecimenSource","If the material is not collected directly from the patient but comes from a patient-related object, e.g. a cathetertip, this source of material can be recorded here using the HCIM MedicalDeviceProduct.","","Must know the subject context.","","","","","","","",,,,,"",,,,"Specimen.subject",1,1,"",""
"Specimen","Specimen.receivedTime","Specimen.receivedTime","","AannameDatumTijd
","",0,1,"","","Y","dateTime {[]} {[]}
","ReceivedDateTime","Date and time that the material is handed over at the laboratory or specimen collection center. This is the issue with material that is collected by the patient himself.","","","","","","","","","",,,,,"",,,,"Specimen.receivedTime",0,1,"",""
"Specimen","Specimen.parent","Specimen.parent","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen], CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen-Isolate]]}
","Specimen from which this specimen originated","Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.","The parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample.","","","","","","","","",,,,,"",,,,"Specimen.parent",0,*,"",""
"Specimen","Specimen.request","Specimen.request","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/ProcedureRequest]]}
","Why the specimen was collected","Details concerning a test or procedure request that required a specimen to be collected.","The request may be explicit or implied such with a ProcedureRequest that requires a blood draw.","","","","","","","","",,,,,"",,,,"Specimen.request",0,*,"",""
"Specimen","Specimen.collection","Specimen.collection","","","",0,1,"","","","BackboneElement {[]} {[]}
","Collection details","Details concerning the specimen collection.","","","","","","","","","",,,,,"",,,,"Specimen.collection",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Specimen","Specimen.collection.id","Specimen.collection.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Specimen","Specimen.collection.extension","Specimen.collection.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Specimen","Specimen.collection.modifierExtension","Specimen.collection.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Specimen","Specimen.collection.collector","Specimen.collection.collector","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner]]}
","Who collected the specimen","Person who collected the specimen.","","","","","","","","","",,,,,"",,,,"Specimen.collection.collector",0,1,"",""
"Specimen","Specimen.collection.collected[x]","Specimen.collection.collected[x]","","","",0,1,"","","Y","dateTime {[]} {[]}
Period {[]} {[]}","Collection time","Time at which the material was collected.

If the material has not been collected at a single point in time but over a certain period, this period can be captured in this concept. An example is 24 hour urine.","","","","","","","","","",,,,,"","type:$this}
","",,"open","Specimen.collection.collected[x]",0,1,"",""
"Specimen","Specimen.collection.collected[x]:collectedDateTime","Specimen.collection.collected[x]","collectedDateTime","AfnameDatumTijd
","",0,1,"","","Y","dateTime {[]} {[]}
","CollectionDateTime","Time when specimen was collected from subject - the physiologically relevant time.","","","","","","","","","",,,,,"",,,,"Specimen.collection.collected[x]",0,1,"",""
"Specimen","Specimen.collection.collected[x]:collectedPeriod","Specimen.collection.collected[x]","collectedPeriod","Verzamelperiode
","",0,1,"","","Y","Period {[]} {[]}
","CollectionPeriod","Time when specimen was collected from subject - the physiologically relevant time.","","","","","","","","","",,,,,"",,,,"Specimen.collection.collected[x]",0,1,"",""
"Specimen","Specimen.collection.collected[x]:collectedPeriod.id","Specimen.collection.collected[x].id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Specimen","Specimen.collection.collected[x]:collectedPeriod.extension","Specimen.collection.collected[x].extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Specimen","Specimen.collection.collected[x]:collectedPeriod.extension:period-duration","Specimen.collection.collected[x].extension","period-duration","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/period-duration]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Specimen","Specimen.collection.collected[x]:collectedPeriod.start","Specimen.collection.collected[x].start","","","",0,1,"","","Y","dateTime {[]} {[]}
","Starting time with inclusive boundary","The start of the period. The boundary is inclusive.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"per-1
",""
"Specimen","Specimen.collection.collected[x]:collectedPeriod.end","Specimen.collection.collected[x].end","","","",0,1,"","","Y","dateTime {[]} {[]}
","End time with inclusive boundary, if not ongoing","The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"per-1
",""
"Specimen","Specimen.collection.quantity","Specimen.collection.quantity","","Verzamelvolume
","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","CollectedVolume","Total volume of the collected material. If it is necessary to determine the absolute amount of a particular substance in the collected material, the volume thereof must be given.","","","","","","","","","",,,,,"",,,,"Specimen.collection.quantity",0,1,"",""
"Specimen","Specimen.collection.method","Specimen.collection.method","","Afnameprocedure
","",0,1,"","","","CodeableConcept {[]} {[]}
","CollectionMethod","If relevant for the results, the method of obtaining the specimen can be entered as well.","","","","","","","","","",,"extensible","The  technique that is used to perform the procedure","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.2--20171231000000","",,,,"Specimen.collection.method",0,1,"",""
"Specimen","Specimen.collection.bodySite","Specimen.collection.bodySite","","AnatomischeLocatie
","",0,1,"","","","CodeableConcept {[]} {[]}
","AnatomicalLocation","Anatomic location where the material is collected, e.g. elbow.","If the use case requires  BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately)  then use the standard extension [body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html).","","","","","","","","",,"extensible","SpecimenAnatomicalLocationCodelist","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.11--20171231000000","",,,,"Specimen.collection.bodySite",0,1,"",""
"Specimen","Specimen.collection.bodySite.id","Specimen.collection.bodySite.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Specimen","Specimen.collection.bodySite.extension","Specimen.collection.bodySite.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Specimen","Specimen.collection.bodySite.extension:laterality","Specimen.collection.bodySite.extension","laterality","extensions
user content","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier]]} {[]}
","Laterality","Laterality adds information about body side to the anatomic location, e.g. left","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Specimen","Specimen.collection.bodySite.extension:laterality.id","Specimen.collection.bodySite.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Specimen","Specimen.collection.bodySite.extension:laterality.extension","Specimen.collection.bodySite.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Specimen","Specimen.collection.bodySite.extension:laterality.url","Specimen.collection.bodySite.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Specimen","Specimen.collection.bodySite.extension:laterality.value[x]","Specimen.collection.bodySite.extension.value[x]","","","",0,1,"","","","CodeableConcept {[]} {[]}
","BodySite qualifier","Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.","","","","","","","","","",,"extensible","LateralityCodelist","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.12--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"Specimen","Specimen.collection.bodySite.extension:morphology","Specimen.collection.bodySite.extension","morphology","extensions
user contentMorfologie","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology]]} {[]}
","Morphology","Morphology describes morphological abnormalities of the anatomical location where the material is taken, for example wound, ulcer.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Specimen","Specimen.collection.bodySite.extension:morphology.id","Specimen.collection.bodySite.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Specimen","Specimen.collection.bodySite.extension:morphology.extension","Specimen.collection.bodySite.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Specimen","Specimen.collection.bodySite.extension:morphology.url","Specimen.collection.bodySite.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"Specimen","Specimen.collection.bodySite.extension:morphology.value[x]:valueCodeableConcept","Specimen.collection.bodySite.extension.value[x]","valueCodeableConcept","Morfologie
","",0,1,"","","","CodeableConcept {[]} {[]}
","BodySite morphology","Morphology describes morphological abnormalities of the anatomical location where the material is taken, for example wound, ulcer.","","","","","","","","","",,"extensible","MorphologyCodelist","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.13--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"Specimen","Specimen.collection.bodySite.coding","Specimen.collection.bodySite.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"Specimen","Specimen.collection.bodySite.text","Specimen.collection.bodySite.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"Specimen","Specimen.processing","Specimen.processing","","","",0,*,"","","","BackboneElement {[]} {[]}
","Processing and processing step details","Details concerning processing and processing steps for the specimen.","","","","","","","","","",,,,,"",,,,"Specimen.processing",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Specimen","Specimen.processing.id","Specimen.processing.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Specimen","Specimen.processing.extension","Specimen.processing.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Specimen","Specimen.processing.modifierExtension","Specimen.processing.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Specimen","Specimen.processing.description","Specimen.processing.description","","","",0,1,"","","","string {[]} {[]}
","Textual description of procedure","Textual description of procedure.","","","","","","","","","",,,,,"",,,,"Specimen.processing.description",0,1,"",""
"Specimen","Specimen.processing.procedure","Specimen.processing.procedure","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Indicates the treatment step  applied to the specimen","A coded value specifying the procedure used to process the specimen.","","","","","","","","","",,"example","Type indicating the technique used to process the specimen","http://hl7.org/fhir/ValueSet/specimen-processing-procedure","",,,,"Specimen.processing.procedure",0,1,"",""
"Specimen","Specimen.processing.additive","Specimen.processing.additive","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Substance]]}
","Material used in the processing step","Material used in the processing step.","","","","","","","","","",,,,,"",,,,"Specimen.processing.additive",0,*,"",""
"Specimen","Specimen.processing.time[x]","Specimen.processing.time[x]","","","",0,1,"","","","dateTime {[]} {[]}
Period {[]} {[]}","Date and time of specimen processing","A record of the time or period when the specimen processing occurred.  For example the time of sample fixation or the period of time the sample was in formalin.","","","","","","","","","",,,,,"",,,,"Specimen.processing.time[x]",0,1,"",""
"Specimen","Specimen.container","Specimen.container","","Monstercontainer
","",0,*,"","","","BackboneElement {[]} {[]}
","SpecimenContainer","The container holding the specimen.  The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.","","","","","","","","","",,,,,"",,,,"Specimen.container",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"Specimen","Specimen.container.id","Specimen.container.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Specimen","Specimen.container.extension","Specimen.container.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"Specimen","Specimen.container.modifierExtension","Specimen.container.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"Specimen","Specimen.container.identifier","Specimen.container.identifier","","Monstervolgnummer
","",0,*,"","","Y","Identifier {[]} {[]}
","SpecimenNumberExtension","The specimen number extension is used when the collected material is distributed from the original tube or container across multiple tubes. In combination with the specimen Id the extension yield a unique identification of the tube or container","","","","","","","","","",,,,,"",,,,"Specimen.container.identifier",0,*,"",""
"Specimen","Specimen.container.description","Specimen.container.description","","","",0,1,"","","","string {[]} {[]}
","Textual description of the container","Textual description of the container.","","","","","","","","","",,,,,"",,,,"Specimen.container.description",0,1,"",""
"Specimen","Specimen.container.type","Specimen.container.type","","Containertype
","",0,1,"","","","CodeableConcept {[]} {[]}
","ContainerType","Container type describes the envelope in which the material is collected or sent. Examples include blood tubes, transport container, possibly including culture medium.","","","","","","","","","",,"extensible","ContainerTypeCodelist","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.9--20171231000000","",,,,"Specimen.container.type",0,1,"",""
"Specimen","Specimen.container.capacity","Specimen.container.capacity","","","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Container volume or size","The capacity (volume or other measure) the container may contain.","","","","","","","","","",,,,,"",,,,"Specimen.container.capacity",0,1,"",""
"Specimen","Specimen.container.specimenQuantity","Specimen.container.specimenQuantity","","","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Quantity of specimen within container","The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.","","","","","","","","","",,,,,"",,,,"Specimen.container.specimenQuantity",0,1,"",""
"Specimen","Specimen.container.additive[x]","Specimen.container.additive[x]","","","",0,1,"","","","CodeableConcept {[]} {[]}
Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Substance]]}","Additive associated with container","Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.","","","","","","","","","",,"example","Substance added to specimen container","http://hl7.org/fhir/ValueSet/v2-0371","",,,,"Specimen.container.additive[x]",0,1,"",""
"Specimen","Specimen.note","Specimen.note","","Toelichting
","",0,*,"","","","Annotation {[]} {[]}
","Comment","To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).","","","","","","","","","",,,,,"",,,,"Specimen.note",0,*,"",""
"Specimen","Specimen.note.id","Specimen.note.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Specimen","Specimen.note.extension","Specimen.note.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"Specimen","Specimen.note.author[x]","Specimen.note.author[x]","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]}
string {[]} {[]}","Individual responsible for the annotation","The individual responsible for making the annotation.","","","","","","","","","",,,,,"",,,,"Annotation.author[x]",0,1,"",""
"Specimen","Specimen.note.time","Specimen.note.time","","","",0,1,"","","Y","dateTime {[]} {[]}
","When the annotation was made","Indicates when this particular annotation was made.","","","","","","","","","",,,,,"",,,,"Annotation.time",0,1,"",""
"Specimen","Specimen.note.text","Specimen.note.text","","","",1,1,"Y","","","string {[]} {[]}
","The annotation  - text content","The text of the annotation.","","","","","","","","","",,,,,"",,,,"Annotation.text",1,1,"",""
"ToestemmingConsent","Consent","Consent","","","",0,*,"","","","null {[]} {[]}
","A healthcare consumer's policy choices to permits or denies recipients or roles to perform actions for specific purposes and periods of time","A record of a healthcare consumer’s policy choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.","Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.","","","","","","","","",,,,,"",,,,"Consent",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}ppc-1:Either a Policy or PolicyRule {policy.exists() or policyRule.exists()}"
"ToestemmingConsent","Consent.id","Consent.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"ToestemmingConsent","Consent.meta","Consent.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"ToestemmingConsent","Consent.implicitRules","Consent.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"ToestemmingConsent","Consent.language","Consent.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages|3.0.2","",,,,"Resource.language",0,1,"",""
"ToestemmingConsent","Consent.text","Consent.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"ToestemmingConsent","Consent.contained","Consent.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"ToestemmingConsent","Consent.extension","Consent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"ToestemmingConsent","Consent.modifierExtension","Consent.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"ToestemmingConsent","Consent.identifier","Consent.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Identifier for this record (external references)","Unique identifier for this copy of the Consent Statement.","This identifier is identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.","","","","","","<valueIdentifier xmlns=""http://hl7.org/fhir"">
  <system value=""urn:ietf:rfc:3986""/>
  <value value=""Local eCMS identifier""/>
</valueIdentifier>","","",,,,,"",,,,"Consent.identifier",0,1,"",""
"ToestemmingConsent","Consent.status","Consent.status","","","",1,1,"Y","Y","Y","code {[]} {[]}
","draft | proposed | active | rejected | inactive | entered-in-error","Indicates the current state of this consent.","This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.","The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.","","","","","","","",,"required","Indicates the state of the consent","http://hl7.org/fhir/ValueSet/consent-state-codes|3.0.2","",,,,"Consent.status",1,1,"",""
"ToestemmingConsent","Consent.category","Consent.category","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Classification of the consent statement - for indexing/retrieval","A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.","","","","","","","","","",,"example","A classification of the type of consents found in a consent statement","http://hl7.org/fhir/ValueSet/consent-category|3.0.2","",,,,"Consent.category",0,*,"",""
"ToestemmingConsent","Consent.category.id","Consent.category.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"ToestemmingConsent","Consent.category.extension","Consent.category.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"ToestemmingConsent","Consent.category.coding","Consent.category.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"ToestemmingConsent","Consent.category.coding.id","Consent.category.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"ToestemmingConsent","Consent.category.coding.extension","Consent.category.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"ToestemmingConsent","Consent.category.coding.system","Consent.category.coding.system","","","",0,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"ToestemmingConsent","Consent.category.coding.version","Consent.category.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"ToestemmingConsent","Consent.category.coding.code","Consent.category.coding.code","","","",0,1,"Y","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""Doss. delen?""/>","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"ToestemmingConsent","Consent.category.coding.display","Consent.category.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"ToestemmingConsent","Consent.category.coding.userSelected","Consent.category.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"ToestemmingConsent","Consent.category.text","Consent.category.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"ToestemmingConsent","Consent.patient","Consent.patient","","","",1,1,"Y","","Y","Reference {[]} {[CanonicalType[http://fhir.hl7.nl/zorgviewer/StructureDefinition/Patient]]}
","Who the consent applies to","The patient/healthcare consumer to whom this consent applies.","Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.","","","","","","","","",,,,,"",,,,"Consent.patient",1,1,"",""
"ToestemmingConsent","Consent.period","Consent.period","","","",0,1,"Y","","Y","Period {[]} {[]}
","Period that this consent applies","Relevant time or time-period when this Consent is applicable.","This can be a subset of the period of the original statement.","","","all date ranges included","","","","","",,,,,"",,,,"Consent.period",0,1,"",""
"ToestemmingConsent","Consent.dateTime","Consent.dateTime","","","",0,1,"","","Y","dateTime {[]} {[]}
","When this Consent was created or indexed","When this  Consent was issued / created / indexed.","This is not the time of the original consent, but the time that this statement was made or derived.","","","","","","","","",,,,,"",,,,"Consent.dateTime",0,1,"",""
"ToestemmingConsent","Consent.consentingParty","Consent.consentingParty","","consentor
","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]}
","Who is agreeing to the policy and exceptions","Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions.","Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.","","","","","","","","",,,,,"",,,,"Consent.consentingParty",0,*,"",""
"ToestemmingConsent","Consent.actor","Consent.actor","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Who|what controlled by this consent (or group, by role)","Who or what is controlled by this consent. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","There is no specific actor associated with the consent","","","","","",,,,,"",,,,"Consent.actor",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"ToestemmingConsent","Consent.actor.id","Consent.actor.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"ToestemmingConsent","Consent.actor.extension","Consent.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"ToestemmingConsent","Consent.actor.modifierExtension","Consent.actor.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"ToestemmingConsent","Consent.actor.role","Consent.actor.role","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How the actor is involved","How the individual is involved in the resources content that is described in the consent.","","","","","","","","","",,"extensible","How an actor is involved in the consent considerations","http://hl7.org/fhir/ValueSet/security-role-type|1.8.0","",,,,"Consent.actor.role",1,1,"",""
"ToestemmingConsent","Consent.actor.reference","Consent.actor.reference","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]}
","Resource for the actor (or group, by role)","The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","","","","","","",,,,,"",,,,"Consent.actor.reference",1,1,"",""
"ToestemmingConsent","Consent.action","Consent.action","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Actions controlled by this consent","Actions controlled by this consent.","Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.","","","all actions","","","","","",,"example","Detailed codes for the consent action.","http://hl7.org/fhir/ValueSet/consent-action|3.0.2","",,,,"Consent.action",0,*,"",""
"ToestemmingConsent","Consent.organization","Consent.organization","","custodian
","",0,*,"Y","","Y","Reference {[]} {[CanonicalType[http://fhir.hl7.nl/zorgviewer/StructureDefinition/Organization]]}
","Custodian of the consent","The organization that manages the consent, and the framework within which it is executed.","","","","","","","","","",,,,,"",,,,"Consent.organization",0,*,"",""
"ToestemmingConsent","Consent.source[x]","Consent.source[x]","","","",0,1,"","","Y","Attachment {[]} {[]}
Identifier {[]} {[]}Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Consent], CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/Contract], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse]]}","Source from which this consent is taken","The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.","The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.","","","","","","","","",,,,,"",,,,"Consent.source[x]",0,1,"",""
"ToestemmingConsent","Consent.policy","Consent.policy","","","",0,*,"Y","","","BackboneElement {[]} {[]}
","Policies covered by this consent","The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.","","","","","","","","","",,,,,"",,,,"Consent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"ToestemmingConsent","Consent.policy.id","Consent.policy.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"ToestemmingConsent","Consent.policy.extension","Consent.policy.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"ToestemmingConsent","Consent.policy.modifierExtension","Consent.policy.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"ToestemmingConsent","Consent.policy.authority","Consent.policy.authority","","","",0,1,"","","","uri {[]} {[]}
","Enforcement source for policy","Entity or Organization having regulatory jurisdiction or accountability for  enforcing policies pertaining to Consent Directives.","","","","","","","","","",,,,,"",,,,"Consent.policy.authority",0,1,"ppc-1
",""
"ToestemmingConsent","Consent.policy.uri","Consent.policy.uri","","","",0,1,"Y","","","uri {[]} {[]}
","Specific policy covered by this consent","The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.","This element is for discoverability / documentation, and does not modify or qualify the policy rules.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""https://rivo-noord.nl/zorgviewer/toestemming""/>","","","","",,,,,"",,,,"Consent.policy.uri",0,1,"ppc-1
",""
"ToestemmingConsent","Consent.policyRule","Consent.policyRule","","","",0,1,"","","Y","uri {[]} {[]}
","Policy that this consents to","A referece to the specific computable policy.","If the policy reference is not known, the resource cannot be processed. Where the reference is absent, there is no particular policy other than what is expressed directly in the consent resource.","Might be a unique identifier of a policy set in XACML, or other rules engine.","","","","","","","",,,,,"",,,,"Consent.policyRule",0,1,"ppc-1
",""
"ToestemmingConsent","Consent.securityLabel","Consent.securityLabel","","","",0,*,"","","Y","Coding {[]} {[]}
","Security Labels that define affected resources","A set of security labels that define which resources are controlled by this consent. If more than one label is specified, all resources must have all the specified labels.","If the consent specifies a security label of ""R"" then it applies to all resources that are labeled ""R"" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?).","","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|3.0.2","",,,,"Consent.securityLabel",0,*,"",""
"ToestemmingConsent","Consent.purpose","Consent.purpose","","","",0,*,"","","Y","Coding {[]} {[]}
","Context of activities for which the agreement is made","The context of the activities a user is taking - why the user is accessing the data - that are controlled by this consent.","This element is for discoverability / documentation, and does not modify or qualify the policy (e.g. the policy itself describes the purposes for which it applies).","","","","","","","","",,"extensible","What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels","http://hl7.org/fhir/ValueSet/v3-PurposeOfUse|2014-03-26","",,,,"Consent.purpose",0,*,"",""
"ToestemmingConsent","Consent.dataPeriod","Consent.dataPeriod","","","",0,1,"","","Y","Period {[]} {[]}
","Timeframe for data controlled by this consent","Clinical or Operational Relevant period of time that bounds the data controlled by this consent.","This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.","","","","","","","","",,,,,"",,,,"Consent.dataPeriod",0,1,"",""
"ToestemmingConsent","Consent.data","Consent.data","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Data controlled by this consent","The resources controlled by this consent, if specific resources are referenced.","","","","all data","","","","","",,,,,"",,,,"Consent.data",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"ToestemmingConsent","Consent.data.id","Consent.data.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"ToestemmingConsent","Consent.data.extension","Consent.data.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"ToestemmingConsent","Consent.data.modifierExtension","Consent.data.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"ToestemmingConsent","Consent.data.meaning","Consent.data.meaning","","","",1,1,"","","Y","code {[]} {[]}
","instance | related | dependents | authoredby","How the resource reference is interpreted when testing consent restrictions.","","","","","","","","","",,"required","How a resource reference is interpreted when testing consent restrictions","http://hl7.org/fhir/ValueSet/consent-data-meaning|3.0.2","",,,,"Consent.data.meaning",1,1,"",""
"ToestemmingConsent","Consent.data.reference","Consent.data.reference","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","The actual data reference","A reference to a specific resource that defines which resources are covered by this consent.","","","","","","","","","",,,,,"",,,,"Consent.data.reference",1,1,"",""
"ToestemmingConsent","Consent.except","Consent.except","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Additional rule -  addition or removal of permissions","An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.","","","","","","","","","",,,,,"",,,,"Consent.except",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"ToestemmingConsent","Consent.except.id","Consent.except.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"ToestemmingConsent","Consent.except.extension","Consent.except.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"ToestemmingConsent","Consent.except.modifierExtension","Consent.except.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"ToestemmingConsent","Consent.except.type","Consent.except.type","","","",1,1,"","","Y","code {[]} {[]}
","deny | permit","Action  to take - permit or deny - when the exception conditions are met.","","","","","","","","","",,"required","How an exception statement is applied, such as adding additional consent or removing consent","http://hl7.org/fhir/ValueSet/consent-except-type|3.0.2","",,,,"Consent.except.type",1,1,"",""
"ToestemmingConsent","Consent.except.period","Consent.except.period","","","",0,1,"","","Y","Period {[]} {[]}
","Timeframe for this exception","The timeframe in this exception is valid.","","","","","","","","","",,,,,"",,,,"Consent.except.period",0,1,"",""
"ToestemmingConsent","Consent.except.actor","Consent.except.actor","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Who|what controlled by this exception (or group, by role)","Who or what is controlled by this Exception. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","There is no specific actor associated with the exception","","","","","",,,,,"",,,,"Consent.except.actor",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"ToestemmingConsent","Consent.except.actor.id","Consent.except.actor.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"ToestemmingConsent","Consent.except.actor.extension","Consent.except.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"ToestemmingConsent","Consent.except.actor.modifierExtension","Consent.except.actor.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"ToestemmingConsent","Consent.except.actor.role","Consent.except.actor.role","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How the actor is involved","How the individual is involved in the resources content that is described in the exception.","","","","","","","","","",,"extensible","How an actor is involved in the consent considerations","http://hl7.org/fhir/ValueSet/security-role-type|1.8.0","",,,,"Consent.except.actor.role",1,1,"",""
"ToestemmingConsent","Consent.except.actor.reference","Consent.except.actor.reference","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]}
","Resource for the actor (or group, by role)","The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","","","","","","",,,,,"",,,,"Consent.except.actor.reference",1,1,"",""
"ToestemmingConsent","Consent.except.action","Consent.except.action","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Actions controlled by this exception","Actions controlled by this Exception.","Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.","","","all actions","","","","","",,"example","Detailed codes for the consent action.","http://hl7.org/fhir/ValueSet/consent-action|3.0.2","",,,,"Consent.except.action",0,*,"",""
"ToestemmingConsent","Consent.except.securityLabel","Consent.except.securityLabel","","","",0,*,"","","Y","Coding {[]} {[]}
","Security Labels that define affected resources","A set of security labels that define which resources are controlled by this exception. If more than one label is specified, all resources must have all the specified labels.","If the consent specifies a security label of ""R"" then it applies to all resources that are labeled ""R"" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?).","","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|3.0.2","",,,,"Consent.except.securityLabel",0,*,"",""
"ToestemmingConsent","Consent.except.purpose","Consent.except.purpose","","","",0,*,"","","Y","Coding {[]} {[]}
","Context of activities covered by this exception","The context of the activities a user is taking - why the user is accessing the data - that are controlled by this exception.","E.g. if the purpose is 'research', then the operational context must be research, in order for the consent to apply. Not all of the security labels make sense for use in this element (may define a narrower value set?).","","","","","","","","",,"extensible","What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels","http://hl7.org/fhir/ValueSet/v3-PurposeOfUse|2014-03-26","",,,,"Consent.except.purpose",0,*,"",""
"ToestemmingConsent","Consent.except.class","Consent.except.class","","","",0,*,"","","Y","Coding {[]} {[]}
","e.g. Resource Type, Profile, or CDA etc","The class of information covered by this exception. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.","Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.","","","","","","","","",,"extensible","The class (type) of information a consent rule covers","http://hl7.org/fhir/ValueSet/consent-content-class|3.0.2","",,,,"Consent.except.class",0,*,"",""
"ToestemmingConsent","Consent.except.code","Consent.except.code","","","",0,*,"","","Y","Coding {[]} {[]}
","e.g. LOINC or SNOMED CT code, etc in the content","If this code is found in an instance, then the exception applies.","Typical use of this is a Document code with class = CDA.","","","","","","","","",,"example","If this code is found in an instance, then the exception applies","http://hl7.org/fhir/ValueSet/consent-content-code|3.0.2","",,,,"Consent.except.code",0,*,"",""
"ToestemmingConsent","Consent.except.dataPeriod","Consent.except.dataPeriod","","","",0,1,"","","Y","Period {[]} {[]}
","Timeframe for data controlled by this exception","Clinical or Operational Relevant period of time that bounds the data controlled by this exception.","This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.","","","","","","","","",,,,,"",,,,"Consent.except.dataPeriod",0,1,"",""
"ToestemmingConsent","Consent.except.data","Consent.except.data","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Data controlled by this exception","The resources controlled by this exception, if specific resources are referenced.","","","","all data","","","","","",,,,,"",,,,"Consent.except.data",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"ToestemmingConsent","Consent.except.data.id","Consent.except.data.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"ToestemmingConsent","Consent.except.data.extension","Consent.except.data.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"ToestemmingConsent","Consent.except.data.modifierExtension","Consent.except.data.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"ToestemmingConsent","Consent.except.data.meaning","Consent.except.data.meaning","","","",1,1,"","","Y","code {[]} {[]}
","instance | related | dependents | authoredby","How the resource reference is interpreted when testing consent restrictions.","","","","","","","","","",,"required","How a resource reference is interpreted when testing consent restrictions","http://hl7.org/fhir/ValueSet/consent-data-meaning|3.0.2","",,,,"Consent.except.data.meaning",1,1,"",""
"ToestemmingConsent","Consent.except.data.reference","Consent.except.data.reference","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","The actual data reference","A reference to a specific resource that defines which resources are covered by this consent.","","","","","","","","","",,,,,"",,,,"Consent.except.data.reference",1,1,"",""
"TreatmentDirective","Consent","Consent","","BehandelAanwijzing
","",0,*,"","","","null {[]} {[]}
","TreatmentDirective","A record of a healthcare consumer’s policy choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.","Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.","","","","","","","","",,,,,"",,,,"Resource",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}ppc-1:Either a Policy or PolicyRule {policy.exists() or policyRule.exists()}hcim-treatmentdirective-1:extension.additionalSources may only be used for AdvanceDirective references in addition to first reference in .source[x] {extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources').empty() or source.exists()}"
"TreatmentDirective","Consent.id","Consent.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"TreatmentDirective","Consent.meta","Consent.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"TreatmentDirective","Consent.implicitRules","Consent.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"TreatmentDirective","Consent.language","Consent.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"",""
"TreatmentDirective","Consent.text","Consent.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"TreatmentDirective","Consent.contained","Consent.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"TreatmentDirective","Consent.extension","Consent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"",""
"TreatmentDirective","Consent.extension:verification","Consent.extension","verification","Verificatie
","",0,1,"Y","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification]]} {[]}
","Verification","Container of the Verification concept. This container contains all data elements of the Verification concept.","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"TreatmentDirective","Consent.extension:verification.id","Consent.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.extension:verification.extension","Consent.extension.extension","","extensions
user content","",1,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.extension:verification.extension:Verified","Consent.extension.extension","Verified","extensions
user contentGeverifieerd","",1,1,"","","","Extension {[]} {[]}
","Verified","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"TreatmentDirective","Consent.extension:verification.extension:Verified.id","Consent.extension.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.extension:verification.extension:Verified.extension","Consent.extension.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.extension:verification.extension:Verified.url","Consent.extension.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""Verified""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"TreatmentDirective","Consent.extension:verification.extension:Verified.valueBoolean:valueBoolean","Consent.extension.extension.valueBoolean","valueBoolean","Geverifieerd
","",0,1,"","","","boolean {[]} {[]}
","Verified","Indication of the fact that the treatment instruction has been verified with the patient, the patient’s family and/or the patient's authorized representative.","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"TreatmentDirective","Consent.extension:verification.extension:VerifiedWith","Consent.extension.extension","VerifiedWith","","",0,1,"Y","","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"TreatmentDirective","Consent.extension:verification.extension:VerifiedWith.id","Consent.extension.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.extension:verification.extension:VerifiedWith.extension","Consent.extension.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.extension:verification.extension:VerifiedWith.url","Consent.extension.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""VerifiedWith""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"TreatmentDirective","Consent.extension:verification.extension:VerifiedWith.valueCodeableConcept:valueCodeableConcept","Consent.extension.extension.valueCodeableConcept","valueCodeableConcept","","",0,1,"Y","","","CodeableConcept {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"extensible","The person with whom the treatment instruction was discussed and verified.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.4--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"TreatmentDirective","Consent.extension:verification.extension:VerificationDate","Consent.extension.extension","VerificationDate","extensions
user contentVerificatieDatum","",0,1,"","","","Extension {[]} {[]}
","VerificationDate","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"TreatmentDirective","Consent.extension:verification.extension:VerificationDate.id","Consent.extension.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.extension:verification.extension:VerificationDate.extension","Consent.extension.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.extension:verification.extension:VerificationDate.url","Consent.extension.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""VerificationDate""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"TreatmentDirective","Consent.extension:verification.extension:VerificationDate.valueDateTime:valueDateTime","Consent.extension.extension.valueDateTime","valueDateTime","VerificatieDatum
","",0,1,"","","","dateTime {[]} {[]}
","VerificationDate","Date on which the verification with the patient, the patient’s family and/or the patient's authorized representative took place.","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"TreatmentDirective","Consent.extension:verification.url","Consent.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"TreatmentDirective","Consent.extension:verification.value[x]","Consent.extension.value[x]","","","",0,0,"","","","base64Binary {[]} {[]}
boolean {[]} {[]}code {[]} {[]}date {[]} {[]}dateTime {[]} {[]}decimal {[]} {[]}id {[]} {[]}instant {[]} {[]}integer {[]} {[]}markdown {[]} {[]}oid {[]} {[]}positiveInt {[]} {[]}string {[]} {[]}time {[]} {[]}unsignedInt {[]} {[]}uri {[]} {[]}Address {[]} {[]}Age {[]} {[]}Annotation {[]} {[]}Attachment {[]} {[]}CodeableConcept {[]} {[]}Coding {[]} {[]}ContactPoint {[]} {[]}Count {[]} {[]}Distance {[]} {[]}Duration {[]} {[]}HumanName {[]} {[]}Identifier {[]} {[]}Money {[]} {[]}Period {[]} {[]}Quantity {[]} {[]}Range {[]} {[]}Ratio {[]} {[]}Reference {[]} {[]}SampledData {[]} {[]}Signature {[]} {[]}Timing {[]} {[]}Meta {[]} {[]}","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"TreatmentDirective","Consent.extension:comment","Consent.extension","comment","Toelichting
","",0,1,"Y","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/Comment]]} {[]}
","Comment","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"TreatmentDirective","Consent.extension:treatment","Consent.extension","treatment","","",0,1,"Y","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"TreatmentDirective","Consent.extension:treatment.id","Consent.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.extension:treatment.extension","Consent.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.extension:treatment.url","Consent.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"TreatmentDirective","Consent.extension:treatment.value[x]:valueCodeableConcept","Consent.extension.value[x]","valueCodeableConcept","Behandeling
","",0,1,"Y","","","CodeableConcept {[]} {[]}
","Treatment","The medical treatment to which the treatment instruction applies.","","","","","","","","","",,"extensible","The medical treatment to which the treatment instruction applies.","http://fhir.hl7.nl/zorgviewer/ValueSet/ACPTreatmentCodelist","",,,,"Extension.value[x]",0,1,"",""
"TreatmentDirective","Consent.extension:additionalSources","Consent.extension","additionalSources","extensions
user content","",0,*,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","The cardinality of the source element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.1.14) specified in the HCIM TreatmentDirective. Additional AdvanceDirective references can be added using this extension.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"TreatmentDirective","Consent.extension:additionalSources.id","Consent.extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.extension:additionalSources.extension","Consent.extension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.extension:additionalSources.url","Consent.extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"TreatmentDirective","Consent.extension:additionalSources.value[x]","Consent.extension.value[x]","","","",0,1,"","","","Attachment {[]} {[]}
Identifier {[]} {[]}Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective], CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/Contract], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse]]}","AdvanceDirective","A (written) statement in which a person indicates wishes concerning future medical action, in the event that this person is at that point no longer (deemed) capable of taking decisions on the matter.","","","","","","","","","",,,,,"",,,,"Extension.value[x]",0,1,"",""
"TreatmentDirective","Consent.modifierExtension","Consent.modifierExtension","","extensions
user content","",1,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.modifierExtension",0,*,"",""
"TreatmentDirective","Consent.modifierExtension:treatmentPermitted","Consent.modifierExtension","treatmentPermitted","","",1,1,"Y","Y","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted]]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"TreatmentDirective","Consent.modifierExtension:treatmentPermitted.id","Consent.modifierExtension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.modifierExtension:treatmentPermitted.extension","Consent.modifierExtension.extension","","extensions
user content","",0,0,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.modifierExtension:treatmentPermitted.url","Consent.modifierExtension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"TreatmentDirective","Consent.modifierExtension:treatmentPermitted.value[x]:valueCodeableConcept","Consent.modifierExtension.value[x]","valueCodeableConcept","BehandelingToegestaan
","",0,1,"","","","CodeableConcept {[]} {[]}
","TreatmentPermitted","Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.","","","","","","","","","",,"extensible","Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints.","http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.2--20171231000000","",,,,"Extension.value[x]",0,1,"",""
"TreatmentDirective","Consent.identifier","Consent.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Identifier for this record (external references)","Unique identifier for this copy of the Consent Statement.","This identifier is identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.","","","","","","<valueIdentifier xmlns=""http://hl7.org/fhir"">
  <system value=""urn:ietf:rfc:3986""/>
  <value value=""Local eCMS identifier""/>
</valueIdentifier>","","",,,,,"",,,,"Consent.identifier",0,1,"",""
"TreatmentDirective","Consent.status","Consent.status","","","",1,1,"","Y","Y","code {[]} {[]}
","draft | proposed | active | rejected | inactive | entered-in-error","Indicates the current state of this consent.","The HCIM treatmentDirective is not explicit on its intention. The expectation however is that any instantation of a TreatmentDirective is ""active"" unless stated otherwise.","The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.","","","","","","","",,"required","Indicates the state of the consent","http://hl7.org/fhir/ValueSet/consent-state-codes","",,,,"Consent.status",1,1,"",""
"TreatmentDirective","Consent.category","Consent.category","","","",1,*,"","","Y","CodeableConcept {[]} {[]}
","Classification of the consent statement - for indexing/retrieval","A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.","","","","","","","","","",,"example","A classification of the type of consents found in a consent statement","http://hl7.org/fhir/ValueSet/consent-category","",,,,"Consent.category",0,*,"",""
"TreatmentDirective","Consent.category.id","Consent.category.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.category.extension","Consent.category.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.category.coding","Consent.category.coding","","","",1,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"","value:code}
","",,"open","CodeableConcept.coding",0,*,"",""
"TreatmentDirective","Consent.category.coding:treatmentDirective","Consent.category.coding","treatmentDirective","","",1,1,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","Category SNOMED code used for indexing/retrieval of the HCIM TreatmentDirective.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"TreatmentDirective","Consent.category.coding:treatmentDirective.id","Consent.category.coding.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.category.coding:treatmentDirective.extension","Consent.category.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.category.coding:treatmentDirective.system","Consent.category.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://snomed.info/sct""/>","","","","",,,,,"",,,,"Coding.system",0,1,"",""
"TreatmentDirective","Consent.category.coding:treatmentDirective.version","Consent.category.coding.version","","","",0,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"",""
"TreatmentDirective","Consent.category.coding:treatmentDirective.code","Consent.category.coding.code","","","",1,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""11291000146105""/>","","","","",,,,,"",,,,"Coding.code",0,1,"",""
"TreatmentDirective","Consent.category.coding:treatmentDirective.display","Consent.category.coding.display","","","",0,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","<valueString xmlns=""http://hl7.org/fhir"" value=""Treatment instructions (record artifact)""/>","","","","","","",,,,,"",,,,"Coding.display",0,1,"",""
"TreatmentDirective","Consent.category.coding:treatmentDirective.userSelected","Consent.category.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"",""
"TreatmentDirective","Consent.category.text","Consent.category.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"TreatmentDirective","Consent.patient","Consent.patient","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient]]}
","Who the consent applies to","The patient/healthcare consumer to whom this consent applies.","Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.","","","","","","","","",,,,,"",,,,"Consent.patient",1,1,"",""
"TreatmentDirective","Consent.period","Consent.period","","","",0,1,"Y","","Y","Period {[]} {[]}
","Period that this consent applies","Relevant time or time-period when this Consent is applicable.","This can be a subset of the period of the original statement.","","","all date ranges included","","","","","",,,,,"",,,,"Consent.period",0,1,"",""
"TreatmentDirective","Consent.period.id","Consent.period.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.period.extension","Consent.period.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.period.start","Consent.period.start","","BeginDatum
","",0,1,"Y","","Y","dateTime {[]} {[]}
","StartDate","Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted.","If the low element is missing, the meaning is that the low boundary is not known.","","","","","","","","",,,,,"",,,,"Period.start",0,1,"per-1
",""
"TreatmentDirective","Consent.period.end","Consent.period.end","","EindDatum
","",0,1,"","","Y","dateTime {[]} {[]}
","EndDate","Date on which the treatment instruction ends. A ‘vague’ date, such as only the year, is permitted.","The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.","","","If the end of the period is missing, it means that the period is ongoing","","","","","",,,,,"",,,,"Period.end",0,1,"per-1
",""
"TreatmentDirective","Consent.dateTime","Consent.dateTime","","","",0,1,"","","Y","dateTime {[]} {[]}
","When this Consent was created or indexed","When this  Consent was issued / created / indexed.","This is not the time of the original consent, but the time that this statement was made or derived.","","","","","","","","",,,,,"",,,,"Consent.dateTime",0,1,"",""
"TreatmentDirective","Consent.consentingParty","Consent.consentingParty","","consentor
","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner]]}
","Who is agreeing to the policy and exceptions","Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions.","Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.","","","","","","","","",,,,,"",,,,"Consent.consentingParty",0,*,"",""
"TreatmentDirective","Consent.consentingParty.id","Consent.consentingParty.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.consentingParty.extension","Consent.consentingParty.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.consentingParty.extension:practitionerRole","Consent.consentingParty.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"TreatmentDirective","Consent.consentingParty.reference","Consent.consentingParty.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"TreatmentDirective","Consent.consentingParty.identifier","Consent.consentingParty.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"TreatmentDirective","Consent.consentingParty.display","Consent.consentingParty.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"TreatmentDirective","Consent.actor","Consent.actor","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Who|what controlled by this consent (or group, by role)","Who or what is controlled by this consent. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","There is no specific actor associated with the consent","","","","","",,,,,"",,,,"Consent.actor",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"TreatmentDirective","Consent.actor.id","Consent.actor.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.actor.extension","Consent.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"TreatmentDirective","Consent.actor.modifierExtension","Consent.actor.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"TreatmentDirective","Consent.actor.role","Consent.actor.role","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How the actor is involved","How the individual is involved in the resources content that is described in the consent.","","","","","","","","","",,"extensible","How an actor is involved in the consent considerations","http://hl7.org/fhir/ValueSet/security-role-type","",,,,"Consent.actor.role",1,1,"",""
"TreatmentDirective","Consent.actor.reference","Consent.actor.reference","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson]]}
","Resource for the actor (or group, by role)","The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","","","","","","",,,,,"",,,,"Consent.actor.reference",1,1,"",""
"TreatmentDirective","Consent.actor.reference.id","Consent.actor.reference.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.actor.reference.extension","Consent.actor.reference.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.actor.reference.extension:practitionerRole","Consent.actor.reference.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"TreatmentDirective","Consent.actor.reference.reference","Consent.actor.reference.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"TreatmentDirective","Consent.actor.reference.identifier","Consent.actor.reference.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"TreatmentDirective","Consent.actor.reference.display","Consent.actor.reference.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"TreatmentDirective","Consent.action","Consent.action","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Actions controlled by this consent","Actions controlled by this consent.","Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.","","","all actions","","","","","",,"example","Detailed codes for the consent action.","http://hl7.org/fhir/ValueSet/consent-action","",,,,"Consent.action",0,*,"",""
"TreatmentDirective","Consent.organization","Consent.organization","","custodian
","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization]]}
","Custodian of the consent","The organization that manages the consent, and the framework within which it is executed.","","","","","","","","","",,,,,"",,,,"Consent.organization",0,*,"",""
"TreatmentDirective","Consent.source[x]","Consent.source[x]","","Wilsverklaring
","",0,1,"","","Y","Attachment {[]} {[]}
Identifier {[]} {[]}Reference {[]} {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective], CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/Contract], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse]]}","AdvanceDirective","A (written) statement in which a person indicates wishes concerning future medical action, in the event that this person is at that point no longer (deemed) capable of taking decisions on the matter.","The cardinality of the source element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.1.14) specified in the HCIM TreatmentDirective. Additional AdvanceDirective references can be added using the additionalSources extension.","","","","","","","","",,,,,"",,,,"Consent.source[x]",0,1,"",""
"TreatmentDirective","Consent.policy","Consent.policy","","","",0,*,"","","","BackboneElement {[]} {[]}
","Policies covered by this consent","The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.","","","","","","","","","",,,,,"",,,,"Consent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"TreatmentDirective","Consent.policy.id","Consent.policy.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.policy.extension","Consent.policy.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"TreatmentDirective","Consent.policy.modifierExtension","Consent.policy.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"TreatmentDirective","Consent.policy.authority","Consent.policy.authority","","","",0,1,"","","","uri {[]} {[]}
","Enforcement source for policy","Entity or Organization having regulatory jurisdiction or accountability for  enforcing policies pertaining to Consent Directives.","","","","","","","","","",,,,,"",,,,"Consent.policy.authority",0,1,"ppc-1
",""
"TreatmentDirective","Consent.policy.uri","Consent.policy.uri","","","",0,1,"","","","uri {[]} {[]}
","Specific policy covered by this consent","The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.","Either `.policy` or `.policyRule` should exist following core constraint ppc-1. If no explicit value is recorded, a fallback is to populate `.policy.uri` with <https://wetten.overheid.nl/> if the treatment directive is recorded following Dutch law and regulations.","","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://wetten.overheid.nl/""/>","","",,,,,"",,,,"Consent.policy.uri",0,1,"ppc-1
",""
"TreatmentDirective","Consent.policyRule","Consent.policyRule","","","",0,1,"","","Y","uri {[]} {[]}
","Policy that this consents to","A referece to the specific computable policy.","If the policy reference is not known, the resource cannot be processed. Where the reference is absent, there is no particular policy other than what is expressed directly in the consent resource.","Might be a unique identifier of a policy set in XACML, or other rules engine.","","","","","","","",,,,,"",,,,"Consent.policyRule",0,1,"ppc-1
",""
"TreatmentDirective","Consent.securityLabel","Consent.securityLabel","","","",0,*,"","","Y","Coding {[]} {[]}
","Security Labels that define affected resources","A set of security labels that define which resources are controlled by this consent. If more than one label is specified, all resources must have all the specified labels.","If the consent specifies a security label of ""R"" then it applies to all resources that are labeled ""R"" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?).","","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels","",,,,"Consent.securityLabel",0,*,"",""
"TreatmentDirective","Consent.purpose","Consent.purpose","","","",0,*,"","","Y","Coding {[]} {[]}
","Context of activities for which the agreement is made","The context of the activities a user is taking - why the user is accessing the data - that are controlled by this consent.","This element is for discoverability / documentation, and does not modify or qualify the policy (e.g. the policy itself describes the purposes for which it applies).","","","","","","","","",,"extensible","What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels","http://hl7.org/fhir/ValueSet/v3-PurposeOfUse","",,,,"Consent.purpose",0,*,"",""
"TreatmentDirective","Consent.dataPeriod","Consent.dataPeriod","","","",0,1,"","","Y","Period {[]} {[]}
","Timeframe for data controlled by this consent","Clinical or Operational Relevant period of time that bounds the data controlled by this consent.","This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.","","","","","","","","",,,,,"",,,,"Consent.dataPeriod",0,1,"",""
"TreatmentDirective","Consent.data","Consent.data","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Data controlled by this consent","The resources controlled by this consent, if specific resources are referenced.","","","","all data","","","","","",,,,,"",,,,"Consent.data",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"TreatmentDirective","Consent.data.id","Consent.data.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.data.extension","Consent.data.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"TreatmentDirective","Consent.data.modifierExtension","Consent.data.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"TreatmentDirective","Consent.data.meaning","Consent.data.meaning","","","",1,1,"","","Y","code {[]} {[]}
","instance | related | dependents | authoredby","How the resource reference is interpreted when testing consent restrictions.","","","","","","","","","",,"required","How a resource reference is interpreted when testing consent restrictions","http://hl7.org/fhir/ValueSet/consent-data-meaning","",,,,"Consent.data.meaning",1,1,"",""
"TreatmentDirective","Consent.data.reference","Consent.data.reference","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","The actual data reference","A reference to a specific resource that defines which resources are covered by this consent.","","","","","","","","","",,,,,"",,,,"Consent.data.reference",1,1,"",""
"TreatmentDirective","Consent.except","Consent.except","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Additional rule -  addition or removal of permissions","An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.","If a Consent.except is used in accordance with the HCIM TreatmentDirective, then the only time an except is in order, is when the value of the element NL-CM:2.1.4 TreatmentPermitted is YES_BUT/JA_MAAR.","","","","","","","","",,,,,"",,,,"Consent.except",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"TreatmentDirective","Consent.except.id","Consent.except.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.except.extension","Consent.except.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.except.extension:restrictions","Consent.except.extension","restrictions","","",0,1,"Y","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Restrictions]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"TreatmentDirective","Consent.except.modifierExtension","Consent.except.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"TreatmentDirective","Consent.except.type","Consent.except.type","","","",1,1,"","","Y","code {[]} {[]}
","deny | permit","Action  to take - permit or deny - when the exception conditions are met.","If a Consent.except is used in accordance with the HCIM TreatmentDirective and the value of the element NL-CM:2.1.4 TreatmentPermitted is YES_BUT/JA_MAAR, then the value of this element SHALL be ""deny""","","","","","","","","",,"required","How an exception statement is applied, such as adding additional consent or removing consent","http://hl7.org/fhir/ValueSet/consent-except-type","",,,,"Consent.except.type",1,1,"",""
"TreatmentDirective","Consent.except.period","Consent.except.period","","","",0,1,"","","Y","Period {[]} {[]}
","Timeframe for this exception","The timeframe in this exception is valid.","","","","","","","","","",,,,,"",,,,"Consent.except.period",0,1,"",""
"TreatmentDirective","Consent.except.actor","Consent.except.actor","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Who|what controlled by this exception (or group, by role)","Who or what is controlled by this Exception. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","There is no specific actor associated with the exception","","","","","",,,,,"",,,,"Consent.except.actor",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"TreatmentDirective","Consent.except.actor.id","Consent.except.actor.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.except.actor.extension","Consent.except.actor.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"TreatmentDirective","Consent.except.actor.modifierExtension","Consent.except.actor.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"TreatmentDirective","Consent.except.actor.role","Consent.except.actor.role","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How the actor is involved","How the individual is involved in the resources content that is described in the exception.","","","","","","","","","",,"extensible","How an actor is involved in the consent considerations","http://hl7.org/fhir/ValueSet/security-role-type","",,,,"Consent.except.actor.role",1,1,"",""
"TreatmentDirective","Consent.except.actor.reference","Consent.except.actor.reference","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/StructureDefinition/CareTeam], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-organization], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-patient], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner], CanonicalType[http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson]]}
","Resource for the actor (or group, by role)","The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').","","","","","","","","","",,,,,"",,,,"Consent.except.actor.reference",1,1,"",""
"TreatmentDirective","Consent.except.actor.reference.id","Consent.except.actor.reference.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.except.actor.reference.extension","Consent.except.actor.reference.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"TreatmentDirective","Consent.except.actor.reference.extension:practitionerRole","Consent.except.actor.reference.extension","practitionerRole","extensions
user content","",0,1,"","","","Extension {[CanonicalType[http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference]]} {[]}
","Optional Extensions Element","Optional Extension Element - found in all resources.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"TreatmentDirective","Consent.except.actor.reference.reference","Consent.except.actor.reference.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
",""
"TreatmentDirective","Consent.except.actor.reference.identifier","Consent.except.actor.reference.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"",""
"TreatmentDirective","Consent.except.actor.reference.display","Consent.except.actor.reference.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"",""
"TreatmentDirective","Consent.except.action","Consent.except.action","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Actions controlled by this exception","Actions controlled by this Exception.","Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.","","","all actions","","","","","",,"example","Detailed codes for the consent action.","http://hl7.org/fhir/ValueSet/consent-action","",,,,"Consent.except.action",0,*,"",""
"TreatmentDirective","Consent.except.securityLabel","Consent.except.securityLabel","","","",0,*,"","","Y","Coding {[]} {[]}
","Security Labels that define affected resources","A set of security labels that define which resources are controlled by this exception. If more than one label is specified, all resources must have all the specified labels.","If the consent specifies a security label of ""R"" then it applies to all resources that are labeled ""R"" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?).","","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels","",,,,"Consent.except.securityLabel",0,*,"",""
"TreatmentDirective","Consent.except.purpose","Consent.except.purpose","","","",0,*,"","","Y","Coding {[]} {[]}
","Context of activities covered by this exception","The context of the activities a user is taking - why the user is accessing the data - that are controlled by this exception.","E.g. if the purpose is 'research', then the operational context must be research, in order for the consent to apply. Not all of the security labels make sense for use in this element (may define a narrower value set?).","","","","","","","","",,"extensible","What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels","http://hl7.org/fhir/ValueSet/v3-PurposeOfUse","",,,,"Consent.except.purpose",0,*,"",""
"TreatmentDirective","Consent.except.class","Consent.except.class","","","",0,*,"","","Y","Coding {[]} {[]}
","e.g. Resource Type, Profile, or CDA etc","The class of information covered by this exception. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.","Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.","","","","","","","","",,"extensible","The class (type) of information a consent rule covers","http://hl7.org/fhir/ValueSet/consent-content-class","",,,,"Consent.except.class",0,*,"",""
"TreatmentDirective","Consent.except.code","Consent.except.code","","","",0,*,"","","Y","Coding {[]} {[]}
","e.g. LOINC or SNOMED CT code, etc in the content","If this code is found in an instance, then the exception applies.","Typical use of this is a Document code with class = CDA.","","","","","","","","",,"example","If this code is found in an instance, then the exception applies","http://hl7.org/fhir/ValueSet/consent-content-code","",,,,"Consent.except.code",0,*,"",""
"TreatmentDirective","Consent.except.dataPeriod","Consent.except.dataPeriod","","","",0,1,"","","Y","Period {[]} {[]}
","Timeframe for data controlled by this exception","Clinical or Operational Relevant period of time that bounds the data controlled by this exception.","This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.","","","","","","","","",,,,,"",,,,"Consent.except.dataPeriod",0,1,"",""
"TreatmentDirective","Consent.except.data","Consent.except.data","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Data controlled by this exception","The resources controlled by this exception, if specific resources are referenced.","","","","all data","","","","","",,,,,"",,,,"Consent.except.data",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"TreatmentDirective","Consent.except.data.id","Consent.except.data.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"TreatmentDirective","Consent.except.data.extension","Consent.except.data.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"TreatmentDirective","Consent.except.data.modifierExtension","Consent.except.data.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"TreatmentDirective","Consent.except.data.meaning","Consent.except.data.meaning","","","",1,1,"","","Y","code {[]} {[]}
","instance | related | dependents | authoredby","How the resource reference is interpreted when testing consent restrictions.","","","","","","","","","",,"required","How a resource reference is interpreted when testing consent restrictions","http://hl7.org/fhir/ValueSet/consent-data-meaning","",,,,"Consent.except.data.meaning",1,1,"",""
"TreatmentDirective","Consent.except.data.reference","Consent.except.data.reference","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource]]}
","The actual data reference","A reference to a specific resource that defines which resources are covered by this consent.","","","","","","","","","",,,,,"",,,,"Consent.except.data.reference",1,1,"",""
"VitalSign","Observation","Observation","","Vital Signs
MeasurementResultsTests","",0,*,"","","","null {[]} {[]}
","Measurements and simple assertions","Measurements and simple assertions made about a patient, device or other subject.","Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as lab reports, etc.","","","","","","","","",,,,,"",,,,"Observation",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative {contained.text.empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource {contained.where(('#'+id in %resource.descendants().reference).not()).empty()}obs-7:If code is the same as a component code then the value element associated with the code SHALL NOT be present {value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()}obs-6:dataAbsentReason SHALL only be present if Observation.value[x] is not present {dataAbsentReason.empty() or value.empty()}"
"VitalSign","Observation.id","Observation.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"VitalSign","Observation.meta","Observation.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"",""
"VitalSign","Observation.implicitRules","Observation.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.","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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"",""
"VitalSign","Observation.language","Observation.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","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).","","","","","","","","",,"extensible","A human language.","http://hl7.org/fhir/ValueSet/languages|3.0.2","",,,,"Resource.language",0,1,"",""
"VitalSign","Observation.text","Observation.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded in formation is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"dom-1
",""
"VitalSign","Observation.contained","Observation.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"VitalSign","Observation.extension","Observation.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"",""
"VitalSign","Observation.modifierExtension","Observation.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"",""
"VitalSign","Observation.identifier","Observation.identifier","","","",0,*,"","","Y","Identifier {[]} {[]}
","Business Identifier for observation","A unique identifier assigned to this observation.","","Allows observations to be distinguished and referenced.","","","","","","","",,,,,"",,,,"Observation.identifier",0,*,"",""
"VitalSign","Observation.basedOn","Observation.basedOn","","Fulfills
","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/DeviceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder], CanonicalType[http://hl7.org/fhir/StructureDefinition/ProcedureRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ReferralRequest]]}
","Fulfills plan, proposal or order","A plan, proposal or order that is fulfilled in whole or in part by this event.","","Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","","","","","","","",,,,,"",,,,"Observation.basedOn",0,*,"",""
"VitalSign","Observation.status","Observation.status","","","",1,1,"","Y","Y","code {[]} {[]}
","registered | preliminary | final | amended +","The status of the result value.","This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","Need to track the status of individual results. Some results are finalized before the whole report is finalized.","","","","","","","",,"required","Codes providing the status of an observation.","http://hl7.org/fhir/ValueSet/observation-status|3.0.2","",,,,"Observation.status",1,1,"",""
"VitalSign","Observation.category","Observation.category","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Classification of  type of observation","A code that classifies the general type of observation being made.","In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.","Used for filtering what observations are retrieved and displayed.","","","","","","","",,"preferred","Codes for high level observation categories.","http://hl7.org/fhir/ValueSet/observation-category|3.0.2","",,,,"Observation.category",0,*,"",""
"VitalSign","Observation.code","Observation.code","","Name
","",1,1,"Y","","Y","CodeableConcept {[]} {[]}
","Type of observation (code / type)","Describes what was observed. Sometimes this is called the observation ""name"".","","Knowing what kind of observation is being made is essential to understanding the observation.","","","","","","","",,"example","Codes identifying names of simple observations.","http://hl7.org/fhir/ValueSet/observation-codes|3.0.2","",,,,"Observation.code",1,1,"",""
"VitalSign","Observation.code.id","Observation.code.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"VitalSign","Observation.code.extension","Observation.code.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"VitalSign","Observation.code.coding","Observation.code.coding","","","",0,*,"Y","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"",""
"VitalSign","Observation.code.text","Observation.code.text","","","",0,1,"Y","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"",""
"VitalSign","Observation.subject","Observation.subject","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]]}
","Who and/or what this is about","The patient, or group of patients, location, or device whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed.  Comments: Indirect characteristics may be those of a specimen, fetus, donor,  other observer (for example a relative or EMT), or any observation made about the subject.","One would expect this element to be a cardinality  of 1..1.  The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.

If the target of the observation is different than the subject, the general extension [observation-focal-subject](http://hl7.org/fhir/STU3/extension-observation-focal-subject.html).  may be used.  However, the distinction between the patient's own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code.","Observations have no value if you don't know who or what they're about.","","","","","","","",,,,,"",,,,"Observation.subject",0,1,"",""
"VitalSign","Observation.context","Observation.context","","Encounter
","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Encounter], CanonicalType[http://hl7.org/fhir/StructureDefinition/EpisodeOfCare]]}
","Healthcare event during which this observation is made","The healthcare event  (e.g. a patient and healthcare provider interaction) during which this observation is made.","This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests).","For some observations it may be important to know the link between an observation and a particular encounter.","","","","","","","",,,,,"",,,,"Observation.context",0,1,"",""
"VitalSign","Observation.effective[x]","Observation.effective[x]","","Occurrence
","",0,1,"Y","","Y","dateTime {[]} {[]}
Period {[]} {[]}","Clinically relevant time/time-period for observation","The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the ""physiologically relevant time"". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.","At least a date should be present unless this observation is a historical report.","Knowing when an observation was deemed true is important to its relevance as well as determining trends.","","","","","","","",,,,,"",,,,"Observation.effective[x]",0,1,"",""
"VitalSign","Observation.issued","Observation.issued","","","",0,1,"","","Y","instant {[]} {[]}
","Date/Time this was made available","The date and time this observation was made available to providers, typically after the results have been reviewed and verified.","Updated when the result is updated.","","","","","","","","",,,,,"",,,,"Observation.issued",0,1,"",""
"VitalSign","Observation.performer","Observation.performer","","","",0,*,"Y","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]}
","Who is responsible for the observation","Who was responsible for asserting the observed value as ""true"".","","May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","","","","","","","",,,,,"",,,,"Observation.performer",0,*,"",""
"VitalSign","Observation.value[x]","Observation.value[x]","","","",0,1,"Y","","Y","Quantity {[]} {[]}
CodeableConcept {[]} {[]}string {[]} {[]}","Actual result","The information determined as a result of making the observation, if the information has a simple value.","Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is ""'value' + the type name"" with a capital on the first letter of the type).


If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text.  A value set is bound to the ValueCodeableConcept element.    For further discussion and examples see the  [notes section](http://hl7.org/fhir/STU3/observation.html#notes) below.","An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations.","","","","","","","",,,,,"",,,,"Observation.value[x]",0,1,"obs-7
",""
"VitalSign","Observation.dataAbsentReason","Observation.dataAbsentReason","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Why the result is missing","Provides a reason why the expected value in the element Observation.value[x] is missing.","Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  ""detected"", ""not detected"", ""inconclusive"", or  ""specimen unsatisfactory"".   The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code ""error"" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0.  Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","For many results it is necessary to handle exceptional values in measurements.","","","","","","","",,"extensible","Codes specifying why the result (Observation.value[x]) is missing.","http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2","",,,,"Observation.dataAbsentReason",0,1,"obs-6
",""
"VitalSign","Observation.interpretation","Observation.interpretation","","Abnormal Flag
","",0,1,"","","","CodeableConcept {[]} {[]}
","High, low, normal, etc.","The assessment made based on the result of the observation.  Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.","","For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","","","","","","","",,"extensible","Codes identifying interpretations of observations.","http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2","",,,,"Observation.interpretation",0,1,"",""
"VitalSign","Observation.comment","Observation.comment","","","",0,1,"Y","","","string {[]} {[]}
","Comments about result","May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result.","","Need to be able to provide free text additional information.","","","","","","","",,,,,"",,,,"Observation.comment",0,1,"",""
"VitalSign","Observation.bodySite","Observation.bodySite","","","",0,1,"Y","","","CodeableConcept {[]} {[]}
","Observed body part","Indicates the site on the subject's body where the observation was made (i.e. the target site).","Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html).","","","","","","","","",,"example","Codes describing anatomical locations. May include laterality.","http://hl7.org/fhir/ValueSet/body-site|3.0.2","",,,,"Observation.bodySite",0,1,"",""
"VitalSign","Observation.method","Observation.method","","","",0,1,"Y","","","CodeableConcept {[]} {[]}
","How it was done","Indicates the mechanism used to perform the observation.","Only used if not implicit in code for Observation.code.","In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","","","","","","","",,"example","Methods for simple observations.","http://hl7.org/fhir/ValueSet/observation-methods|3.0.2","",,,,"Observation.method",0,1,"",""
"VitalSign","Observation.specimen","Observation.specimen","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Specimen]]}
","Specimen used for this observation","The specimen that was used when this observation was made.","Should only be used if not implicit in code found in `Observation.code`.  Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","","","","","","","","",,,,,"",,,,"Observation.specimen",0,1,"",""
"VitalSign","Observation.device","Observation.device","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/DeviceMetric]]}
","(Measurement) Device","The device used to generate the observation data.","An extension should be used if further typing of the device is needed.  Devices used to support obtaining an observation can be represented using either an extension or through the Observation.related element.","","","","","","","","",,,,,"",,,,"Observation.device",0,1,"",""
"VitalSign","Observation.referenceRange","Observation.referenceRange","","","",0,*,"","","","BackboneElement {[]} {[]}
","Provides guide for interpretation","Guidance on how to interpret the value by comparison to a normal or recommended range.","Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","Knowing what values are considered ""normal"" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","","","","","","","",,,,,"",,,,"Observation.referenceRange",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
obs-3:Must have at least a low or a high or text {low.exists() or high.exists() or text.exists()}"
"VitalSign","Observation.referenceRange.id","Observation.referenceRange.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"VitalSign","Observation.referenceRange.extension","Observation.referenceRange.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"VitalSign","Observation.referenceRange.modifierExtension","Observation.referenceRange.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"VitalSign","Observation.referenceRange.low","Observation.referenceRange.low","","","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","Low Range, if relevant","The value of the low bound of the reference range.  The low bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9).   If the low bound is omitted,  it is assumed to be meaningless (e.g. reference range is <=2.3).","","","","","","","","","",,,,,"",,,,"Observation.referenceRange.low",0,1,"obs-3
",""
"VitalSign","Observation.referenceRange.high","Observation.referenceRange.high","","","",0,1,"","","","Quantity {[CanonicalType[http://hl7.org/fhir/StructureDefinition/SimpleQuantity]]} {[]}
","High Range, if relevant","The value of the high bound of the reference range.  The high bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9).   If the high bound is omitted,  it is assumed to be meaningless (e.g. reference range is >= 2.3).","","","","","","","","","",,,,,"",,,,"Observation.referenceRange.high",0,1,"obs-3
",""
"VitalSign","Observation.referenceRange.type","Observation.referenceRange.type","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Reference range qualifier","Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","This SHOULD be populated if there is more than one range.  If this element is not present then the normal range is assumed.","Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc,  - for proper interpretation.","","","","","","","",,"extensible","Code for the meaning of a reference range.","http://hl7.org/fhir/ValueSet/referencerange-meaning|3.0.2","",,,,"Observation.referenceRange.type",0,1,"",""
"VitalSign","Observation.referenceRange.appliesTo","Observation.referenceRange.appliesTo","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reference range population","Codes to indicate the target population this reference range applies to.  For example, a reference range may be based on the normal population or a particular sex or race.","This SHOULD be populated if there is more than one range.  If this element is not present then the normal population is assumed.","Need to be able to identify the target population for proper interpretation.","","","","","","","",,"example","Codes identifying the population the reference range applies to.","http://hl7.org/fhir/ValueSet/referencerange-appliesto|3.0.2","",,,,"Observation.referenceRange.appliesTo",0,*,"",""
"VitalSign","Observation.referenceRange.age","Observation.referenceRange.age","","","",0,1,"","","","Range {[]} {[]}
","Applicable age range, if relevant","The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.","","Some analytes vary greatly over age.","","","","","","","",,,,,"",,,,"Observation.referenceRange.age",0,1,"",""
"VitalSign","Observation.referenceRange.text","Observation.referenceRange.text","","","",0,1,"","","","string {[]} {[]}
","Text based reference range in an observation","Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of ""Negative"" or a list or table of 'normals'.","","","","","","","","","",,,,,"",,,,"Observation.referenceRange.text",0,1,"",""
"VitalSign","Observation.related","Observation.related","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Resource related to this observation","A  reference to another resource (usually another Observation) whose relationship is defined by the relationship type code.","For a discussion on the ways Observations can assembled in groups together see [Notes below](http://hl7.org/fhir/STU3/observation.html#4.20.4).","Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes a QuestionnaireResponse from which the measure is derived.","","","","","","","",,,,,"",,,,"Observation.related",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"VitalSign","Observation.related.id","Observation.related.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"VitalSign","Observation.related.extension","Observation.related.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"VitalSign","Observation.related.modifierExtension","Observation.related.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"VitalSign","Observation.related.type","Observation.related.type","","","",0,1,"","","","code {[]} {[]}
","has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by","A code specifying the kind of relationship that exists with the target resource.","The ""derived-from"" type is the only logical choice when referencing the QuestionnaireAnswer resource.","A relationship type SHOULD be provided.","","","","","","","",,"required","Codes specifying how two observations are related.","http://hl7.org/fhir/ValueSet/observation-relationshiptypes|3.0.2","",,,,"Observation.related.type",0,1,"",""
"VitalSign","Observation.related.target","Observation.related.target","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse], CanonicalType[http://hl7.org/fhir/StructureDefinition/Sequence]]}
","Resource that is related to this one","A reference to the observation or [QuestionnaireResponse](http://hl7.org/fhir/STU3/questionnaireresponse.html#) resource that is related to this observation.","","","","","","","","","",,,,,"",,,,"Observation.related.target",1,1,"",""
"VitalSign","Observation.component","Observation.component","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Component results","Some observations have multiple component observations.  These component observations are expressed as separate code value pairs that share the same attributes.  Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.","For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/STU3/observation.html#notes) below.","Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","","","","","","","",,,,,"",,,,"Observation.component",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
"
"VitalSign","Observation.component.id","Observation.component.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"VitalSign","Observation.component.extension","Observation.component.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"",""
"VitalSign","Observation.component.modifierExtension","Observation.component.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored","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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.","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.","","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"",""
"VitalSign","Observation.component.code","Observation.component.code","","","",1,1,"","","Y","CodeableConcept {[]} {[]}
","Type of component observation (code / type)","Describes what was observed. Sometimes this is called the observation ""code"".","","Knowing what kind of observation is being made is essential to understanding the observation.","","","","","","","",,"example","Codes identifying names of simple observations.","http://hl7.org/fhir/ValueSet/observation-codes|3.0.2","",,,,"Observation.component.code",1,1,"",""
"VitalSign","Observation.component.value[x]","Observation.component.value[x]","","","",0,1,"Y","","Y","Quantity {[]} {[]}
","Actual component result","The information determined as a result of making the observation, if the information has a simple value.","Normally, an observation will have either a single value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.   For boolean values use valueCodeableConcept and select codes from <http://hl7.org/fhir/ValueSet/v2-0136> (these ""yes/no"" concepts can be mapped to the display name ""true/false"" or other mutually exclusive terms that may be needed"").  The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (the name format is ""'value' + the type name"" with a capital on the first letter of the type).","An observation exists to have a value, though it may not if it is in error, or if it represents a group of observations.","","","","","","","",,,,,"",,,,"Observation.component.value[x]",0,1,"",""
"VitalSign","Observation.component.dataAbsentReason","Observation.component.dataAbsentReason","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Why the component result is missing","Provides a reason why the expected value in the element Observation.value[x] is missing.","""Null"" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  ""detected"", ""not detected"", ""inconclusive"", or  ""test not done"".   The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code ""error"" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.","For many results it is necessary to handle exceptional values in measurements.","","","","","","","",,"extensible","Codes specifying why the result (Observation.value[x]) is missing.","http://hl7.org/fhir/ValueSet/observation-valueabsentreason|3.0.2","",,,,"Observation.component.dataAbsentReason",0,1,"obs-6
",""
"VitalSign","Observation.component.interpretation","Observation.component.interpretation","","Abnormal Flag
","",0,1,"","","","CodeableConcept {[]} {[]}
","High, low, normal, etc.","The assessment made based on the result of the observation.  Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.","The component interpretation applies only to the individual component value.  For an overall interpretation all components together use thes Observation.interpretation element.","For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","","","","","","","",,"extensible","Codes identifying interpretations of observations.","http://hl7.org/fhir/ValueSet/observation-interpretation|3.0.2","",,,,"Observation.component.interpretation",0,1,"",""
"VitalSign","Observation.component.referenceRange","Observation.component.referenceRange","","","",0,*,"","","","null {[]} {[]}
","Provides guide for interpretation of component result","Guidance on how to interpret the value by comparison to a normal or recommended range.","Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","Knowing what values are considered ""normal"" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","","","","","","","",,,,,"",,,,"Observation.component.referenceRange",0,*,"",""
"extension-Meta.source","Extension","Extension","","","",0,*,"","","","null {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"Extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() | (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"extension-Meta.source","Extension.id","Extension.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"extension-Meta.source","Extension.extension","Extension.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional Content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","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.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"",""
"extension-Meta.source","Extension.url","Extension.url","","","",1,1,"","","","uri {[]} {[]}
","identifies the meaning of the extension","Source of the definition for the extension code - a logical name or a URL.","The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source""/>","","","","",,,,,"",,,,"Extension.url",1,1,"",""
"extension-Meta.source","Extension.value[x]","Extension.value[x]","","","",0,1,"","","","uri {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,,,,"","type:$this}
","",,"closed","Extension.value[x]",0,1,"",""
"extension-Meta.source","Extension.value[x]:valueUri","Extension.value[x]","valueUri","","",0,1,"","","","uri {[]} {[]}
","Value of extension","Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).","","","","","","","","","",,"preferred","","http://fhir.hl7.nl/zorgviewer/ValueSet/bronsysteem-zorgaanbieder","",,,,"Extension.value[x]",0,1,"",""
