Base Element BackboneElement DataType Address Annotation Attachment Availability BackboneType Dosage DosageCondition DosageDetails DosageSafety ElementDefinition MarketingStatus ProductShelfLife RelativeTime Timing CodeableConcept CodeableReference Coding ContactDetail ContactPoint DataRequirement Expression ExtendedContactDetail Extension HumanName Identifier Meta MonetaryComponent Money Narrative ParameterDefinition Period PrimitiveType base64Binary boolean date dateTime decimal instant integer positiveInt unsignedInt integer64 string code id markdown time uri canonical oid url uuid Quantity Age Count Distance Duration Range Ratio RatioRange Reference RelatedArtifact SampledData Signature TriggerDefinition UsageContext VirtualServiceDetail xhtml Resource Binary Bundle DomainResource Account ActivityDefinition ActorDefinition AdministrableProductDefinition AdverseEvent AllergyIntolerance Appointment AppointmentResponse ArtifactAssessment AuditEvent Basic BiologicallyDerivedProduct BodyStructure CanonicalResource CapabilityStatement CarePlan CareTeam Claim ClaimResponse ClinicalUseDefinition CodeSystem Communication CommunicationRequest CompartmentDefinition Composition ConceptMap Condition Consent Contract Coverage CoverageEligibilityRequest CoverageEligibilityResponse DetectedIssue Device DeviceAlert DeviceAssociation DeviceDefinition DeviceMetric DeviceRequest DiagnosticReport DocumentReference Encounter Endpoint EnrollmentRequest EnrollmentResponse EpisodeOfCare EventDefinition Evidence EvidenceVariable ExampleScenario ExplanationOfBenefit FamilyMemberHistory Flag Goal Group GuidanceResponse HealthcareService ImagingSelection ImagingStudy Immunization ImplementationGuide Ingredient InsurancePlan InsuranceProduct Invoice Library List Location ManufacturedItemDefinition Measure MeasureReport Medication MedicationAdministration MedicationDispense MedicationRequest MedicationStatement MedicinalProductDefinition MessageDefinition MessageHeader MetadataResource NamingSystem NutritionIntake NutritionOrder NutritionProduct Observation ObservationDefinition OperationDefinition OperationOutcome Organization OrganizationAffiliation PackagedProductDefinition Patient PaymentNotice PaymentReconciliation Person PlanDefinition Practitioner PractitionerRole Procedure Provenance Questionnaire QuestionnaireResponse RegulatedAuthorization RelatedPerson RequestOrchestration Requirements ResearchStudy ResearchSubject RiskAssessment Schedule SearchParameter ServiceRequest Slot Specimen SpecimenDefinition StructureDefinition StructureMap Subscription SubscriptionStatus SubscriptionTopic Substance SubstanceDefinition Task TerminologyCapabilities ValueSet VisionPrescription Parameters If the element is present, it must have either a @value, an @id, or extensions String Boolean Date DateTime Decimal Integer Long Time If the element is present, it must have either a @value, an @id, or extensions Account ActivityDefinition ActorDefinition AdministrableProductDefinition AdverseEvent AllergyIntolerance Appointment AppointmentResponse ArtifactAssessment AuditEvent Basic Binary BiologicallyDerivedProduct BodyStructure Bundle CapabilityStatement CarePlan CareTeam Claim ClaimResponse ClinicalUseDefinition CodeSystem Communication CommunicationRequest CompartmentDefinition Composition ConceptMap Condition Consent Contract Coverage CoverageEligibilityRequest CoverageEligibilityResponse DetectedIssue Device DeviceAlert DeviceAssociation DeviceDefinition DeviceMetric DeviceRequest DiagnosticReport DocumentReference Encounter Endpoint EnrollmentRequest EnrollmentResponse EpisodeOfCare EventDefinition Evidence EvidenceVariable ExampleScenario ExplanationOfBenefit FamilyMemberHistory Flag Goal Group GuidanceResponse HealthcareService ImagingSelection ImagingStudy Immunization ImplementationGuide Ingredient InsurancePlan InsuranceProduct Invoice Library List Location ManufacturedItemDefinition Measure MeasureReport Medication MedicationAdministration MedicationDispense MedicationRequest MedicationStatement MedicinalProductDefinition MessageDefinition MessageHeader NamingSystem NutritionIntake NutritionOrder NutritionProduct Observation ObservationDefinition OperationDefinition OperationOutcome Organization OrganizationAffiliation PackagedProductDefinition Parameters Patient PaymentNotice PaymentReconciliation Person PlanDefinition Practitioner PractitionerRole Procedure Provenance Questionnaire QuestionnaireResponse RegulatedAuthorization RelatedPerson RequestOrchestration Requirements ResearchStudy ResearchSubject RiskAssessment Schedule SearchParameter ServiceRequest Slot Specimen SpecimenDefinition StructureDefinition StructureMap Subscription SubscriptionStatus SubscriptionTopic Substance SubstanceDefinition Task TerminologyCapabilities ValueSet VisionPrescription If the element is present, it must have either a @value, an @id, or extensions Appointment CarePlan Claim CommunicationRequest CoverageEligibilityRequest DeviceRequest EnrollmentRequest MedicationRequest NutritionOrder RequestOrchestration ServiceRequest Task VisionPrescription If the element is present, it must have either a @value, an @id, or extensions AdverseEvent AuditEvent ClaimResponse Communication Composition Consent Contract Coverage CoverageEligibilityResponse DetectedIssue DeviceAlert DiagnosticReport DocumentReference Encounter EnrollmentResponse EpisodeOfCare ExplanationOfBenefit FamilyMemberHistory GuidanceResponse ImagingSelection ImagingStudy Immunization Invoice MedicationAdministration MedicationDispense MedicationStatement MessageHeader NutritionIntake Observation PaymentNotice PaymentReconciliation Procedure Provenance QuestionnaireResponse RiskAssessment If the element is present, it must have either a @value, an @id, or extensions ActivityDefinition ClinicalUseDefinition EventDefinition Measure MessageDefinition ObservationDefinition OperationDefinition PlanDefinition Questionnaire Requirements SubscriptionTopic If the element is present, it must have either a @value, an @id, or extensions CareTeam Device Group HealthcareService Location Organization Patient Practitioner PractitionerRole RelatedPerson If the element is present, it must have either a @value, an @id, or extensions Study Start Start of Treatment Detection of Condition Treatment of Condition Hospital Admission Hospital Discharge Operative Procedure If the element is present, it must have either a @value, an @id, or extensions Account ActivityDefinition ActorDefinition Address AdministrableProductDefinition AdverseEvent Age AllergyIntolerance Annotation Appointment AppointmentResponse ArtifactAssessment Attachment AuditEvent Availability base64Binary Basic Binary BiologicallyDerivedProduct BodyStructure boolean Bundle canonical CapabilityStatement CarePlan CareTeam Claim ClaimResponse ClinicalUseDefinition code CodeableConcept CodeableReference CodeSystem Coding Communication CommunicationRequest CompartmentDefinition Composition ConceptMap Condition Consent ContactDetail ContactPoint Contract Count Coverage CoverageEligibilityRequest CoverageEligibilityResponse DataRequirement date dateTime decimal DetectedIssue Device DeviceAlert DeviceAssociation DeviceDefinition DeviceMetric DeviceRequest DiagnosticReport Distance DocumentReference Dosage DosageCondition DosageDetails DosageSafety Duration ElementDefinition Encounter Endpoint EnrollmentRequest EnrollmentResponse EpisodeOfCare EventDefinition Evidence EvidenceVariable ExampleScenario ExplanationOfBenefit Expression ExtendedContactDetail Extension FamilyMemberHistory Flag Goal Group GuidanceResponse HealthcareService HumanName id Identifier ImagingSelection ImagingStudy Immunization ImplementationGuide Ingredient instant InsurancePlan InsuranceProduct integer integer64 Invoice Library List Location ManufacturedItemDefinition markdown MarketingStatus Measure MeasureReport Medication MedicationAdministration MedicationDispense MedicationRequest MedicationStatement MedicinalProductDefinition MessageDefinition MessageHeader Meta MonetaryComponent Money NamingSystem Narrative NutritionIntake NutritionOrder NutritionProduct Observation ObservationDefinition oid OperationDefinition OperationOutcome Organization OrganizationAffiliation PackagedProductDefinition ParameterDefinition Parameters Patient PaymentNotice PaymentReconciliation Period Person PlanDefinition positiveInt Practitioner PractitionerRole Procedure ProductShelfLife Provenance Quantity Questionnaire QuestionnaireResponse Range Ratio RatioRange Reference RegulatedAuthorization RelatedArtifact RelatedPerson RelativeTime RequestOrchestration Requirements ResearchStudy ResearchSubject RiskAssessment SampledData Schedule SearchParameter ServiceRequest Signature Slot Specimen SpecimenDefinition string StructureDefinition StructureMap Subscription SubscriptionStatus SubscriptionTopic Substance SubstanceDefinition Task TerminologyCapabilities time Timing TriggerDefinition unsignedInt uri url UsageContext uuid ValueSet VirtualServiceDetail VisionPrescription xhtml If the element is present, it must have either a @value, an @id, or extensions Account ActivityDefinition ActorDefinition AdministrableProductDefinition AdverseEvent AllergyIntolerance Appointment AppointmentResponse ArtifactAssessment AuditEvent Basic Binary BiologicallyDerivedProduct BodyStructure Bundle CanonicalResource CapabilityStatement CarePlan CareTeam Claim ClaimResponse ClinicalUseDefinition CodeSystem Communication CommunicationRequest CompartmentDefinition Composition ConceptMap Condition Consent Contract Coverage CoverageEligibilityRequest CoverageEligibilityResponse DetectedIssue Device DeviceAlert DeviceAssociation DeviceDefinition DeviceMetric DeviceRequest DiagnosticReport DocumentReference DomainResource Encounter Endpoint EnrollmentRequest EnrollmentResponse EpisodeOfCare EventDefinition Evidence EvidenceVariable ExampleScenario ExplanationOfBenefit FamilyMemberHistory Flag Goal Group GuidanceResponse HealthcareService ImagingSelection ImagingStudy Immunization ImplementationGuide Ingredient InsurancePlan InsuranceProduct Invoice Library List Location ManufacturedItemDefinition Measure MeasureReport Medication MedicationAdministration MedicationDispense MedicationRequest MedicationStatement MedicinalProductDefinition MessageDefinition MessageHeader MetadataResource NamingSystem NutritionIntake NutritionOrder NutritionProduct Observation ObservationDefinition OperationDefinition OperationOutcome Organization OrganizationAffiliation PackagedProductDefinition Parameters Patient PaymentNotice PaymentReconciliation Person PlanDefinition Practitioner PractitionerRole Procedure Provenance Questionnaire QuestionnaireResponse RegulatedAuthorization RelatedPerson RequestOrchestration Requirements ResearchStudy ResearchSubject Resource RiskAssessment Schedule SearchParameter ServiceRequest Slot Specimen SpecimenDefinition StructureDefinition StructureMap Subscription SubscriptionStatus SubscriptionTopic Substance SubstanceDefinition Task TerminologyCapabilities ValueSet VisionPrescription If the element is present, it must have either a @value, an @id, or extensions Male Female Other Unknown If the element is present, it must have either a @value, an @id, or extensions min h d wk mo a If the element is present, it must have either a @value, an @id, or extensions Required Extensible Preferred Example descriptive If the element is present, it must have either a @value, an @id, or extensions Related To Equivalent Source Is Narrower Than Target Source Is Broader Than Target Not Related To If the element is present, it must have either a @value, an @id, or extensions Current Superseded Entered in Error If the element is present, it must have either a @value, an @id, or extensions 0.01 0.05 0.06 0.11 0.0 0.0.80 0.0.81 0.0.82 0.4 0.4.0 0.5 0.5.0 1.0 1.0.0 1.0.1 1.0.2 1.1 1.1.0 1.4 1.4.0 1.6 1.6.0 1.8 1.8.0 3.0 3.0.0 3.0.1 3.0.2 3.3 3.3.0 3.5 3.5.0 4.0 4.0.0 4.0.1 4.1 4.1.0 4.2 4.2.0 4.3 4.3.0 4.3.0-cibuild 4.3.0-snapshot1 4.4 4.4.0 4.5 4.5.0 4.6 4.6.0 5.0 5.0.0 5.0.0-cibuild 5.0.0-snapshot1 5.0.0-snapshot2 5.0.0-ballot 5.0.0-snapshot3 5.0.0-draft-final 6.0 6.0.0 6.0.0-ballot1 6.0.0-ballot2 6.0.0-ballot3 6.0.0-ballot4 If the element is present, it must have either a @value, an @id, or extensions application/fhir+xml application/fhir+json application/fhir+turtle application/json-patch+json application/xml-patch+xml If the element is present, it must have either a @value, an @id, or extensions Display Print (Form) Print (Operator) If the element is present, it must have either a @value, an @id, or extensions Draft черновик ontwerp Active активный actief Retired удалён verouderd Unknown If the element is present, it must have either a @value, an @id, or extensions Complete Error Partial If the element is present, it must have either a @value, an @id, or extensions Number Date/DateTime String Token Reference Composite Quantity URI Special Resource If the element is present, it must have either a @value, an @id, or extensions Andorra United Arab Emirates Afghanistan Antigua and Barbuda Anguilla Albania Armenia Angola Antarctica Argentina American Samoa Austria Australia Aruba Åland Islands Azerbaijan Bosnia and Herzegovina Barbados Bangladesh Belgium Burkina Faso Bulgaria Bahrain Burundi Benin Saint Barthélemy Bermuda Brunei Darussalam Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Brazil Bahamas Bhutan Bouvet Island Botswana Belarus Belize Canada Cocos (Keeling) Islands Congo, the Democratic Republic of the Central African Republic Congo Switzerland Côte d'Ivoire Cook Islands Chile Cameroon China Colombia Costa Rica Cuba Cabo Verde Curaçao Christmas Island Cyprus Czechia Germany Djibouti Denmark Dominica Dominican Republic Algeria Ecuador Estonia Egypt Western Sahara Eritrea Spain Ethiopia Finland Fiji Falkland Islands (Malvinas) Micronesia, Federated States of Faroe Islands France Gabon United Kingdom of Great Britain and Northern Ireland Grenada Georgia French Guiana Guernsey Ghana Gibraltar Greenland Gambia Guinea Guadeloupe Equatorial Guinea Greece South Georgia and the South Sandwich Islands Guatemala Guam Guinea-Bissau Guyana Hong Kong Heard Island and McDonald Islands Honduras Croatia Haiti Hungary Indonesia Ireland Israel Isle of Man India British Indian Ocean Territory Iraq Iran, Islamic Republic of Iceland Italy Jersey Jamaica Jordan Japan Kenya Kyrgyzstan Cambodia Kiribati Comoros Saint Kitts and Nevis Korea, Democratic People's Republic of Korea, Republic of Kuwait Cayman Islands Kazakhstan Lao People's Democratic Republic Lebanon Saint Lucia Liechtenstein Sri Lanka Liberia Lesotho Lithuania Luxembourg Latvia Libya Morocco Monaco Moldova, Republic of Montenegro Saint Martin (French part) Madagascar Marshall Islands Macedonia, the former Yugoslav Republic of Mali Myanmar Mongolia Macao Northern Mariana Islands Martinique Mauritania Montserrat Malta Mauritius Maldives Malawi Mexico Malaysia Mozambique Namibia New Caledonia Niger Norfolk Island Nigeria Nicaragua Netherlands Norway Nepal Nauru Niue New Zealand Oman Panama Peru French Polynesia Papua New Guinea Philippines Pakistan Poland Saint Pierre and Miquelon Pitcairn Puerto Rico Palestine, State of Portugal Palau Paraguay Qatar Réunion Romania Serbia Russian Federation Rwanda Saudi Arabia Solomon Islands Seychelles Sudan Sweden Singapore Saint Helena, Ascension and Tristan da Cunha Slovenia Svalbard and Jan Mayen Slovakia Sierra Leone San Marino Senegal Somalia Suriname South Sudan Sao Tome and Principe El Salvador Sint Maarten (Dutch part) Syrian Arab Republic Swaziland Turks and Caicos Islands Chad French Southern Territories Togo Thailand Tajikistan Tokelau Timor-Leste Turkmenistan Tunisia Tonga Turkey Trinidad and Tobago Tuvalu Taiwan, Province of China Tanzania, United Republic of Ukraine Uganda United States Minor Outlying Islands United States of America Uruguay Uzbekistan Holy See Saint Vincent and the Grenadines Venezuela, Bolivarian Republic of Virgin Islands, British Virgin Islands, U.S. Viet Nam Vanuatu Wallis and Futuna Samoa Yemen Mayotte South Africa Zambia Zimbabwe User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned Kosovo User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned User-assigned Unknown User-assigned International Waters Unknown or Invalid Territory Aruba Afghanistan Angola Anguilla Åland Islands Albania Andorra United Arab Emirates Argentina Armenia American Samoa Antarctica French Southern Territories Antigua and Barbuda Australia Austria Azerbaijan Burundi Belgium Benin Bonaire, Sint Eustatius and Saba Burkina Faso Bangladesh Bulgaria Bahrain Bahamas Bosnia and Herzegovina Saint Barthélemy Belarus Belize Bermuda Bolivia, Plurinational State of Brazil Barbados Brunei Darussalam Bhutan Bouvet Island Botswana Central African Republic Canada Cocos (Keeling) Islands Switzerland Chile China Côte d'Ivoire Cameroon Congo, the Democratic Republic of the Congo Cook Islands Colombia Comoros Cabo Verde Costa Rica Cuba Curaçao Christmas Island Cayman Islands Cyprus Czechia Germany Djibouti Dominica Denmark Dominican Republic Algeria Ecuador Egypt Eritrea Western Sahara Spain Estonia Ethiopia Finland Fiji Falkland Islands (Malvinas) France Faroe Islands Micronesia, Federated States of Gabon United Kingdom Georgia Guernsey Ghana Gibraltar Guinea Guadeloupe Gambia Guinea-Bissau Equatorial Guinea Greece Grenada Greenland Guatemala French Guiana Guam Guyana Hong Kong Heard Island and McDonald Islands Honduras Croatia Haiti Hungary Indonesia Isle of Man India British Indian Ocean Territory Ireland Iran, Islamic Republic of Iraq Iceland Israel Italy Jamaica Jersey Jordan Japan Kazakhstan Kenya Kyrgyzstan Cambodia Kiribati Saint Kitts and Nevis Korea, Republic of Kuwait Lao People's Democratic Republic Lebanon Liberia Libya Saint Lucia Liechtenstein Sri Lanka Lesotho Lithuania Luxembourg Latvia Macao Saint Martin (French part) Morocco Monaco Moldova, Republic of Madagascar Maldives Mexico Marshall Islands Macedonia, the former Yugoslav Republic of Mali Malta Myanmar Montenegro Mongolia Northern Mariana Islands Mozambique Mauritania Montserrat Martinique Mauritius Malawi Malaysia Mayotte Namibia New Caledonia Niger Norfolk Island Nigeria Nicaragua Niue Netherlands Norway Nepal Nauru New Zealand Oman Pakistan Panama Pitcairn Peru Philippines Palau Papua New Guinea Poland Puerto Rico Korea, Democratic People's Republic of Portugal Paraguay Palestine, State of French Polynesia Qatar Réunion Romania Russian Federation Rwanda Saudi Arabia Sudan Senegal Singapore South Georgia and the South Sandwich Islands Saint Helena, Ascension and Tristan da Cunha Svalbard and Jan Mayen Solomon Islands Sierra Leone El Salvador San Marino Somalia Saint Pierre and Miquelon Serbia South Sudan Sao Tome and Principe Suriname Slovakia Slovenia Sweden Swaziland Sint Maarten (Dutch part) Seychelles Syrian Arab Republic Turks and Caicos Islands Chad Togo Thailand Tajikistan Tokelau Turkmenistan Timor-Leste Tonga Trinidad and Tobago Tunisia Turkey Tuvalu Taiwan, Province of China Tanzania, United Republic of Uganda Ukraine United States Minor Outlying Islands Uruguay United States of America Uzbekistan Holy See Saint Vincent and the Grenadines Venezuela, Bolivarian Republic of Virgin Islands, British Virgin Islands, U.S. Viet Nam Vanuatu Wallis and Futuna Samoa Yemen South Africa Zambia Zimbabwe Afghanistan Albania Antarctica Algeria American Samoa Andorra Angola Antigua and Barbuda Azerbaijan Argentina Australia Austria Bahamas Bahrain Bangladesh Armenia Barbados Belgium Bermuda Bhutan Bolivia, Plurinational State of Bosnia and Herzegovina Botswana Bouvet Island Brazil Belize British Indian Ocean Territory Solomon Islands Virgin Islands, British Brunei Darussalam Bulgaria Myanmar Burundi Belarus Cambodia Cameroon Canada Cabo Verde Cayman Islands Central African Republic Sri Lanka Chad Chile China Taiwan, Province of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Mayotte Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Cyprus Czechia Benin Denmark Dominica Dominican Republic Ecuador El Salvador Equatorial Guinea Ethiopia Eritrea Estonia Faroe Islands Falkland Islands (Malvinas) South Georgia and the South Sandwich Islands Fiji Finland Åland Islands France French Guiana French Polynesia French Southern Territories Djibouti Gabon Georgia Gambia Palestine, State of Germany Ghana Gibraltar Kiribati Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Côte d'Ivoire Jamaica Japan Kazakhstan Jordan Kenya Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Lebanon Lesotho Latvia Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Monaco Mongolia Moldova, Republic of Montenegro Montserrat Morocco Mozambique Oman Namibia Nauru Nepal Netherlands Curaçao Aruba Sint Maarten (Dutch part) Bonaire, Sint Eustatius and Saba New Caledonia Vanuatu New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Northern Mariana Islands United States Minor Outlying Islands Micronesia, Federated States of Marshall Islands Palau Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Guinea-Bissau Timor-Leste Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Anguilla Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Viet Nam Slovenia Somalia South Africa Zimbabwe Spain South Sudan Sudan Western Sahara Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Thailand Togo Tokelau Tonga Trinidad and Tobago United Arab Emirates Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine Macedonia, the former Yugoslav Republic of Egypt United Kingdom Guernsey Jersey Isle of Man Tanzania, United Republic of United States of America Virgin Islands, U.S. Burkina Faso Uruguay Uzbekistan Venezuela, Bolivarian Republic of Wallis and Futuna Samoa Yemen Zambia Balkh Bāmyān Bādghīs Badakhshān Baghlān Dāykundī Farāh Fāryāb Ghaznī Ghōr Helmand Herāt Jowzjān Kābul Kandahār Kāpīsā Kunduz Khōst Kunar Laghmān Lōgar Nangarhār Nīmrōz Nūristān Panjshayr Parwān Paktiyā Paktīkā Samangān Sar-e Pul Takhār Uruzgān Wardak Zābul Åland Islands Berat Durrës Elbasan Fier Gjirokastër Korçë Kukës Lezhë Dibër Shkodër Tiranë Vlorë Berat Bulqizë Dibër Delvinë Durrës Devoll Elbasan Kolonjë Fier Gjirokastër Gramsh Has Kavajë Kurbin Kuçovë Korçë Krujë Kukës Librazhd Lezhë Lushnjë Mallakastër Malësi e Madhe Mirditë Mat Pogradec Peqin Përmet Pukë Shkodër Skrapar Sarandë Tepelenë Tropojë Tiranë Vlorë Adrar Chlef Laghouat Oum el Bouaghi Batna Béjaïa Biskra Béchar Blida Bouira Tamanrasset Tébessa Tlemcen Tiaret Tizi Ouzou Alger Djelfa Jijel Sétif Saïda Skikda Sidi Bel Abbès Annaba Guelma Constantine Médéa Mostaganem Msila Mascara Ouargla Oran El Bayadh Illizi Bordj Bou Arréridj Boumerdès El Tarf Tindouf Tissemsilt El Oued Khenchela Souk Ahras Tipaza Mila Aïn Defla Naama Aïn Témouchent Ghardaïa Relizane American Samoa Canillo Encamp La Massana Ordino Sant Julià de Lòria Andorra la Vella Escaldes-Engordany Bengo Benguela Bié Cabinda Kuando Kubango Cunene Kwanza Norte Kwanza Sul Huambo Huíla Lunda Norte Lunda Sul Luanda Malange Moxico Namibe Uíge Zaire Anguilla Antarctica Saint George Saint John Saint Mary Saint Paul Saint Peter Saint Philip Barbuda Redonda Salta Buenos Aires Ciudad Autónoma de Buenos Aires San Luis Entre Ríos La Rioja Santiago del Estero Chaco San Juan Catamarca La Pampa Mendoza Misiones Formosa Neuquén Río Negro Santa Fe Tucumán Chubut Tierra del Fuego Corrientes Córdoba Jujuy Santa Cruz Aragac̣otn Ararat Armavir Erevan Geġark'unik' Kotayk' Loṙi Širak Syunik' Tavuš Vayoć Jor Aruba Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia If the element is present, it must have either a @value, an @id, or extensions Manufacturer is specifically allowed for this ingredient Manufacturer is known to make this ingredient in general Manufacturer actually makes this particular ingredient If the element is present, it must have either a @value, an @id, or extensions Grouped Pooled If the element is present, it must have either a @value, an @id, or extensions A date or partial date (e.g. just year or year + month). There is no UTC offset. The format is a union of the schema types gYear, gYearMonth and date. Dates SHALL be valid dates. If the element is present, it must have either a @value, an @id, or extensions A date, date-time or partial date (e.g. just year or year + month). If hours and minutes are specified, a UTC offset SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored. Dates SHALL be valid dates. UTC offset is allowed for dates and partial dates If the element is present, it must have either a @value, an @id, or extensions A string which has at least one character and no leading or trailing whitespace and where there is no whitespace other than single spaces in the contents If the element is present, it must have either a @value, an @id referenced from the Narrative, or extensions A sequence of Unicode characters Note that FHIR strings SHALL NOT exceed 1,048,576 (1024*1024) characters in size If the element is present, it must have either a @value, an @id, or extensions A very large whole number Typically this is used for record counters (e.g. database keys) If the element is present, it must have either a @value, an @id, or extensions A whole number 32 bit number; for values larger than this, use decimal If the element is present, it must have either a @value, an @id, or extensions An OID represented as a URI RFC 3001. See also ISO/IEC 8824:1990 € If the element is present, it must have either a @value, an @id referenced from the Narrative, or extensions A URI that is a reference to a canonical URL on a FHIR resource see [Canonical References](references.html#canonical) If the element is present, it must have either a @value, an @id referenced from the Narrative, or extensions String of characters used to identify a name or a resource see http://en.wikipedia.org/wiki/Uniform_resource_identifier If the element is present, it must have either a @value, an @id, or extensions A UUID, represented as a URI See The Open Group, CDE 1.1 Remote Procedure Call specification, Appendix A. If the element is present, it must have either a @value, an @id referenced from the Narrative, or extensions A URI that is a literal reference If the element is present, it must have either a @value, an @id referenced from the Narrative, or extensions An instant in time - known at least to the second Note: This is intended for where precisely observed times are required, typically system logs etc., and not human-reported times - for them, see date and dateTime (which can be as precise as instant, but is not required to be) below. UTC offset is always required If the element is present, it must have either a @value, an @id, or extensions Value of "true" or "false" If the element is present, it must have either a @value, an @id, or extensions A stream of bytes A stream of bytes, base64 encoded If the element is present, it must have either a @value, an @id, or extensions An integer with a value that is not negative (e.g. >= 0) If the element is present, it must have either a @value, an @id referenced from the Narrative, or extensions A string that may contain Github Flavored Markdown syntax for optional processing by a mark down presentation engine Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/ If the element is present, it must have either a @value, an @id referenced from the Narrative, or extensions A time during the day, with no date specified If the element is present, it must have either a @value, an @id, or extensions Any combination of letters, numerals, "-" and ".", with a length limit of 64 characters. (This might be an integer, an unprefixed OID, UUID or any other identifier pattern that meets these constraints.) Ids are case-insensitive. RFC 4122 If the element is present, it must have either a @value, an @id referenced from the Narrative, or extensions An integer with a value that is positive (e.g. >0) If the element is present, it must have either a @value, an @id referenced from the Narrative, or extensions A rational number with implicit precision Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger) If the element is present, it must have either a @value, an @id, or extensions Optional Extension Element - found in all resources. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list). Base definition for all elements that are defined inside a resource - but not those in a data type. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). A human-readable summary of the resource conveying the essential clinical and business information for the resource. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data. The actual narrative content, a stripped down version of XHTML. Generated Extensions Additional Empty The status of a resource narrative. If the element is present, it must have either a @value, an @id, or extensions Base definition for all elements in a resource. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. The base class for all re-useable types defined as part of the FHIR Specification. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The base type for all re-useable types defined that have a simple property. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Base definition for the few data types that are allowed to carry modifier extensions. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Base definition for all types defined in FHIR type system. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The metadata about a resource. This is content in the resource that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. When the resource last changed - e.g. when the version changed. A uri that identifies the data source of the resource. This provides a minimal amount of [[[Provenance]]] information that can be used to track or differentiate the source of information in the resource. The source may identify another server, document, message, database, etc. It can also refer to portions of a structure, such as a section, segment, row, etc. A list of profiles (references to [[[StructureDefinition]]] resources) that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]]. Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world. The ISO21090-codedString may be used to provide a coded representation of the contents of strings in an Address. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The purpose of this address. Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. Specifies the entire address as it should be displayed e.g. on a postal label, using a newline delimiter for each line (e.g., \n). This may be provided instead of or as well as the specific parts. This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information. The name of the city, town, suburb, village or other community or delivery center. The name of the administrative area (county). Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes). A postal code designating a region defined by the postal service. Country - a nation as commonly understood or generally accepted. Time period when address was/is in use. Home Work Temporary Old / Incorrect Billing The use of an address. If the element is present, it must have either a @value, an @id, or extensions Postal Physical Postal & Physical The type of an address (physical / postal). If the element is present, it must have either a @value, an @id, or extensions For referring to data content defined in other formats. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions 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. The human language of the content. The value can be any valid value according to BCP 47. The actual data of the attachment - a sequence of bytes, base64 encoded. A location where the data can be accessed. The number of bytes of data that make up this attachment (before base64 encoding, if that is done). The calculated hash of the data using SHA-1. Represented using base64. A label or set of text to display in place of the data. The date that the attachment was first created. Height of the image in pixels (photo/video). Width of the image in pixels (photo/video). The number of frames in a photo. This is used with a multi-page fax, or an imaging acquisition context that takes multiple slices in a single image, or an animated gif. If there is more than one frame, this SHALL have a value in order to alert interface software that a multi-frame capable rendering widget is required. The duration of the recording in seconds - for audio and video. The number of pages when printed. A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Describes a required data item for evaluation in terms of the type of data, and optional code or date-based filters of the data. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The type of the required data, specified as the type name of a resource. For profiles, this value is set to the type of the base resource of the profile. The profile of the required data, specified as the uri of the profile definition. The intended subjects of the data requirement. If this element is not provided, a Patient subject is assumed. Indicates that specific elements of the type are referenced by the knowledge module and must be supported by the consumer in order to obtain an effective evaluation. This does not mean that a value is required for this element, only that the consuming system must understand the element and be able to provide values for it if they are available. The value of mustSupport SHALL be a FHIRPath resolvable on the type of the DataRequirement. The path SHALL consist only of identifiers, constant indexers, and .resolve() (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details). Code filters specify additional constraints on the data, specifying the value set of interest for a particular element of the data. Each code filter defines an additional constraint on the data, i.e. code filters are AND'ed, not OR'ed. Date filters specify additional constraints on the data in terms of the applicable date range for specific elements. Each date filter specifies an additional constraint on the data, i.e. date filters are AND'ed, not OR'ed. Value filters specify additional constraints on the data for elements other than code-valued or date-valued. Each value filter specifies an additional constraint on the data (i.e. valueFilters are AND'ed, not OR'ed). Specifies a maximum number of results that are required (uses the _count search parameter). Specifies the order of the results to be returned. Describes a required data item for evaluation in terms of the type of data, and optional code or date-based filters of the data. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The code-valued attribute of the filter. The specified path SHALL be a FHIRPath resolvable on the specified type of the DataRequirement, and SHALL consist only of identifiers, constant indexers, and .resolve(). The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details). Note that the index must be an integer constant. The path must resolve to an element of type code, Coding, or CodeableConcept. A token parameter that refers to a search parameter defined on the specified type of the DataRequirement, and which searches on elements of type code, Coding, or CodeableConcept. The valueset for the code filter. The valueSet and code elements are additive. If valueSet is specified, the filter will return only those data items for which the value of the code-valued element specified in the path is a member of the specified valueset. The codes for the code filter. If values are given, the filter will return only those data items for which the code-valued attribute specified by the path has a value that is one of the specified codes. If codes are specified in addition to a value set, the filter returns items matching a code in the value set or one of the specified codes. Describes a required data item for evaluation in terms of the type of data, and optional code or date-based filters of the data. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The attribute of the filter. The specified path SHALL be a FHIRPath resolvable on the specified type of the DataRequirement, and SHALL consist only of identifiers, constant indexers, and .resolve(). The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details). Note that the index must be an integer constant. The path must resolve to an element of a type that is comparable to the valueFilter.value[x] element for the filter. A search parameter defined on the specified type of the DataRequirement, and which searches on elements of a type compatible with the type of the valueFilter.value[x] for the filter. The comparator to be used to determine whether the value is matching. The value of the filter. Describes a required data item for evaluation in terms of the type of data, and optional code or date-based filters of the data. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The date-valued attribute of the filter. The specified path SHALL be a FHIRPath resolvable on the specified type of the DataRequirement, and SHALL consist only of identifiers, constant indexers, and .resolve(). The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details). Note that the index must be an integer constant. The path must resolve to an element of type date, dateTime, Period, Schedule, or Timing. A date parameter that refers to a search parameter defined on the specified type of the DataRequirement, and which searches on elements of type date, dateTime, Period, Schedule, or Timing. The value of the filter. If period is specified, the filter will return only those data items that fall within the bounds determined by the Period, inclusive of the period boundaries. If dateTime is specified, the filter will return only those data items that are equal to the specified dateTime. If a Duration is specified, the filter will return only those data items that fall within Duration before now. Describes a required data item for evaluation in terms of the type of data, and optional code or date-based filters of the data. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The attribute of the sort. The specified path must be resolvable from the type of the required data. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements. Note that the index must be an integer constant. The direction of the sort, ascending or descending. Ascending Descending The possible sort directions, ascending or descending. If the element is present, it must have either a @value, an @id, or extensions Indicates how the medication is/was taken or should be taken by the patient. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Whether the dosage applies (e.g. as a whole). The Disage applies if any of the conditions are true. Free text dosage instructions e.g. SIG. Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). Instructions in terms that are understood by the patient or consumer. When medication should be administered. Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option). Indicates whether the Medication is only taken based on a precondition for taking the Medication (CodeableConcept). Body site to administer to. How drug should enter body. Technique for administering medication. Depending on the resource,this is the amount of medication administered, to be administered or typical amount to be administered. Safety Information about the this dosage instructions. Indicates how the medication is/was taken or should be taken by the patient. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The kind of dose or rate specified, for example, ordered or calculated. Amount of medication per dose. Amount of medication per unit of time. RelativeTime expresses a time or time period as relative to the time of an event defined in data types other than dateTime. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The specific event occurrence or resource context used as a base point (reference point) in time. This establishes the context in which the 'path' is evaluated. The type of event used as a base point. Instances of this definition will establish the context for evaluating the path to determine the base time for the offset. Path to the element defining the basis for the relative time. Any valid FHIRPath expression. Coded representation of the event used as a base point (reference point) in time. An offset or offset range before (negative values) or after (positive values) the event. Range is limited to time-valued quantities (Durations). Free-text (human-readable) description. Financial line items use this datatype to commonly categorize the value, and other factors that may effect how the value should be interpreted. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The type of monetary component, what the value is to be used for and how that should be applied in its context. e.g. A surchange would increase the cost, a deduction would reduce the cost. A codable breakdown of the type of monetary component. e.g. State Tax, Federal Tax, VIP-Discount. The factor that has been applied to the base price (in another monetary component value) when performing calculations. The explicit value amount of the component (based on type/code). An amount of economic utility in some recognized currency. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Numerical value (with implicit precision). ISO 4217 Currency Code. A name, normally of a human, that can be used for other living entities (e.g. animals but not organizations) that have been assigned names by a human and may need the use of name parts or the need for usage information. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Identifies the purpose for this name. Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. 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. Given 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. 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. Indicates the period of time when this name was valid for the named person. Usual Official Temp Nickname Anonymous Old Name changed for Marriage The use of a human name. If the element is present, it must have either a @value, an @id, or extensions Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Telecommunications form for contact point - what communications system is required to make use of the contact. The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address). Identifies the purpose for the contact point. Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values. Time period when the contact point was/is in use. Phone Fax Email Pager URL SMS Other Telecommunications form for contact point. If the element is present, it must have either a @value, an @id, or extensions Home Work Temp Old Mobile Use of contact point. If the element is present, it must have either a @value, an @id, or extensions The marketing status describes the date when an item is actually put on the market or the date as of which it is no longer available. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The country in which the marketing status applies. The jurisdiction in which the marketing status applies. This attribute provides information on the status of the marketing of the item. The dates that the item is made available on the market by the owner (or where applicable, the manufacturer/distributor) in a country and/or jurisdiction. Note that “on the market” refers to the release of the item into the distribution chain. The date when the item is due to be placed back on the market by the owner, manufacturer or distributor, after a suspension. An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The purpose of this identifier. A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique. The portion of the identifier typically relevant to the user and which is unique within the context of the system. Time period during which identifier is/was valid for use. Organization that issued/manages the identifier. Usual Official Temp Secondary Old Identifies the purpose for this identifier, if known . If the element is present, it must have either a @value, an @id, or extensions A range of ratios expressed as a low and high numerator and a denominator. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The value of the low limit numerator. The value of the high limit numerator. The value of the denominator. A reference to a code defined by a terminology system. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The identification of the code system that defines the meaning of the symbol in the code. 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. 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). A representation of the meaning of the code in the system, following the rules of the system. Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Safety Details about the usage of the medication. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions A dose limit for safe use of the medication. What to do if the instructions lead to exceeding the dose limits. Safety Details about the usage of the medication. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Quantity that is safe to use. dosage | period | administration | lifetime - The scope of the dose limitation. The period over which the quantity is safe to use (if scope = period). Additional notes about the dose limit. A series of measurements taken by a device, with upper and lower limits. There may be more than one dimension in the data. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The base quantity that a measured value of zero represents. In addition, this provides the units of the entire measurement series. Amount of intervalUnits between samples, e.g. milliseconds for time-based sampling. The measurement unit in which the sample interval is expressed. A correction factor that is applied to the sampled data points before they are added to the origin. The lower limit of detection of the measured points. This is needed if any of the data points have the value "L" (lower than detection limit). The upper limit of detection of the measured points. This is needed if any of the data points have the value "U" (higher than detection limit). The number of sample points at each time point. If this value is greater than one, then the dimensions will be interlaced - all the sample points for a point in time will be recorded at once. Reference to ConceptMap that defines the codes used in the data. A series of increasing decimal values separated by a single space (character u20), which represent the offset from the logical start point. Offset values may be negative. The units in which the offsets are expressed are found in intervalUnit. The absolute point at which the measurements begin SHALL be conveyed outside the scope of this datatype, e.g. Observation.effectiveDateTime for a timing offset. A series of data points which are decimal values or codes separated by a single space (character u20). The special codes "E" (error), "L" (below detection limit) and "U" (above detection limit) are also defined for used in place of decimal values. A relationship of two Quantity values - expressed as a numerator and a denominator. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The value of the numerator. The value of the denominator. Captures constraints on each element within the resource, profile, or extension. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The path identifies the element and is expressed as a "."-separated list of ancestor elements, beginning with the name of the resource or extension. Codes that define how this element is represented in instances, when the deviation varies from the normal case. No extensions are allowed on elements with a representation of 'xmlAttr', no matter what FHIR serialization format is used. The name of this element definition slice, when slicing is working. The name must be a token with no dots or spaces. This is a unique name referring to a specific set of constraints applied to this element, used to provide a name to different slices of the same element. If true, indicates that this slice definition is constraining a slice definition with the same name in an inherited profile. If false, the slice is not overriding any slice in an inherited profile. If missing, the slice might or might not be overriding a slice in an inherited profile, depending on the sliceName. A single preferred label which is the text to display beside the element indicating its meaning or to use to prompt for the element in a user display or form. A code that has the same meaning as the element in a particular terminology. Indicates that the element is sliced into a set of alternative definitions (i.e. in a structure definition, there are multiple different constraints on a single element in the base resource). Slicing can be used in any resource that has cardinality ..* on the base resource, or any resource with a choice of types. The set of slices is any elements that come after this in the element sequence that have the same path, until a shorter path occurs (the shorter path terminates the set). A concise description of what this element means (e.g. for use in autogenerated summaries). Provides a complete explanation of the meaning of the data element for human readability. For the case of elements derived from existing elements (e.g. constraints), the definition SHALL be consistent with the base definition, but convey the meaning of the element in the particular context of use of the resource. (Note: The text you are reading is specified in ElementDefinition.definition). Explanatory notes and implementation guidance about the data element, including notes about how to use the data properly, exceptions to proper use, etc. (Note: The text you are reading is specified in ElementDefinition.comment). This element is for traceability of why the element was created and why the constraints exist as they do. This may be used to point to source materials or specifications that drove the structure of this element. Identifies additional names by which this element might also be known. The minimum number of times this element SHALL appear in the instance. The maximum number of times this element is permitted to appear in the instance. Information about the base definition of the element, provided to make it unnecessary for tools to trace the deviation of the element through the derived and related profiles. When the element definition is not the original definition of an element - e.g. either in a constraint on another type, or for elements from a super type in a snap shot - then the information in provided in the element definition may be different to the base definition. On the original definition of the element, it will be same. Identifies an element defined elsewhere in the definition whose content rules should be applied to the current element. ContentReferences bring across all the rules that are in the ElementDefinition for the element, including definitions, cardinality constraints, bindings, invariants etc. The data type or resource that the value of this element is permitted to be. The value that should be used if there is no value stated in the instance (e.g. 'if not otherwise specified, the abstract is false'). The Implicit meaning that is to be understood when this element is missing (e.g. 'when this element is missing, the period is ongoing'). If present, indicates that the order of the repeating element has meaning and describes what that meaning is. If absent, it means that the order of the element has no meaning. Specifies a value that SHALL be exactly the value for this element in the instance, if present. For purposes of comparison, non-significant whitespace is ignored, and all values must be an exact match (case and accent sensitive). Missing elements/attributes must also be missing. Specifies a value that each occurrence of the element in the instance SHALL follow - that is, any value in the pattern must be found in the instance, if the element has a value. Other additional values may be found too. This is effectively constraint by example. When pattern[x] is used to constrain a primitive, it means that the value provided in the pattern[x] must match the instance value exactly. When an element within a pattern[x] is used to constrain an array, it means that each element provided in the pattern[x] must (recursively) match at least one element from the instance array. When pattern[x] is used to constrain a complex object, it means that each property in the pattern must be present in the complex object, and its value must recursively match -- i.e., 1. If primitive: it must match exactly the pattern value 2. If a complex object: it must match (recursively) the pattern value 3. If an array: it must match (recursively) the pattern value If a pattern[x] is declared on a repeating element, the pattern applies to all repetitions. If the desire is for a pattern to apply to only one element or a subset of elements, slicing must be used. See [Examples of Patterns](elementdefinition-examples.html#pattern-examples) for examples of pattern usage and the effect it will have. A sample value for this element demonstrating the type of information that would typically be found in the element. The minimum allowed value for the element. The value is inclusive. This is allowed for the types date, dateTime, instant, time, decimal, integer, and Quantity. The maximum allowed value for the element. The value is inclusive. This is allowed for the types date, dateTime, instant, time, decimal, integer, and Quantity. Indicates the maximum length in characters that is permitted to be present in conformant instances and which is expected to be supported by conformant consumers that support the element. ```maxLength``` SHOULD only be used on primitive data types that have a have a length (see [Tupe Characteristics](datatypes.html#other) and [[[http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics]]]). A reference to an invariant that may make additional statements about the cardinality or value in the instance. Formal constraints such as co-occurrence and other constraints that can be computationally evaluated within the context of the instance. Specifies for a primitive data type that the value of the data type cannot be replaced by an extension. Specifies a list of extensions that can appear in place of a primitive value. If true, implementations that produce or consume resources SHALL provide "support" for the element in some meaningful way. Note that this is being phased out and replaced by obligations (see below). If false, the element may be ignored and not supported. If false, whether to populate or use the data element in any way is at the discretion of the implementation. If true, the value of this element affects the interpretation of the element or resource that contains it, and the value of the element cannot be ignored. Typically, this is used for status, negation and qualification codes. The effect of this is that the element cannot be ignored by systems: they SHALL either recognize the element and process it, and/or a pre-determination has been made that it is not relevant to their particular system. When used on the root element in an extension definition, this indicates whether or not the extension is a modifier extension. Explains how that element affects the interpretation of the resource or element that contains it. Whether the element should be included if a client requests a search with the parameter _summary=true. Binds to a value set if this element is coded (code, Coding, CodeableConcept, Quantity), or the data types (string, uri). Identifies a concept from an external specification that roughly corresponds to this element. Captures constraints on each element within the resource, profile, or extension. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Allows identification of which elements have their cardinalities impacted by the constraint. Will not be referenced for constraints that do not affect cardinality. Description of why this constraint is necessary or appropriate. Identifies the impact constraint violation has on the conformance of the instance. If true, indicates that the warning or best practice guideline should be suppressed. Text that can be used to describe the constraint in messages identifying that the constraint has been violated. A [FHIRPath](fhirpath.html) expression of constraint that can be executed to see if this constraint is met. A reference to the original source of the constraint, for traceability purposes. Captures constraints on each element within the resource, profile, or extension. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions An internal reference to the definition of a mapping. Identifies the computable language in which mapping.map is expressed. Expresses what part of the target specification corresponds to this element. Comments that provide information about the mapping or its use. Captures constraints on each element within the resource, profile, or extension. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The Path that identifies the base element - this matches the ElementDefinition.path for that element. Across FHIR, there is only one base definition of any element - that is, an element definition on a [[[StructureDefinition]]] without a StructureDefinition.base. Minimum cardinality of the base element identified by the path. Maximum cardinality of the base element identified by the path. Captures constraints on each element within the resource, profile, or extension. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions URL of Data type or Resource that is a(or the) type used for this element. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition e.g. "string" is a reference to http://hl7.org/fhir/StructureDefinition/string. Absolute URLs are only allowed in logical models. Identifies a profile structure or implementation Guide that applies to the datatype this element refers to. If any profiles are specified, then the content must conform to at least one of them. The URL can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition or Implementation Guide by a canonical URL. When an implementation guide is specified, the type SHALL conform to at least one profile defined in the implementation guide. Used when the type is "Reference" or "canonical", and identifies a profile structure or implementation Guide that applies to the target of the reference this element refers to. If any profiles are specified, then the content must conform to at least one of them. The URL can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition or Implementation Guide by a canonical URL. When an implementation guide is specified, the target resource SHALL conform to at least one profile defined in the implementation guide. If the type is a reference to another resource, how the resource is or can be aggregated - is it a contained resource, or a reference, and if the context is a bundle, is it included in the bundle. Whether this reference needs to be version specific or version independent, or whether either can be used. Captures constraints on each element within the resource, profile, or extension. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Describes the purpose of this example among the set of examples. The actual value for the element, which must be one of the types allowed for this element. Captures constraints on each element within the resource, profile, or extension. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Designates which child elements are used to discriminate between the slices when processing an instance. If one or more discriminators are provided, the values of the child elements in the instance data SHALL completely distinguish which slice the element in the resource matches based on the allowed values for those elements in each of the slices. A human-readable text description of how the slicing works. If there is no discriminator, this is required to be present to provide whatever information is possible about how the slices can be differentiated. If the matching elements have to occur in the same order as defined in the profile. Whether additional slices are allowed or not. When the slices are ordered, profile authors can also say that additional slices are only allowed at the end. Captures constraints on each element within the resource, profile, or extension. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Indicates the degree of conformance expectations associated with this binding - that is, the degree to which the provided value set must be adhered to in the instances. Free-text guidance on the codes that are appropriate for this element. Refers to the value set that identifies the set of codes the binding refers to. Additional bindings that help applications implementing this element. Additional bindings do not replace the main binding but provide more information and/or context. Captures constraints on each element within the resource, profile, or extension. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions A unique identifier for the additional binding within the element that allows additional bindings to be matched across profiles. The use of this additional binding. The valueSet that is being bound for the purpose. Documentation of the purpose of use of the binding, providing additional information about how it is intended to be used. Concise documentation - for summary tables. Qualifies the usage of the binding. Typically bindings are qualified by jurisdiction, but they may also be qualified by gender, workflow status, clinical domain etc. The information to decide whether a usage context applies is usually outside the resource, determined by context, and this might present challenges for validation tooling. Whether the binding applies to all repeats, or just to any one of them. This is only relevant for elements that can repeat. Captures constraints on each element within the resource, profile, or extension. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions How the element value is interpreted when discrimination is evaluated. A FHIRPath expression, using [the simple subset of FHIRPath](fhirpath.html#simple), that is used to identify the element on which discrimination is based. XML Attribute XML Text Type Attribute CDA Text Format XHTML How a property is represented when serialized. If the element is present, it must have either a @value, an @id, or extensions Error Warning SHALL applications comply with this constraint? If the element is present, it must have either a @value, an @id, or extensions Contained Referenced Bundled How resource references can be aggregated. If the element is present, it must have either a @value, an @id, or extensions Either Specific or independent Version independent Version Specific Whether a reference needs to be version specific or version independent, or whether either can be used. If the element is present, it must have either a @value, an @id, or extensions Closed Open Open at End How slices are interpreted when evaluating an instance. If the element is present, it must have either a @value, an @id, or extensions Value Exists Pattern Type Profile Position How an element value is interpreted when discrimination is evaluated. If the element is present, it must have either a @value, an @id, or extensions A length - a value with a unit that is a physical distance. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions A duration of time during which an organism (or a process) has existed. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The set of values required to describe a virtual service's connection details, including some limitations of the service. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The type of virtual service to connect to (i.e. Teams, Zoom, Specific VMR technology, WhatsApp). What address or number needs to be used for a user to connect to the virtual service to join. The channelType informs as to which datatype is appropriate to use (requires knowledge of the specific type). A web address that provides additional details on the call, such as alternative/regional call in numbers, or other associated services. Maximum number of participants supported by the virtual service where there are limitations imposed. Some systems require an additional factor/value be provided to access the service. Availability data for an {item}, declaring what days/times are available, and any exceptions. The exceptions could be textual only, e.g. Public holidays, or could be time period specific and indicate a specific years dates. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The period of time when the availability is applicable. For example, you might use this property to indicate the period during the holiday season when you close an hour early. A collection of times that the {item} is available. The {item} is not available during this period of time due to the provided reason. Availability data for an {item}, declaring what days/times are available, and any exceptions. The exceptions could be textual only, e.g. Public holidays, or could be time period specific and indicate a specific years dates. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Indicates which days of the week are available between the start and end Times. Is this always available? (hence times are irrelevant) i.e. 24 hour service. The opening time of day. Note: If the AllDay flag is set, then this time is ignored. The closing time of day. Note: If the AllDay flag is set, then this time is ignored. Availability data for an {item}, declaring what days/times are available, and any exceptions. The exceptions could be textual only, e.g. Public holidays, or could be time period specific and indicate a specific years dates. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The reason that can be presented to the user as to why this time is not available. The {item} is not available (seasonally or for a public holiday) during this period. A reference from one resource to another. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions 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. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents 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. Plain text narrative that identifies the resource in addition to the resource reference. A description of a triggering event. Triggering events can be named events, data events, or periodic, as determined by the type element. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The type of triggering event. A formal name for the event. This may be an absolute URI that identifies the event formally (e.g. from a trigger registry), or a simple relative URI that identifies the event in a local context. A code that identifies the event. A reference to a SubscriptionTopic resource that defines the event. If this element is provided, no other information about the trigger definition may be supplied. The timing of the event (if this is a periodic trigger). The triggering data of the event (if this is a data trigger). If more than one data is requirement is specified, then all the data requirements must be true. A boolean-valued expression that is evaluated in the context of the container of the trigger definition and returns whether or not the trigger fires. Named Event Periodic Data Changed Data Added Data Updated Data Removed Data Accessed Data Access Ended Subscription Topic The type of trigger. If the element is present, it must have either a @value, an @id, or extensions A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The value of the measured amount. The value includes an implicit precision in the presentation of 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. A human-readable form of the unit. The identification of the system that provides the coded form of the unit. A computer processable form of the unit in some unit representation system. Less than Less or Equal to Greater or Equal to Greater than Sufficient to achieve this total quantity How the Quantity should be understood and represented. If the element is present, it must have either a @value, an @id, or extensions A time period defined by a start and end date and optionally time. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The start of the period. The boundary is inclusive. The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. 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. A length of time. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions A set of ordered Quantities defined by a low and high limit. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The low limit. The boundary is inclusive. The high limit. The boundary is inclusive. Related artifacts such as dependencies, components, additional documentation, justification, or bibliographic references. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The type of relationship to the related artifact. A short label that can be used to reference the citation from elsewhere in the containing artifact, such as a footnote index. A brief description of the document or knowledge resource being referenced, suitable for display to a consumer. Deprecated in favor of the new artifact[x] element. A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format. Deprecated in favor of the new artifact[x] element. The document being referenced, represented as an attachment. This is exclusive with the resource element. Deprecated in favor of the new artifact[x] element. The related artifact, such as a library, value set, profile, or other knowledge resource. Deprecated in favor of the new artifact[x] element. The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource. The related artifact represented as a canonical or direct reference to a FHIR resource, an Attachment, or directly inline as markdown. Documentation Justification Citation Predecessor Successor Derived From Depends On Composed Of Part Of The type of relationship to the related artifact. If the element is present, it must have either a @value, an @id, or extensions A text note which also contains information about who made the statement and when. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The individual responsible for making the annotation. Indicates when this particular annotation was made. The text of the annotation in markdown format. The shelf-life and storage information for a medicinal product item or container can be described using this class. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions This describes the shelf life, taking into account various scenarios such as shelf life of the packaged Medicinal Product itself, shelf life after transformation where necessary and shelf life after the first opening of a bottle, etc. The shelf life type shall be specified using an appropriate controlled vocabulary The controlled term and the controlled term identifier shall be specified. The shelf life time period can be specified using a numerical value for the period of time and its unit of time measurement The unit of measurement shall be specified in accordance with ISO 11240 and the resulting terminology The symbol and the symbol identifier shall be used. Special precautions for storage, if any, can be specified using an appropriate controlled vocabulary The controlled term and the controlled term identifier shall be specified. Specifies contact information for a person or organization. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The name of an individual to contact. The contact details for the individual (if a name was provided) or the organization. DosageCondition expresses a time or time period as relative to the time of an event defined in data types other than dateTime. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The specific event occurrence or resource context used as a base point (reference point) in time. This establishes the context in which the 'path' is evaluated. Additional details about the event - depends on the code. How the value is tested. The value for this critera. Free-text (human-readable) description. Specifies clinical/business/etc. metadata that can be used to retrieve, index and/or categorize an artifact. This metadata can either be specific to the applicable population (e.g., age category, DRG) or the specific context of care (e.g., venue, care setting, provider of care). If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions A code that identifies the type of context being specified by this usage context. A value that defines the context specified in this context of use. The interpretation of the value is defined by the code. A expression that is evaluated in a specified context and returns a value. The context of use of the expression must specify the context in which the expression is evaluated, and how the result of the expression is used. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions A brief, natural language description of the condition that effectively communicates the intended semantics. A short name assigned to the expression to allow for multiple reuse of the expression in the context where it is defined. The media type of the language for the expression. An expression in the specified language that returns a value. A URI that defines where the expression is found. A reference to a resource (by instance), or instead, a reference to a concept defined in a terminology or ontology (by class). If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology. A reference to a resource the provides exact details about the information being referenced. A signature along with supporting context. The signature may be a digital signature that is cryptographic in nature, or some other signature acceptable to the domain. This other signature may be as simple as a graphical image representing a hand-written signature, or a signature ceremony Different signature approaches have different utilities. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions An indication of the reason that the entity signed this document. This may be explicitly included as part of the signature information and can be used when determining accountability for various actions concerning the document. When the digital signature was signed. A reference to an application-usable description of the identity that signed (e.g. the signature used their private key). A reference to an application-usable description of the identity that is represented by the signature. A mime type that indicates the technical format of the target resources signed by the signature. A mime type that indicates the technical format of the signature. Important mime types are application/signature+xml for X ML DigSig, application/jose for JWS, and image/* for a graphical image of a signature, etc. The base64 encoding of the Signature content. When signature is not recorded electronically this element would be empty. Specifies an event that may occur multiple times. Timing schedules are used to record when things are planned, expected or requested to occur. The most common usage is in dosage instructions for medications. They are also used when planning care of various kinds, and may be used for reporting the schedule to which past regular activities were carried out. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Identifies specific times when the event occurs. A set of rules that describe when the event is scheduled. A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code). Specifies an event that may occur multiple times. Timing schedules are used to record when things are planned, expected or requested to occur. The most common usage is in dosage instructions for medications. They are also used when planning care of various kinds, and may be used for reporting the schedule to which past regular activities were carried out. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. The units of time for the duration, in UCUM units Normal practice is to use the 'mo' code as a calendar month when calculating the next occurrence. The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. The units of time for the period in UCUM units Normal practice is to use the 'mo' code as a calendar month when calculating the next occurrence. Indicates that the events within the period of the repeat do not start until startOffset has elapsed. Indicates that the events within the period of the repeat step endOffset before the period ends. If one or more days of week is provided, then the action happens only on the specified day(s). Specified time of day for action to take place. An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. s min h d wk mo a A unit of time (units from UCUM). If the element is present, it must have either a @value, an @id, or extensions Morning Early Morning Late Morning Noon Afternoon Early Afternoon Late Afternoon Evening Early Evening Late Evening Night After Sleep Immediate HS WAKE C CM CD CV AC ACM ACD ACV PC PCM PCD PCV Real-world event relating to the schedule. If the element is present, it must have either a @value, an @id, or extensions Specifies contact information for a specific purpose over a period of time, might be handled/monitored by a specific named person or organization. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The purpose/type of contact. The name of an individual to contact, some types of contact detail are usually blank. The contact details application for the purpose defined. Address for the contact. This contact detail is handled/monitored by a specific organization. If the name is provided in the contact, then it is referring to the named individual within this organization. Period that this contact was valid for usage. Indicates how the medication is/was taken or should be taken by the patient. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The full representation of the dose of the medication included in all dosage instructions. The renderedInstructions element must always be present to ensure the full dosage intent is communicated in every case. One step in a sequence of steps that comprise the dosage course. Safety Information about the combined dose course. Indicates how the medication is/was taken or should be taken by the patient. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions When the step starts. In the absence of a linked event, the step is assumed to start immediately (or after the previous step). When the step ends. In the absence of a linked event, the step is assumed to end when the internal timing schedule termnates. How many times to do this step (if not 1). A dosage details that is part of this step. Safety Information about this step of the dose course. A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions A reference to a code defined by a terminology system. 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. The parameters to the module. This collection specifies both the input and output parameters. Input parameters are provided by the caller as part of the $evaluate operation. Output parameters are included in the GuidanceResponse. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions The name of the parameter used to allow access to the value of the parameter in evaluation contexts. Whether the parameter is input or output for the module. The minimum number of times this parameter SHALL appear in the request or response. The maximum number of times this element is permitted to appear in the request or response. A brief discussion of what the parameter is for and how it is used by the module. The type of the parameter. If specified, this indicates a profile that the input data must conform to, or that the output data will conform to. Common Interface declaration for conformance and knowledge artifact resources. A resource that includes narrative, extensions, and contained resources. A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning. May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). This is the base resource type for everything. The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-additionalImplicitRules.html) extension. The base language in which the resource is written. Common Interface declaration for conformance and knowledge artifact resources. A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc. A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc. If the element is present, it must have either a @value, an @id, or extensions Unique identifier used to reference the account. Might or might not be intended for human use (e.g. credit card number). Indicates whether the account is presently used/usable or not. The BillingStatus tracks the lifecycle of the account through the billing process. It indicates how transactions are treated when they are allocated to the account. Categorizes the account for reporting and searching purposes. Name used for the account when displaying it to humans in reports, etc. Identifies the entity which incurs the expenses. While the immediate recipients of services or goods might be entities related to the subject, the expenses were ultimately incurred by the subject of the Account. The date range of services associated with this account. An account that collects the charges for a specific set of services offered over a limited time period. For example, a hospital account might contain all charges related to a given admission, including any inpatient appointments, and possibly re-admissions, of the billing for those re-admissions should be grouped with the initial admission for the purpose of claim submission. The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account. Indicates the service area, hospital, department, etc. with responsibility for managing the Account. Provides additional information about what the account tracks and how it is used. The parties responsible for balancing the account if other payment options fall short. When using an account for billing a specific Encounter the set of diagnoses that are relevant for billing are stored here on the account where they are able to be sequenced appropriately prior to processing to produce claim(s). When using an account for billing a specific Encounter the set of procedures that are relevant for billing are stored here on the account where they are able to be sequenced appropriately prior to processing to produce claim(s). Reference to an associated parent Account which has this account as a sub-account. The default currency for the account. The calculated account balances - these are calculated and processed by the finance system. The balances with a `term` that is not current are usually generated/updated by an invoicing or similar process. Time the balance amount was calculated. A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc. The party(s) that contribute to payment (or part of) of the charges applied to this account (including self-pay). A coverage may only be responsible for specific types of charges, and the sequence of the coverages in the account could be important when processing billing. The priority of the coverage in the context of this account. A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc. The entity who is responsible. A guarantor may be placed on credit hold or otherwise have their role temporarily suspended. The timeframe during which the guarantor accepts responsibility for the account. Reference to a specific Account belonging to the guarantor to use. The amount (as a percentage) of the charges the guarantor is responsible. The maximum amount the guarantee will pay. The order in which guarantors will be held responsible. A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc. Ranking of the diagnosis (for each type). The diagnosis relevant to the account. Ranking of the diagnosis (for each type). Type that this diagnosis has relevant to the account (e.g. admission, billing, discharge …). Was the Diagnosis present on Admission in the related Encounter. The package code can be used to group diagnoses that may be priced or delivered as a single product. Such as DRGs. A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc. Ranking of the procedure (for each type). The procedure relevant to the account. Date of the procedure when using a coded procedure. If using a reference to a procedure, then the date on the procedure should be used. How this procedure value should be used in charging the account. The package code can be used to group procedures that may be priced or delivered as a single product. Such as DRGs. Any devices that were associated with the procedure relevant to the account. A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc. Who is expected to pay this part of the balance. The term of the account balances - The balance value is the amount that was outstanding for this age. The amount is only an estimated value - this is likely common for `current` term balances, but not with known terms (that were generated by a backend process). The actual balance value calculated for the age defined in the term property. Active Inactive Entered in error On Hold Unknown If the element is present, it must have either a @value, an @id, or extensions This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context. This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this activity definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this activity definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the activity definition is stored on different servers. A formal identifier that is used to identify this activity definition when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the activity definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the activity 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 assets. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the activity definition. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the activity definition. An explanatory or alternate title for the activity definition giving additional information about its content. The status of this activity definition. Enables tracking the life-cycle of the content. A Boolean value to indicate that this activity definition is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. A code, group definition, or canonical reference that describes or identifies the intended subject of the activity being defined. Canonical references are allowed to support the definition of protocols for drug and substance quality specifications, and is allowed to reference a MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, or PackagedProductDefinition resource. The date (and optionally time) when the activity definition was last significantly changed. The date must change 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 activity definition changes. The name of the organization or individual responsible for the release and ongoing maintenance of the activity definition. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the activity definition from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate activity definition instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this activity definition is needed and why it has been designed as it has. A detailed description of how the activity definition is used from a clinical perspective. A copyright statement relating to the activity definition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the activity definition. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. The period during which the activity definition content was or is planned to be in active use. Descriptive topics related to the content of the activity. Topics provide a high-level categorization of the activity that can be useful for filtering and searching. An individiual or organization primarily involved in the creation and maintenance of the content. An individual or organization primarily responsible for internal coherence of the content. An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the content. An individual or organization asserted by the publisher to be responsible for officially endorsing the content for use in some setting. Related artifacts such as additional documentation, justification, or bibliographic references. A reference to a Library resource containing any formal logic used by the activity definition. A description of the kind of resource the activity definition is representing. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. A profile to which the target of the activity definition is expected to conform. Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. Indicates the level of authority/intentionality associated with the activity and where the request should fit into the workflow chain. Indicates how quickly the activity should be addressed with respect to other requests. Set this to true if the definition is to indicate that a particular activity should NOT be performed. If true, this element should be interpreted to reinforce a negative coding. For example NPO as a code with a doNotPerform of true would still indicate to NOT perform the action. The timing or frequency upon which the described activity is to occur. If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc. Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc. Indicates who should participate in performing the action described. Identifies the food, drug or other product being consumed or supplied in the activity. Identifies the quantity expected to be consumed at once (per dose, per meal, etc.). Provides detailed dosage instructions in the same way that they are described for MedicationRequest resources. Indicates the sites on the subject's body where the procedure should be performed (I.e. the target sites). Defines specimen requirements for the action to be performed, such as required specimens for a lab test. Defines observation requirements for the action to be performed, such as body weight or surface area. Defines the observations that are expected to be produced by the action. 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. Dynamic values that will be evaluated to produce values for elements of the resulting resource. For example, if the dosage of a medication must be computed based on the patient's weight, a dynamic value would be used to specify an expression that calculated the weight, and the path on the request resource that would contain the result. This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context. The type of participant in the action. The type of participant in the action. The type of participant in the action. The role the participant should play in performing the described action. Indicates how the actor will be involved in the action - author, reviewer, witness, etc. This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context. 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. The specified path SHALL be a FHIRPath resolvable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details). An expression specifying the value of the customized element. CareTeam Device Group HealthcareService Location Organization Patient Practitioner PractitionerRole RelatedPerson If the element is present, it must have either a @value, an @id, or extensions Proposal Solicit Offer Offer Response Plan Directive Order Original Order Reflex Order Filler Order Instance Order Option If the element is present, it must have either a @value, an @id, or extensions Routine Urgent ASAP STAT If the element is present, it must have either a @value, an @id, or extensions Provides a definition of an actor - a system, individual, non-system device, or collective - that plays a role in a process, such as data exchange, along with associated obligations. Provides a definition of an actor - a system, individual, non-system device, or collective - that plays a role in a process, such as data exchange, along with associated obligations. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this actor definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this actor definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the actor definition is stored on different servers. A formal identifier that is used to identify this actor definition when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the actor definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the actor 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the actor definition. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the actor definition. The status of this actor definition. Enables tracking the life-cycle of the content. A Boolean value to indicate that this actor definition is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the actor definition was last significantly changed. The date must change 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 actor definition changes. The name of the organization or individual responsible for the release and ongoing maintenance of the actor definition. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the actor. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate actor definition instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this actor definition is needed and why it has been designed as it has. A copyright statement relating to the actor definition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the actor definition. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). What type of actor this is. Further details about the type of actor. Details describing the nature of the actor as well as boundaries that distinguish this type of actor from other actors. A reference to additional documentation about the actor, but description and documentation. An ActorDefinition that is a super-type of this actor. This actor inherits all of the obligations that apply to the referenced actor definition and can be used wherever the referenced ActorDefinition can. Person System Collective Other If the element is present, it must have either a @value, an @id, or extensions A medicinal product in the final form which is suitable for administering to a patient (after any mixing of multiple components, dissolution etc. has been performed). A medicinal product in the final form which is suitable for administering to a patient (after any mixing of multiple components, dissolution etc. has been performed). If the element is present, it must have either a @value, an @id, or extensions An identifier for the administrable product instance. The status of this administrable product. Enables tracking the life-cycle of the content. References a product from which one or more of the constituent parts of that product can be prepared and used as described by this administrable product. If this administrable product describes the administration of a crushed tablet, the 'formOf' would be the product representing a distribution containing tablets and possibly also a cream. This is distinct from the 'producedFrom' which refers to the specific components of the product that are used in this preparation, rather than the product as a whole. The dose form of the final product after necessary reconstitution or processing. Contrasts to the manufactured dose form (see ManufacturedItemDefinition). If the manufactured form was 'powder for solution for injection', the administrable dose form could be 'solution for injection' (once mixed with another item having manufactured form 'solvent for solution for injection'). The presentation type in which this item is given to a patient. e.g. for a spray - 'puff' (as in 'contains 100 mcg per puff'), or for a liquid - 'vial' (as in 'contains 5 ml per vial'). Indicates the specific manufactured items that are part of the 'formOf' product that are used in the preparation of this specific administrable form. In some cases, an administrable form might use all of the items from the overall product (or there might only be one item), while in other cases, an administrable form might use only a subset of the items available in the overall product. For example, an administrable form might involve combining a liquid and a powder available as part of an overall product, but not involve applying the also supplied cream. For consistency, it is acceptable to refer to the manufactured item in all cases - from complex many-to-many to simple one-to-one cases - even when there is no transformation or combining involved between the manufactured form and the administrable form. For example an oral solid tablet is usually administered without any transformation or combination, but the administrable form can still be represented as 'producedFrom' the single manufactured tablet. The ingredients of this administrable medicinal product. This is only needed if the ingredients are not specified either using ManufacturedItemDefinition (via AdministrableProductDefinition.producedFrom) to state which component items are used to make this, or using by incoming references from the Ingredient resource, to state in detail which substances exist within this. This element allows a basic coded ingredient to be used. A device that is integral to the medicinal product, in effect being considered as an "ingredient" of the medicinal product. This is not intended for devices that are just co-packaged. A general description of the product, when in its final form, suitable for administration e.g. effervescent blue liquid, to be swallowed. Intended to be used when the other structured properties of this resource are insufficient or cannot be supported. It is not intended to duplicate information already carried elsewhere. A code that this product is known by, within some formal terminology. May be a PhPID. PhPID is really a code or a label, and not an identifier, because it applies to multiple products. Characteristics e.g. a product's onset of action. The path by which the product is taken into or makes contact with the body. In some regions this is referred to as the licensed or approved route. RouteOfAdministration cannot be used when the 'formOf' product already uses MedicinalProductDefinition.route (and vice versa). A medicinal product in the final form which is suitable for administering to a patient (after any mixing of multiple components, dissolution etc. has been performed). A code expressing the type of characteristic. A value for the characteristic. The status of characteristic e.g. assigned or pending. A medicinal product in the final form which is suitable for administering to a patient (after any mixing of multiple components, dissolution etc. has been performed). Coded expression for the route. The first dose (dose quantity) administered can be specified for the product, using a numerical value and its unit of measurement. The maximum single dose that can be administered, specified using a numerical value and its unit of measurement. The maximum dose per day (maximum dose quantity to be administered in any one 24-h period) that can be administered. The maximum dose per treatment period that can be administered. The maximum treatment period during which the product can be administered. A species for which this route applies. A medicinal product in the final form which is suitable for administering to a patient (after any mixing of multiple components, dissolution etc. has been performed). Coded expression for the species. A species specific time during which consumption of animal product is not appropriate. A medicinal product in the final form which is suitable for administering to a patient (after any mixing of multiple components, dissolution etc. has been performed). Coded expression for the type of tissue for which the withdrawal period applies, e.g. meat, milk. A value for the time. Extra information about the withdrawal period. An event (i.e. any change to current patient status) that may be related to unintended effects on a patient or research participant. The unintended effects may require additional monitoring, treatment, hospitalization, or may result in death. The AdverseEvent resource also extends to potential or avoided events that could have had such effects. There are two major domains where the AdverseEvent resource is expected to be used. One is in clinical care reported adverse events and the other is in reporting adverse events in clinical research trial management. Adverse events can be reported by healthcare providers, patients, caregivers or by medical products manufacturers. Given the differences between these two concepts, we recommend consulting the domain specific implementation guides when implementing the AdverseEvent Resource. The implementation guides include specific extensions, value sets and constraints. An event (i.e. any change to current patient status) that may be related to unintended effects on a patient or research participant. The unintended effects may require additional monitoring, treatment, hospitalization, or may result in death. The AdverseEvent resource also extends to potential or avoided events that could have had such effects. There are two major domains where the AdverseEvent resource is expected to be used. One is in clinical care reported adverse events and the other is in reporting adverse events in clinical research trial management. Adverse events can be reported by healthcare providers, patients, caregivers or by medical products manufacturers. Given the differences between these two concepts, we recommend consulting the domain specific implementation guides when implementing the AdverseEvent Resource. The implementation guides include specific extensions, value sets and constraints. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this adverse event by the performer or other systems which remain constant as the resource is updated and propagates from server to server. The current state of the adverse event or potential adverse event. Whether the event actually happened or was a near miss. Note that this is independent of whether anyone was affected or harmed or how severely. The overall type of event, intended for search and filtering purposes. Specific event that occurred or that was averted, such as patient fall, wrong organ removed, or wrong blood transfused. This subject or group impacted by the event. The Encounter associated with the start of the AdverseEvent. The date (and perhaps time) when the effect of the AdverseEvent occurred. Estimated or actual date the AdverseEvent began, in the opinion of the reporter. The date on which the existence of the AdverseEvent was first recorded. Information about the condition that occurred as a result of the adverse event, such as hives due to the exposure to a substance (for example, a drug or a chemical) or a broken leg as a result of the fall. The information about where the adverse event occurred. Assessment whether this event, or averted event, was of clinical importance. Describes the type of outcome from the adverse event, such as resolved, recovering, ongoing, resolved-with-sequelae, or fatal. Information on who recorded the adverse event. May be the patient or a practitioner. Indicates who or what participated in the adverse event and how they were involved. The research study that the subject is enrolled in. Considered likely or probable or anticipated in the research study. Whether the reported event matches any of the outcomes for the patient that are considered by the study as known or likely. Describes the entity that is suspected to have caused the adverse event. The contributing factors suspected to have increased the probability or severity of the adverse event. Preventive actions that contributed to avoiding the adverse event. The ameliorating action taken after the adverse event occurred in order to reduce the extent of harm. Relevant past history for the subject. In a clinical care context, an example being a patient had an adverse event following a penicillin administration and the patient had a previously documented penicillin allergy. In a clinical trials context, an example is a bunion or rash that was present prior to the study. Additionally, the supporting item can be a document that is relevant to this instance of the adverse event that is not part of the subject's medical history. For example, a clinical note, staff list, or material safety data sheet (MSDS). Supporting information is not a contributing factor, preventive action, or mitigating action. Comments made about the adverse event by the performer, subject or other participants. An event (i.e. any change to current patient status) that may be related to unintended effects on a patient or research participant. The unintended effects may require additional monitoring, treatment, hospitalization, or may result in death. The AdverseEvent resource also extends to potential or avoided events that could have had such effects. There are two major domains where the AdverseEvent resource is expected to be used. One is in clinical care reported adverse events and the other is in reporting adverse events in clinical research trial management. Adverse events can be reported by healthcare providers, patients, caregivers or by medical products manufacturers. Given the differences between these two concepts, we recommend consulting the domain specific implementation guides when implementing the AdverseEvent Resource. The implementation guides include specific extensions, value sets and constraints. Distinguishes the type of involvement of the actor in the adverse event, such as contributor or informant. Indicates who or what participated in the event. An event (i.e. any change to current patient status) that may be related to unintended effects on a patient or research participant. The unintended effects may require additional monitoring, treatment, hospitalization, or may result in death. The AdverseEvent resource also extends to potential or avoided events that could have had such effects. There are two major domains where the AdverseEvent resource is expected to be used. One is in clinical care reported adverse events and the other is in reporting adverse events in clinical research trial management. Adverse events can be reported by healthcare providers, patients, caregivers or by medical products manufacturers. Given the differences between these two concepts, we recommend consulting the domain specific implementation guides when implementing the AdverseEvent Resource. The implementation guides include specific extensions, value sets and constraints. Identifies the actual instance of what caused the adverse event. May be a substance, medication, medication administration, medication statement or a device. Information on the possible cause of the event. The date (and perhaps time) when the suspect entity occurred. An event (i.e. any change to current patient status) that may be related to unintended effects on a patient or research participant. The unintended effects may require additional monitoring, treatment, hospitalization, or may result in death. The AdverseEvent resource also extends to potential or avoided events that could have had such effects. There are two major domains where the AdverseEvent resource is expected to be used. One is in clinical care reported adverse events and the other is in reporting adverse events in clinical research trial management. Adverse events can be reported by healthcare providers, patients, caregivers or by medical products manufacturers. Given the differences between these two concepts, we recommend consulting the domain specific implementation guides when implementing the AdverseEvent Resource. The implementation guides include specific extensions, value sets and constraints. The method of evaluating the relatedness of the suspected entity to the event. The result of the assessment regarding the relatedness of the suspected entity to the event. The author of the information on the possible cause of the event. Adverse Event Potential Adverse Event If the element is present, it must have either a @value, an @id, or extensions In Progress Completed Entered in Error Unknown If the element is present, it must have either a @value, an @id, or extensions Risk of harmful or undesirable physiological response which is specific to an individual and associated with exposure to a substance. Risk of harmful or undesirable physiological response which is specific to an individual and associated with exposure to a substance. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server. The clinical status of the allergy or intolerance. Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product). The verification status pertains to the allergy or intolerance, itself, not to any specific AllergyIntolerance attribute. Identification of the underlying physiological mechanism for the reaction risk. Category of the identified substance. Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance. 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"). Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. The patient who has the allergy or intolerance. The encounter when the allergy or intolerance was asserted. Estimated or actual date, date-time, or age when allergy or intolerance was identified. The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date. Individual who recorded the record and takes responsibility for accurately recording its content. The source of the information about the allergy that is recorded. Represents the date and/or time of the last known occurrence of a reaction event. Additional narrative about the propensity for the Adverse Reaction, not captured in other fields. Details about each adverse reaction event linked to exposure to the identified substance. Risk of harmful or undesirable physiological response which is specific to an individual and associated with exposure to a substance. Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'. If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance. Clinical symptoms and/or signs that are observed or associated with the adverse reaction event. Text description about the reaction as a whole, including details of the manifestation if required. Record of the date and/or time of the onset of the Reaction. Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations. Identification of the route by which the subject was exposed to the substance. Additional text about the adverse reaction event not captured in other fields. Low Risk High Risk Unable to Assess Risk If the element is present, it must have either a @value, an @id, or extensions Food Medication Environment Biologic If the element is present, it must have either a @value, an @id, or extensions Mild Moderate Severe If the element is present, it must have either a @value, an @id, or extensions 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). If the element is present, it must have either a @value, an @id, or extensions This records identifiers associated with this appointment 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). 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. The coded reason for the appointment being cancelled. This is often used in reporting/billing/further processing to determine if further actions are required, or specific fees apply. Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. A broad categorization of the service that is to be performed during this appointment. The specific service that is to be performed during this appointment. The specialty of a practitioner that would be required to perform the service requested in this appointment. The style of appointment or patient that has been booked in the slot (not service type). The reason that this appointment is being scheduled. This is more clinical than administrative. This can be coded, or as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure. 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). 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 note field. Appointment replaced by this Appointment in cases where there is a cancellation, the details of the cancellation can be found in the cancellationReason property (on the referenced resource). Connection details of a virtual service (e.g. conference call). Additional information to support the appointment provided when making the appointment. The previous appointment in a series of related appointments. The originating appointment in a recurring set of related appointments. Date/Time that the appointment is to take place. Date/Time that the appointment is to conclude. Number of minutes that the appointment is to take. This can be less than the duration between the start and end times. For example, where the actual time of appointment is only an estimate or if a 30 minute appointment is being requested, but any time would work. Also, if there is, for example, a planned 15 minute break in the middle of a long appointment, the duration may be 15 minutes less than the difference between the start and end. A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within. The duration (usually in minutes) could also be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time. However, in other situations the duration may be calculated by the scheduling system. The slots from the participants' schedules that will be filled by the appointment. The set of accounts that is expected to be used for billing the activities that result from this Appointment. The date that this appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment. The date/time describing when the appointment was cancelled. Additional notes/comments about the appointment. While Appointment.note contains information for internal use, Appointment.patientInstructions is used to capture patient facing information about the Appointment (e.g. please bring your referral or fast from 8pm night before). The request this appointment is allocated to assess (e.g. incoming referral or procedure request). The patient or group associated with the appointment, if they are to be present (usually) then they should also be included in the participant backbone element. List of participants involved in the appointment. The sequence number that identifies a specific appointment in a recurring pattern. This appointment varies from the recurring pattern. The details of the recurrence pattern or template that is used to generate recurring appointments. 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). Role of participant in the appointment. Participation period of the actor. The individual, device, location, or service participating in the appointment. Whether this participant is required to be present at the meeting. If false, the participant is optional. Participation status of the actor. 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). The timezone of the recurring appointment occurrences. How often the appointment series should recur. Recurring appointments will not occur after this date. How many appointments are planned in the recurrence. The list of specific dates that will have appointments generated. Information about weekly recurring appointments. Information about monthly recurring appointments. Information about yearly recurring appointments. Any dates, such as holidays, that should be excluded from the recurrence. Any dates, such as holidays, that should be excluded from the recurrence. 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). Indicates that recurring appointments should occur on Mondays. Indicates that recurring appointments should occur on Tuesdays. Indicates that recurring appointments should occur on Wednesdays. Indicates that recurring appointments should occur on Thursdays. Indicates that recurring appointments should occur on Fridays. Indicates that recurring appointments should occur on Saturdays. Indicates that recurring appointments should occur on Sundays. The interval defines if the recurrence is every nth week. The default is every week, so it is expected that this value will be 2 or more. e.g. For recurring every second week this interval would be 2, or every third week the interval would be 3. 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). Indicates that appointments in the series of recurring appointments should occur on a specific day of the month. Indicates which week within a month the appointments in the series of recurring appointments should occur on. Indicates which day of the week the recurring appointments should occur each nth week. Indicates that recurring appointments should occur every nth month. 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 recurs every nth year. Proposed Pending Booked Arrived Fulfilled Cancelled No Show Entered in error Checked In Waitlisted If the element is present, it must have either a @value, an @id, or extensions Accepted Declined Tentative Needs Action If the element is present, it must have either a @value, an @id, or extensions A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection. A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection. If the element is present, it must have either a @value, an @id, or extensions This records identifiers associated with this appointment response 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. Appointment that this response is replying to. Indicates that the response is proposing a different time that was initially requested. The new proposed time will be indicated in the start and end properties. Date/Time that the appointment is to take place, or requested new start time. This may be either the same as the appointment request to confirm the details of the appointment, or alternately a new time to request a re-negotiation of the end time. Role of participant in the appointment. A Person, Location, HealthcareService, or Device that is participating in the appointment. Participation status of the participant. When the status is declined or tentative if the start/end times are different to the appointment, then these times should be interpreted as a requested time change. When the status is accepted, the times can either be the time of the appointment (as a confirmation of the time) or can be empty. Additional comments about the appointment. Indicates that this AppointmentResponse applies to all occurrences in a recurring request. The original date within a recurring request. This could be used in place of the recurrenceId to be more direct (or where the template is provided through the simple list of dates in `Appointment.occurrenceDate`). The recurrence ID (sequence number) of the specific appointment when responding to a recurring request. Accepted Declined Tentative Needs Action Entered in error If the element is present, it must have either a @value, an @id, or extensions This Resource provides one or more comments, classifiers or ratings about a Resource and supports attribution and rights management metadata for the added content. This Resource provides one or more comments, classifiers or ratings about a Resource and supports attribution and rights management metadata for the added content. If the element is present, it must have either a @value, an @id, or extensions A formal identifier that is used to identify this artifact assessment when it is represented in other formats, or referenced in a specification, model, design or an instance. A label for use in displaying and selecting the artifact assessment. Display of the bibliographic citation of the comment, classifier, or rating. A reference to a resource, canonical resource, or non-FHIR resource which the comment or assessment is about. Relationship that this ArtifactAssessment has with other FHIR or non-FHIR resources that already exist. The date (and optionally time) when the artifact assessment was published. The date must change when the disposition changes and it must change if the workflow status code changes. In addition, it should change when the substantive content of the artifact assessment changes. A copyright statement relating to the artifact assessment and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the artifact assessment. 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. A component comment, classifier, or rating of the artifact. Indicates the workflow status of the comment or change request. Indicates the disposition of the responsible party to the comment or change request. This Resource provides one or more comments, classifiers or ratings about a Resource and supports attribution and rights management metadata for the added content. The type of relationship to the related artifact. The artifact that is related to this ArtifactAssessment Resource. This Resource provides one or more comments, classifiers or ratings about a Resource and supports attribution and rights management metadata for the added content. A brief summary of the content of this component. Indicates what type of content this component represents. Represents a rating, classifier, or assessment of the artifact. A quantitative rating of the artifact. Indicates who or what authored the content. A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource. Relationship that this content component has with other FHIR or non-FHIR resources that already exist. Acceptable to publicly share the comment, classifier or rating. A component comment, classifier, or rating of the artifact. Unresolved Not Persuasive Persuasive Persuasive with Modification Not Persuasive with Modification If the element is present, it must have either a @value, an @id, or extensions Submitted Triaged Waiting for Input Resolved - No Change Resolved - Change Required Deferred Duplicate Applied Published Entered in Error If the element is present, it must have either a @value, an @id, or extensions A record of an event relevant for purposes such as operations, privacy, security, maintenance, and performance analysis. A record of an event relevant for purposes such as operations, privacy, security, maintenance, and performance analysis. If the element is present, it must have either a @value, an @id, or extensions Partitions the audit event into one or more categories that can be used to filter searching, to govern access control and/or to guide system behavior. Describes what happened. The most specific codes for the event. Indicator for type of action performed during the event that generated the audit. Indicates and enables segmentation of various severity including debugging from critical. The time or period during which the activity occurred. The time when the event was recorded. Indicates whether the event succeeded or failed. A free text descripiton can be given in outcome.text. The authorization (e.g., PurposeOfUse) that was used during the event being recorded. Allows tracing of authorization for the events and tracking whether proposals/recommendations were acted upon. The patient element is available to enable deterministic tracking of activities that involve the patient as the subject of the data used in an activity. This will typically be the encounter the event occurred, but some events MAY be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission lab tests). An actor taking an active role in the event or activity that is logged. The actor that is reporting the event. Specific instances of data or objects that have been accessed. A record of an event relevant for purposes such as operations, privacy, security, maintenance, and performance analysis. Indicates whether the event succeeded or failed. Additional details about the error. This MAY be a text description of the error or a system code that identifies the error. A record of an event relevant for purposes such as operations, privacy, security, maintenance, and performance analysis. The Functional Role of the user when performing the event. The structural roles of the agent indicating the agent's competency. The security role enabling the agent with respect to the activity. Reference to who this agent is that was involved in the event. Indicator that the user is or is not the requestor, or initiator, for the event being audited. Where the agent location is known, the agent location when the event occurred. Where the policy(ies) are known that authorized the agent participation in the event. 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. When the event utilizes a network there SHOULD be an agent describing the local system, and an agent describing remote system, with the network interface details. The authorization (e.g., PurposeOfUse) that was used during the event being recorded. A record of an event relevant for purposes such as operations, privacy, security, maintenance, and performance analysis. Logical source location within the healthcare enterprise network. For example, a hospital or other provider location within a multi-entity provider group. Identifier of the source where the event was detected. Code specifying the type of source where event originated. A record of an event relevant for purposes such as operations, privacy, security, maintenance, and performance analysis. Identifies a specific instance of the entity. The reference SHOULD be version specific. This is allowed to be a Parameters resource. Code representing the role the entity played in the event being audited. Security labels for the identified entity. Text that describes the entity in more detail. The query parameters for a query-type entities. Tagged value pairs for conveying additional information about the entity. The entity is attributed to an agent to express the agent's responsibility for that entity in the activity. This is most used to indicate when persistence media (the entity) are used by an agent. For example when importing data from a device, the device would be described in an entity, and the user importing data from that media would be indicated as the entity.agent. A record of an event relevant for purposes such as operations, privacy, security, maintenance, and performance analysis. The name of extra detail provided in the value. This element is the tag for the value. Where a simple string is used for the tag name, use the CodeableConcept.display element. The value of the extra detail. Create Read Update Delete Execute Indicator for type of action performed during the event that generated the event. If the element is present, it must have either a @value, an @id, or extensions Emergency Alert Critical Error Warning Notice Informational Debug The severity of the audit entry. If the element is present, it must have either a @value, an @id, or extensions Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification. Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification. If the element is present, it must have either a @value, an @id, or extensions Identifier assigned to the resource for business purposes, outside the context of FHIR. Identifies the 'type' of resource - equivalent to the resource name for other resources. Identifies the patient, practitioner, device or any other resource that is the "focus" of this resource. Identifies when the resource was first created. Indicates who was responsible for creating the resource instance. A resource that represents the data of a single raw artifact as digital content accessible in its native format. A Binary resource can contain any content, whether text, image, pdf, zip archive, etc. A resource that represents the data of a single raw artifact as digital content accessible in its native format. A Binary resource can contain any content, whether text, image, pdf, zip archive, etc. If the element is present, it must have either a @value, an @id, or extensions MimeType of the binary content represented as a standard MimeType (BCP 13). This element identifies another resource that can be used as a proxy of the security sensitivity to use when deciding and enforcing access control rules for the Binary resource. Given that the Binary resource contains very few elements that can be used to determine the sensitivity of the data and relationships to individuals, the referenced resource stands in as a proxy equivalent for this purpose. This referenced resource may be related to the Binary (e.g. DocumentReference), or may be some non-related Resource purely as a security proxy. E.g. to identify that the binary resource relates to a patient, and access should only be granted to applications that have access to the patient. The actual content, base64 encoded. This resource reflects an instance of a biologically derived product. A material substance originating from a biological entity intended to be transplanted or infused into another (possibly the same) biological entity. This resource reflects an instance of a biologically derived product. A material substance originating from a biological entity intended to be transplanted or infused into another (possibly the same) biological entity. If the element is present, it must have either a @value, an @id, or extensions A category or classification of the product. Products may be assigned multiple categories, for example a human heart valve can be categorized as an 'MPHO' and 'tissue'. A codified value that systematically supports characterization and classification of medical products of human origin inclusive of processing conditions such as additives, volumes and handling conditions. Parent product (if any) for this biologically-derived product. Request to obtain and/or infuse this biologically derived product. Unique instance identifiers assigned to a biologically derived product. Note: This is a business identifier, not a resource identifier. A shared identifier common to multiple independent BiologicallyDerivedProduct instances that are intended to be administered in the course of the same given therapy. The presence of the same identifier on each BiologicallyDerivedProduct ties those products together. An identifier that supports traceability to the event during which material in this product from one or more biological entities was obtained or pooled. Processing facilities responsible for the labeling and distribution of this biologically derived product. A unique identifier for an aliquot of a product. Used to distinguish individual aliquots of a product carrying the same biologicalSource and productCode identifiers. The current status of the product. Date, and where relevant time, of expiration. How this product was collected. The temperature requirements for storage of the biologically-derived product. A property that is specific to this BiologicallyDerviedProduct instance. This resource reflects an instance of a biologically derived product. A material substance originating from a biological entity intended to be transplanted or infused into another (possibly the same) biological entity. Healthcare professional who is performing the collection. The patient providing the product. The entity, such as a hospital or vendor in the case of a processed/manipulated/manufactured product, providing the product. Time of product collection. The procedure performed to collect the biologically derived product. This resource reflects an instance of a biologically derived product. A material substance originating from a biological entity intended to be transplanted or infused into another (possibly the same) biological entity. Code that specifies the property. It should reference an established coding system. Property values. Record details about an anatomical structure. This resource may be used when a coded concept does not provide the necessary detail needed for the use case. Record details about an anatomical structure. This resource may be used when a coded concept does not provide the necessary detail needed for the use case. If the element is present, it must have either a @value, an @id, or extensions Identifier for this instance of the anatomical structure. Whether this body site is in active use. The anatomical location(s) or region(s) of the specimen, lesion, or body structure. The anatomical location(s) or region(s) not occupied or represented by the specimen, lesion, or body structure. A summary, characterization or explanation of the body structure. Image(s) used to identify aspects of the overall structure. The person to which the body site belongs. Record details about an anatomical structure. This resource may be used when a coded concept does not provide the necessary detail needed for the use case. Code that represents the included structure. Code that represents the included structure laterality. Body location in relation to a specific body landmark (e.g., a body structure such a navel, scar, or implanted device). XY or XYZ-coordinate orientation for structure. Image(s) used to identify aspects of an included or excluded structure. Code that represents the included structure qualifier. The kind of structure being represented by the body structure at `BodyStructure.location`. This can define both normal and abnormal morphologies. Record details about an anatomical structure. This resource may be used when a coded concept does not provide the necessary detail needed for the use case. Body landmark description used as a reference to locate something else. An description of the direction away from a landmark something is located based on a radial clock dial. The distance in centimeters a certain observation is made from a body landmark. The surface area a body location is in relation to a landmark. Record details about an anatomical structure. This resource may be used when a coded concept does not provide the necessary detail needed for the use case. An instrument, tool, analyzer, etc. used in the measurement. The measured distance (e.g., in cm) from a body landmark. A container for a collection of resources. A container for a collection of resources. If the element is present, it must have either a @value, an @id, or extensions A persistent identifier for the bundle that won't change as a bundle is copied from server to server. Indicates the purpose of this bundle - how it is intended to be used. The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle. If a set of search matches or a history, this is the (potentially estimated) total number of entries of type 'match' across all pages in the search. It does not include search.mode = 'include' or 'outcome' entries and it does not provide a count of the number of entries in the Bundle. A series of links that provide context to this bundle. An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only). Digital Signature: XML-DSig or JWS. This element is deprecated, and [Provenance based Signatures](signatures.html#Bundle) should be used instead. An OperationOutcome that captures issues and warnings that relate to the construction of the Bundle and the content within it. A container for a collection of resources. 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). The reference details for the link. A container for a collection of resources. A series of links that provide context to this entry. The Absolute URL for the resource. Except for transactions and batches, each entry in a Bundle must have a fullUrl. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. Even when not required, fullUrl MAY be set to a urn:uuid to allow referencing entries in a transaction. The fullUrl can be an arbitrary URI and is not limited to urn:uuid, urn:oid, http, and https. The fullUrl element SHALL have a value unless: * the Bundle is a batch or transaction request or response AND * the entry is * invoking a create * invoking or responding to an operation where the body is not a single identified resource * invoking or returning the results of a search or history operation. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type. This is allowed to be a Parameters resource if and only if it is referenced by something else within the Bundle that provides context/meaning. Information about the search process that lead to the creation of this entry. Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry. Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history. A container for a collection of resources. Why this entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. When searching, the server's search ranking score for the entry. A container for a collection of resources. In a transaction or batch, this is the HTTP action to be executed for this entry. In a history bundle, this indicates the HTTP action that occurred. The URL for this entry, relative to the root (the address to which the request is posted). If the ETag values match, return a 304 Not Modified status. See the API documentation for ["Conditional Read"](http.html#cread). Only perform the operation if the last updated date matches. See the API documentation for ["Conditional Read"](http.html#cread). Only perform the operation if the Etag value matches. For more information, see the API section ["Managing Resource Contention"](http.html#concurrency). 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.html#ccreate). This is just the query portion of the URL - what follows the "?" (not including the "?"). A container for a collection of resources. 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. The location header created by processing this operation, populated if the operation returns a location. The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http.html#versioning) and [Managing Resource Contention](http.html#concurrency)). The date/time that the resource was modified on the server. An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction. GET HEAD POST PUT DELETE PATCH If the element is present, it must have either a @value, an @id, or extensions Document Message Transaction Transaction Response Batch Batch Response History List Search Results Collection Subscription Notification If the element is present, it must have either a @value, an @id, or extensions Match Include Outcome If the element is present, it must have either a @value, an @id, or extensions Refers to a resource that is the subject of the link's context. Asserts that the link target provides an access control description for the link context. Refers to a substitute for this context Used to reference alternative content that uses the AMP profile of the HTML format. Refers to an appendix. Refers to an icon for the context. Synonym for icon. Refers to a launch screen for the context. Refers to a collection of records, documents, or other materials of historical interest. Refers to the context's author. Identifies the entity that blocks access to a resource following receipt of a legal demand. Gives a permanent link to use for bookmarking purposes. Designates the preferred version of a resource (the IRI and its contents). Refers to a chapter in a collection of resources. Indicates that the link target is preferred over the link context for the purpose of permanent citation. The target IRI points to a resource which represents the collection resource for the context IRI. Refers to a table of contents. The document linked to was later converted to the document that contains this link relation. For example, an RFC can have a link to the Internet-Draft that became the RFC; in that case, the link relation would be "convertedFrom". Refers to a copyright statement that applies to the link's context. The target IRI points to a resource where a submission form can be obtained. Refers to a resource containing the most recent item(s) in a collection of resources. Refers to a resource providing information about the link's context. The relationship A 'describes' B asserts that resource A provides a description of resource B. There are no constraints on the format or representation of either A or B, neither are there any further constraints on either resource. Refers to a list of patent disclosures made with respect to material for which 'disclosure' relation is specified. Used to indicate an origin that will be used to fetch required resources for the link context, and that the user agent ought to resolve as early as possible. Refers to a resource whose available representations are byte-for-byte identical with the corresponding representations of the context IRI. Refers to a resource that can be used to edit the link's context. The target IRI points to a resource where a submission form for editing associated resource can be obtained. Refers to a resource that can be used to edit media associated with the link's context. Identifies a related resource that is potentially large and might require special handling. Refers to a resource that is not part of the same site as the current context. An IRI that refers to the furthest preceding resource in a series of resources. Refers to a glossary of terms. Refers to context-sensitive help. Refers to a resource hosted by the server indicated by the link context. Refers to a hub that enables registration for notification of updates to the context. Refers to an icon representing the link's context. Refers to an index. refers to a resource associated with a time interval that ends before the beginning of the time interval associated with the context resource refers to a resource associated with a time interval that begins after the end of the time interval associated with the context resource refers to a resource associated with a time interval that begins after the beginning of the time interval associated with the context resource, and ends before the end of the time interval associated with the context resource refers to a resource associated with a time interval that begins after the end of the time interval associated with the context resource, or ends before the beginning of the time interval associated with the context resource refers to a resource associated with a time interval that begins before the beginning of the time interval associated with the context resource, and ends after the end of the time interval associated with the context resource refers to a resource associated with a time interval whose beginning coincides with the beginning of the time interval associated with the context resource, and whose end coincides with the end of the time interval associated with the context resource refers to a resource associated with a time interval that begins after the beginning of the time interval associated with the context resource, and whose end coincides with the end of the time interval associated with the context resource refers to a resource associated with a time interval that begins before the beginning of the time interval associated with the context resource, and whose end coincides with the end of the time interval associated with the context resource refers to a resource associated with a time interval that begins before or is coincident with the beginning of the time interval associated with the context resource, and ends after or is coincident with the end of the time interval associated with the context resource refers to a resource associated with a time interval whose beginning coincides with the end of the time interval associated with the context resource refers to a resource associated with a time interval whose end coincides with the beginning of the time interval associated with the context resource refers to a resource associated with a time interval that begins before the beginning of the time interval associated with the context resource, and ends after the beginning of the time interval associated with the context resource refers to a resource associated with a time interval that begins before the end of the time interval associated with the context resource, and ends after the end of the time interval associated with the context resource refers to a resource associated with a time interval whose beginning coincides with the beginning of the time interval associated with the context resource, and ends before the end of the time interval associated with the context resource refers to a resource associated with a time interval whose beginning coincides with the beginning of the time interval associated with the context resource, and ends after the end of the time interval associated with the context resource The target IRI points to a resource that is a member of the collection represented by the context IRI. An IRI that refers to the furthest following resource in a series of resources. Points to a resource containing the latest (e.g., current) version of the context. Refers to a license associated with this context. The link target of a link with the "linkset" relation type provides a set of links, including links in which the link context of the link participates. Refers to further information about the link's context, expressed as a LRDD ("Link-based Resource Descriptor Document") resource. See for information about processing this relation type in host-meta documents. When used elsewhere, it refers to additional links and other metadata. Multiple instances indicate additional LRDD resources. LRDD resources MUST have an "application/xrd+xml" representation, and MAY have others. Links to a manifest file for the context. Refers to a mask that can be applied to the icon for the context. Refers to a feed of personalised media recommendations relevant to the link context. The Target IRI points to a Memento, a fixed resource that will not change state anymore. Links to the context's Micropub endpoint. Refers to a module that the user agent is to preemptively fetch and store for use in the current context. Refers to a resource that can be used to monitor changes in an HTTP resource. Refers to a resource that can be used to monitor changes in a specified group of HTTP resources. Indicates that the link's context is a part of a series, and that the next in the series is the link target. Refers to the immediately following archive resource. Indicates that the context’s original author or publisher does not endorse the link target. Indicates that any newly created top-level browsing context which results from following the link will not be an auxiliary browsing context. Indicates that no referrer information is to be leaked when following the link. Indicates that any newly created top-level browsing context which results from following the link will be an auxiliary browsing context. Refers to an OpenID Authentication server on which the context relies for an assertion that the end user controls an Identifier. Refers to a resource which accepts OpenID Authentication protocol messages for the context. The Target IRI points to an Original Resource. Refers to a P3P privacy policy for the context. Indicates a resource where payment is accepted. Gives the address of the pingback resource for the link context. Used to indicate an origin that will be used to fetch required resources for the link context. Initiating an early connection, which includes the DNS lookup, TCP handshake, and optional TLS negotiation, allows the user agent to mask the high latency costs of establishing a connection. Points to a resource containing the predecessor version in the version history. The prefetch link relation type is used to identify a resource that might be required by the next navigation from the link context, and that the user agent ought to fetch, such that the user agent can deliver a faster response once the resource is requested in the future. Refers to a resource that should be loaded early in the processing of the link's context, without blocking rendering. Used to identify a resource that might be required by the next navigation from the link context, and that the user agent ought to fetch and execute, such that the user agent can deliver a faster response once the resource is requested in the future. Indicates that the link's context is a part of a series, and that the previous in the series is the link target. Refers to a resource that provides a preview of the link's context. Refers to the previous resource in an ordered series of resources. Synonym for "prev". Refers to the immediately preceding archive resource. Refers to a privacy policy associated with the link's context. Identifying that a resource representation conforms to a certain profile, without affecting the non-profile semantics of the resource representation. Links to a publication manifest. A manifest represents structured information about a publication, such as informative metadata, a list of resources, and a default reading order. Identifies a related resource. Identifies the root of RESTCONF API as configured on this HTTP server. The "restconf" relation defines the root of the API defined in RFC8040. Subsequent revisions of RESTCONF will use alternate relation values to support protocol versioning. Identifies a resource that is a reply to the context of the link. The resource identified by the link target provides an input value to an instance of a rule, where the resource which represents the rule instance is identified by the link context. Refers to a resource that can be used to search through the link's context and related resources. Refers to a section in a collection of resources. Conveys an identifier for the link's context. Indicates a URI that can be used to retrieve a service document. Identifies service description for the context that is primarily intended for consumption by machines. Identifies service documentation for the context that is primarily intended for human consumption. Identifies general metadata for the context that is primarily intended for consumption by machines. Refers to a resource that is within a context that is sponsored (such as advertising or another compensation agreement). Refers to the first resource in a collection of resources. Identifies a resource that represents the context's status. Refers to a stylesheet. Refers to a resource serving as a subsection in a collection of resources. Points to a resource containing the successor version in the version history. Identifies a resource that provides information about the context's retirement policy. Gives a tag (identified by the given address) that applies to the current document. Refers to the terms of service associated with the link's context. The Target IRI points to a TimeGate for an Original Resource. The Target IRI points to a TimeMap for an Original Resource. Refers to a resource identifying the abstract semantic type of which the link's context is considered to be an instance. Refers to a resource that is within a context that is User Generated Content. Refers to a parent document in a hierarchy of documents. Points to a resource containing the version history for the context. Identifies a resource that is the source of the information in the link's context. Identifies a target URI that supports the Webmention protocol. This allows clients that mention a resource in some form of publishing process to contact that endpoint and inform it that this resource has been mentioned. Points to a working copy for this resource. Points to the versioned resource from which this working copy was obtained. If the element is present, it must have either a @value, an @id, or extensions A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this capability statement when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this capability statement is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the capability statement is stored on different servers. A formal identifier that is used to identify this CapabilityStatement when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the capability statement when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the capability statement 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the capability statement. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the capability statement. The status of this capability statement. Enables tracking the life-cycle of the content. A Boolean value to indicate that this capability statement is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the capability statement was last significantly changed. The date must change 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 capability statement changes. The name of the organization or individual responsible for the release and ongoing maintenance of the capability statement. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the capability statement from a consumer's perspective. Typically, this is used when the capability statement describes a desired rather than an actual solution, for example as a formal expression of requirements as part of an RFP. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate capability statement instances. ActorDefinitions to describe the specific sets of functionality supported by (or that should be supported by) systems (via obligations). A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this capability statement is needed and why it has been designed as it has. A copyright statement relating to the capability statement and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the capability statement. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). The way that this statement is intended to be used, to describe an actual running instance of software, a particular product (kind, not instance of software) or a class of implementation (e.g. a desired purchase). Reference to a canonical URL of another CapabilityStatement that this software implements. This capability statement is a published API description that corresponds to a business service. The server may actually implement a subset of the capability statement it claims to implement, so the capability statement must specify the full capability details. Reference to a canonical URL of another CapabilityStatement that this software adds to. The capability statement automatically includes everything in the other statement, and it is not duplicated, though the server may repeat the same resources, interactions and operations to add additional details to them. Software that is covered by this capability statement. It is used when the capability statement describes the capabilities of a particular software version, independent of an installation. Identifies a specific implementation instance that is described by the capability statement - i.e. a particular installation, rather than the capabilities of a software program. The version of the FHIR specification that this CapabilityStatement describes (which SHALL be the same as the FHIR version of the CapabilityStatement itself). There is no default value. A list of the formats supported by this implementation using their content types. A list of the patch formats supported by this implementation using their content types. A list of the languages supported by this implementation that are usefully supported in the ```Accept-Language``` header. A list of implementation guides that the server does (or should) support in their entirety. A definition of the restful capabilities of the solution, if any. A description of the messaging capabilities of the solution. A document definition. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Name the software is known by. The version identifier for the software covered by this statement. Date this version of the software was released. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Information about the specific installation that this capability statement relates to. An absolute base URL for the implementation. This forms the base for REST interfaces as well as the mailbox and document interfaces. The organization responsible for the management of the instance and oversight of the data on the server at the specified URL. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Identifies whether this portion of the statement is describing the ability to initiate or receive restful interactions. Information about the system's restful capabilities that apply across all applications, such as security. Information about security implementation from an interface perspective - what a client needs to know. A specification of the restful capabilities of the solution for a specific resource type. A specification of restful operations supported by the system. Search parameters that are supported for searching all resources for implementations to support and/or make use of - either references to ones defined in the specification, or additional ones defined for/by the implementation. This is only for searches executed against the system-level endpoint. Definition of an operation or a named query together with its parameters and their meaning and type. An absolute URI which is a reference to the definition of a compartment that the system supports. The reference is to a CompartmentDefinition resource by its canonical URL . A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Server adds CORS headers when responding to requests - this enables Javascript applications to use the server. Types of security services that are supported/required by the system. General description of how security works. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. A relative URL, in which case it is a type of resource exposed via the restful interface, either a resource defined in this specification, or an [additional resource](resource.html#additional), or else a full URL referring to some other type that specialises the base resource (e.g. a custom resource). The definition of the resource, if the resource is an additional resource. If it is not an additional resource, then this element must not be present. A system-wide profile that is applied across *all* instances of the resource supported by the system. For example, if declared on Observation, this profile is the "superset" of capabilities for laboratory *and* vitals *and* other domains. See further discussion in [Using Profiles](profiling.html#profile-uses). A list of profiles representing different use cases the system hosts/produces. A supported profile is a statement about the functionality of the data and services provided by the server (or the client) for supported use cases. For example, a system can define and declare multiple Observation profiles for laboratory observations, vital sign observations, etc. By declaring supported profiles, systems provide a way to determine whether individual resources are conformant. See further discussion in [Using Profiles](profiling.html#profile-uses). Additional information about the resource type used by the system. Identifies a restful interaction supported by the solution. This field is set to no-version to specify that the system does not support (server) or use (client) versioning for this resource type. If this has some other value, the server must at least correctly track and populate the versionId meta-property on resources. If the value is 'versioned-update', then the server supports all the versioning features, including using e-tags for version integrity in the API. A flag for whether the server is able to return past versions as part of the vRead interaction. A flag to indicate that the server allows or needs to allow the client to create new identities on the server (that is, the client PUTs to a location where there is no existing resource). Allowing this interaction means that the server allows the client to create new identities on the server. A flag that indicates that the server supports conditional create. A code that indicates how the server supports conditional read. A flag that indicates that the server supports conditional update. A flag that indicates that the server supports conditional patch. A code that indicates how the server supports conditional delete. A set of flags that defines how references are supported. A list of _include values supported by the server. A list of _revinclude (reverse include) values supported by the server. Search parameters for implementations to support and/or make use of - either references to ones defined in the specification, or additional ones defined for/by the implementation. Definition of an operation or a named query together with its parameters and their meaning and type. Consult the definition of the operation for details about how to invoke the operation, and the parameters. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Coded identifier of the interaction, supported by the system resource. Guidance specific to the implementation of this interaction, such as 'delete is a logical delete' or 'updates are only allowed with version id' or 'creates permitted from pre-authorized certificates only'. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. The label used for the search parameter in this particular system's API - i.e. the 'name' portion of the name-value pair that will appear as part of the search URL. This SHOULD be the same as the SearchParameter.code of the defining SearchParameter. However, it can sometimes differ if necessary to disambiguate when a server supports multiple SearchParameters that happen to share the same code. An absolute URI that is a formal reference to where this parameter was first defined, so that a client can be confident of the meaning of the search parameter (a reference to [SearchParameter.url](searchparameter-definitions.html#SearchParameter.url)). This element SHALL be populated if the search parameter refers to a SearchParameter defined by the FHIR core specification or externally defined IGs. The type of value a search parameter refers to, and how the content is interpreted. This allows documentation of any distinct behaviors about how the search parameter is used. For example, text matching algorithms. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. The name of the operation or query. For an operation, this name is prefixed with $ and used in the URL. For a query, this is the name used in the _query parameter when the query is called. This SHOULD be the same as the OperationDefinition.code of the defining OperationDefinition. However, it can sometimes differ if necessary to disambiguate when a server supports multiple OperationDefinition that happen to share the same code. Where the formal definition can be found. If a server references the base definition of an Operation (i.e. from the specification itself such as ```http://hl7.org/fhir/OperationDefinition/ValueSet-expand```), that means it supports the full capabilities of the operation - e.g. both GET and POST invocation. If it only supports a subset, it must define its own custom [OperationDefinition](operationdefinition.html#) with a 'base' of the original OperationDefinition. The custom definition would describe the specific subset of functionality supported. Documentation that describes anything special about the operation behavior, possibly detailing different behavior for system, type and instance-level invocation of the operation. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. A coded identifier of the interaction, supported by the system. Guidance specific to the implementation of this interaction, such as limitations on the kind of transactions allowed, or information about system wide search is implemented. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. An endpoint (network accessible address) to which messages and/or replies are to be sent. Length if the receiver's reliable messaging cache in minutes (if a receiver) or how long the cache length on the receiver should be (if a sender). Documentation about the system's messaging capabilities for this endpoint not otherwise documented by the capability statement. For example, the process for becoming an authorized messaging exchange partner. References to message definitions for messages this system can send or receive. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. A list of the messaging transport protocol(s) identifiers, supported by this endpoint. The network address of the endpoint. For solutions that do not use network addresses for routing, it can be just an identifier. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. The mode of this event declaration - whether application is sender or receiver. Points to a message definition that identifies the messaging event, message structure, allowed responses, etc. A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server or Client for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Mode of this document declaration - whether an application is a producer or consumer. A description of how the application supports or uses the specified document profile. For example, when documents are created, what action is taken with consumed documents, etc. A profile on the document Bundle that constrains which resources are present, and their contents. Instance Capability Requirements If the element is present, it must have either a @value, an @id, or extensions Sender Receiver If the element is present, it must have either a @value, an @id, or extensions No VersionId Support Versioned VersionId tracked fully If the element is present, it must have either a @value, an @id, or extensions Producer Consumer If the element is present, it must have either a @value, an @id, or extensions Client Server If the element is present, it must have either a @value, an @id, or extensions read vread update update-conditional patch patch-conditional delete delete-conditional-single delete-conditional-multiple delete-history delete-history-version history-instance history-type create create-conditional search-type If the element is present, it must have either a @value, an @id, or extensions transaction batch search-system history-system If the element is present, it must have either a @value, an @id, or extensions Not Supported If-Modified-Since If-None-Match Full Support If the element is present, it must have either a @value, an @id, or extensions Literal References Logical References Resolves References Reference Integrity Enforced Local References Only If the element is present, it must have either a @value, an @id, or extensions Not Supported Single Deletes Supported Multiple Deletes Supported If the element is present, it must have either a @value, an @id, or extensions Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions. Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server. A higher-level request resource (i.e. a plan, proposal or order) that is fulfilled in whole or in part by this care plan. Completed or terminated care plan whose function is taken by this new care plan. A larger care plan of which this particular care plan is a component or step. Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain. Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", "wellness plan", etc. Human-friendly name for the care plan. A description of the scope and nature of the plan. Identifies the patient or group whose intended care is described by the plan. The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated. Indicates when the plan did (or is intended to) come into effect and end. Represents when this particular CarePlan record was created in the system, which is often a system-generated date. When populated, the custodian is responsible for the care plan. The care plan is attributed to the custodian. Identifies the individual(s), organization or device who provided the contents of the care plan. Identifies all people and organizations who are expected to be involved in the care envisioned by this plan. Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. Identifies portions of the patient's record that specifically influenced the formation of the plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc. Describes the intended objective(s) of carrying out the care plan. Identifies an action that has occurred or is a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring that has occurred, education etc. General notes about the care plan not covered elsewhere. Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions. Identifies the activity that was performed. For example, an activity could be patient education, exercise, or a medication administration. The reference to an "event" resource, such as Procedure or Encounter or Observation, represents the activity that was performed. The requested activity can be conveyed using the CarePlan.activity.plannedActivityReference (a reference to a “request” resource). Notes about the adherence/status/progress of the activity. The details of the proposed activity represented in a specific resource. Proposal Plan Order Option Directive If the element is present, it must have either a @value, an @id, or extensions Draft Active On Hold Entered in Error Ended Completed Revoked Unknown If the element is present, it must have either a @value, an @id, or extensions The Care Team includes all the people, organizations, and care teams who participate or plan to participate in the coordination and delivery of care. The Care Team includes all the people, organizations, and care teams who participate or plan to participate in the coordination and delivery of care. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this care team by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Indicates the current state of the care team. Identifies what kind of team. This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team. A label for human use intended to distinguish like teams. E.g. the "red" vs. "green" trauma teams. Identifies the patient or group whose intended care is handled by the team. Indicates when the team did (or is intended to) come into effect and end. Identifies all people and organizations who are expected to be involved in the care team. Describes why the care team exists. The organization responsible for the care team. A central contact detail for the care team (that applies to all members). Comments made about the CareTeam. The Care Team includes all the people, organizations, and care teams who participate or plan to participate in the coordination and delivery of care. Indicates specific responsibility of an individual within the care team, such as "Primary care physician", "Trained social worker counselor", "Caregiver", etc. The specific person or organization who is participating/expected to participate in the care team. Entity that the participant is acting as a proxy of, or an agent of, or in the interest of, or as a representative of. When the member is generally available within this care team. The basis for the member's role participation in care team. For example, supporting documentation that establishes legal power of attorney or court ordered guardianship. Proposed Active Suspended Inactive Entered in Error If the element is present, it must have either a @value, an @id, or extensions A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. If the element is present, it must have either a @value, an @id, or extensions A unique identifier assigned to this claim. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The status of the resource instance. Used to indicate why the status has changed. The category of claim, e.g. oral, pharmacy, vision, institutional, professional. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service. A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided. The party/group to whom the professional services and/or products have been supplied or are being considered and for whom actual or forecast reimbursement is sought. The period for which charges are being submitted. The date this resource was created. Individual who created the claim, predetermination or preauthorization. The Insurer who is target of the request. The provider which is responsible for the claim, predetermination or preauthorization. The provider-required urgency of processing the request. Typical values include: stat, normal, deferred. A code to indicate whether and for whom funds are to be reserved for future claims. Other claims which are related to this claim such as prior submissions or claims for related services or for the same event. Prescription is the document/authorization given to the claim author for them to provide products and services for which consideration (reimbursement) is sought. Could be a RX for medications, an 'order' for oxygen or wheelchair or physiotherapy treatments. Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products. The party to be reimbursed for cost of the products and services according to the terms of the policy. The referral information received by the claim author, it is not to be used when the author generates a referral for a patient. A copy of that referral may be provided as supporting information. Some insurers require proof of referral to pay for services or to pay specialist rates for services. Healthcare encounters related to this claim. Facility where the services were provided. A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system. Information code for an event with a corresponding date or period. The members of the team who provided the products and services. Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Information about diagnoses relevant to the claim items. Procedures performed on the patient relevant to the billing items with the claim. Financial instruments for reimbursement for the health care products and services specified on the claim. Details of an accident which resulted in injuries which required the products and services listed in the claim. The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services. A claim line. Either a simple product or service or a 'group' of details which can each be a simple items or groups of sub-details. The total value of the all the items in the claim. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. Reference to a related claim. A code to convey how the claims are related. An alternate organizational reference to the case or file to which this particular claim pertains. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. Type of Party to be reimbursed: subscriber, provider, other. Reference to the individual or organization to whom any payment will be made. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. A coded event such as when a service is expected or a card printed. A date or period in the past or future indicating when the event occurred or is expectd to occur. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. A number to uniquely identify care team entries. Member of the team who provided the product or service. The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team. The specialization of the practitioner or provider which is applicable for this service. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. A number to uniquely identify supporting information entries. The general class of the information supplied: information; exception; accident, employment; onset, etc. A finer classification within the more general category. System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought. The date when or period to which this information refers. Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data. Provides the reason in the situation where a reason code is required in addition to the content. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. A number to uniquely identify diagnosis entries. The nature of illness or problem in a coded form or as a reference to an external defined Condition. When the condition was observed or the relative ranking. Indication of whether the diagnosis was present on admission to a facility. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. A number to uniquely identify procedure entries. When the condition was observed or the relative ranking. Date and optionally time the procedure was performed. The code or reference to a Procedure resource which identifies the clinical intervention performed. Unique Device Identifiers associated with this line item. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order. A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true. The business identifier to be used when the claim is sent for adjudication against this insurance policy. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system. A business agreement number established between the provider and the insurer for special business processing purposes. Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization. The result of the adjudication of the line items for the Coverage specified in this insurance. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. Date of an accident event related to the products and services contained in the claim. The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers. The physical location of the accident event. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. A number to uniquely identify item entries. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought. CareTeam members related to this service or product. Diagnosis applicable for this service or product. Procedures applicable for this service or product. Exceptions, special conditions and supporting information applicable for this service or product. The type of revenue or cost center providing the product and/or service. Code to identify the general type of benefits under which products and services are provided. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Request or Referral for Goods or Service to be rendered. Item typification or modifiers codes to convey additional context for the product or service. Identifies the program under which this may be recovered. The date or dates when the service or product was supplied, performed or completed. Where the product or service was provided. The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for the group (if a grouper) or the line item. Net = unit price * quantity * factor. Unique Device Identifiers associated with this line item. Physical location where the service is performed or applies. Healthcare encounters related to this claim. A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. Physical service site on the patient (limb, tooth, etc.). A region or surface of the bodySite, e.g. limb region or tooth surface(s). A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. A number to uniquely identify item entries. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The type of revenue or cost center providing the product and/or service. Code to identify the general type of benefits under which products and services are provided. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Item typification or modifiers codes to convey additional context for the product or service. Identifies the program under which this may be recovered. The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for the group (if a grouper) or the line item.detail. Net = unit price * quantity * factor. Unique Device Identifiers associated with this line item. A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items. A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. A number to uniquely identify item entries. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The type of revenue or cost center providing the product and/or service. Code to identify the general type of benefits under which products and services are provided. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Item typification or modifiers codes to convey additional context for the product or service. Identifies the program under which this may be recovered. The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for line item.detail.subDetail. Net = unit price * quantity * factor. Unique Device Identifiers associated with this line item. Claim Preauthorization Predetermination If the element is present, it must have either a @value, an @id, or extensions Active Cancelled Draft Entered in Error If the element is present, it must have either a @value, an @id, or extensions This resource provides the adjudication details from the processing of a Claim resource. This resource provides the adjudication details from the processing of a Claim resource. If the element is present, it must have either a @value, an @id, or extensions A unique identifier assigned to this claim response. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The status of the resource instance. Used to indicate why the status has changed. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service. A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided. The party/group to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought. The date this resource was created. The party responsible for authorization, adjudication and reimbursement. The provider which is responsible for the claim, predetermination or preauthorization. Original request resource reference. The outcome of the claim, predetermination, or preauthorization processing. The result of the claim, predetermination, or preauthorization adjudication. A human readable description of the status of the adjudication. Reference from the Insurer which is used in later communications which refers to this adjudication. The time frame during which this authorization is effective. Information code for an event with a corresponding date or period. Type of Party to be reimbursed: subscriber, billing provider, other. Healthcare encounters related to this claim. A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system. Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details. The first-tier service adjudications for payer added product or service lines. The adjudication results which are presented at the header level rather than at the line-item or add-item levels. Categorized monetary totals for the adjudication. Payment details for the adjudication of the claim. A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom. A code for the form to be used for printing the content. The actual form, by reference or inclusion, for printing the content or an EOB. A note that describes or explains adjudication results in a human readable form. Request for additional supporting or authorizing information. Financial instruments for reimbursement for the health care products and services specified on the claim. Errors encountered during the processing of the adjudication. This resource provides the adjudication details from the processing of a Claim resource. A coded event such as when a service is expected or a card printed. A date or period in the past or future indicating when the event occurred or is expectd to occur. This resource provides the adjudication details from the processing of a Claim resource. A number to uniquely identify supporting information entries. The general class of the information supplied: information; exception; accident, employment; onset, etc. System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought. The date when or period to which this information refers. Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data. Provides the reason in the situation where a reason code is required in addition to the content. This resource provides the adjudication details from the processing of a Claim resource. A number to uniquely reference the claim item entries. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. Exceptions, special conditions and supporting information applicable for this service or product. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item. A claim detail. Either a simple (a product or service) or a 'group' of sub-details which are simple items. This resource provides the adjudication details from the processing of a Claim resource. The result of the claim, predetermination, or preauthorization adjudication. The reasons for the result of the claim, predetermination, or preauthorization adjudication. Reference from the Insurer which is used in later communications which refers to this adjudication. The time frame during which this authorization is effective. This resource provides the adjudication details from the processing of a Claim resource. A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item. A code supporting the understanding of the adjudication result and explaining variance from expected amount. Monetary amount associated with the category. A non-monetary value associated with the category. Mutually exclusive to the amount element above. The date and time the adjudication decision occured. This resource provides the adjudication details from the processing of a Claim resource. A number to uniquely reference the claim detail entry. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. The adjudication results. A sub-detail adjudication of a simple product or service. This resource provides the adjudication details from the processing of a Claim resource. A number to uniquely reference the claim sub-detail entry. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. The adjudication results. This resource provides the adjudication details from the processing of a Claim resource. Claim items which this service line is intended to replace. The sequence number of the details within the claim item which this line is intended to replace. The sequence number of the sub-details within the details within the claim item which this line is intended to replace. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought. Exceptions, special conditions and supporting information applicable for this service or product. The providers who are authorized for the services rendered to the patient. The type of revenue or cost center providing the product and/or service. Code to identify the general type of benefits under which products and services are provided. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Request or Referral for Goods or Service to be rendered. Item typification or modifiers codes to convey additional context for the product or service. Identifies the program under which this may be recovered. The date or dates when the service or product was supplied, performed or completed. Where the product or service was provided. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for the group (if a grouper) or the addItem. Net = unit price * quantity * factor. Physical location where the service is performed or applies. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. The adjudication results. The second-tier service adjudications for payer added services. This resource provides the adjudication details from the processing of a Claim resource. Physical service site on the patient (limb, tooth, etc.). A region or surface of the bodySite, e.g. limb region or tooth surface(s). This resource provides the adjudication details from the processing of a Claim resource. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The type of revenue or cost center providing the product and/or service. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Item typification or modifiers codes to convey additional context for the product or service. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for the group (if a grouper) or the addItem.detail. Net = unit price * quantity * factor. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. The adjudication results. The third-tier service adjudications for payer added services. This resource provides the adjudication details from the processing of a Claim resource. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The type of revenue or cost center providing the product and/or service. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Item typification or modifiers codes to convey additional context for the product or service. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for the addItem.detail.subDetail. Net = unit price * quantity * factor. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. The adjudication results. This resource provides the adjudication details from the processing of a Claim resource. A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item. Monetary total amount associated with the category. This resource provides the adjudication details from the processing of a Claim resource. Whether this represents partial or complete payment of the benefits payable. Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication. Reason for the payment adjustment. Estimated date the payment will be issued or the actual issue date of payment. Benefits payable less any payment adjustment. Issuer's unique identifier for the payment instrument. This resource provides the adjudication details from the processing of a Claim resource. A code to indicate the business purpose of the note. A number to uniquely identify a note entry. The business purpose of the note text. The explanation or description associated with the processing. A code to define the language used in the text of the note. This resource provides the adjudication details from the processing of a Claim resource. A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order. A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system. A business agreement number established between the provider and the insurer for special business processing purposes. The result of the adjudication of the line items for the Coverage specified in this insurance. This resource provides the adjudication details from the processing of a Claim resource. The sequence number of the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure. The sequence number of the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure. The sequence number of the sub-detail within the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure. An error code, from a specified code system, which details why the claim could not be adjudicated. A [simple subset of FHIRPath](fhirpath.html#simple) limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised. Queued Processing Complete Error Partial Processing If the element is present, it must have either a @value, an @id, or extensions A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure. A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure. If the element is present, it must have either a @value, an @id, or extensions Business identifier for this issue. indication | contraindication | interaction | undesirable-effect | warning. A categorisation of the issue, primarily for dividing warnings into subject heading areas such as "Pregnancy and Lactation", "Overdose", "Effects on Ability to Drive and Use Machines". The medication, product, substance, device, procedure etc. for which this is an indication, contraindication, interaction, undesirable effect, or warning. Whether this is a current issue or one that has been retired etc. Describe the possible undesirable effects (negative outcomes) from the use of the medicinal product as treatment. Specifics for when this is an indication. Specifics for when this is a contraindication. Specifics for when this is an interaction. The population group to which this applies. Logic used by the clinical use definition. A critical piece of information about environmental, health or physical risks or hazards that serve as caution to the user. For example 'Do not operate heavy machinery', 'May cause drowsiness', or 'Get medical advice/attention if you feel unwell'. A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure. The situation in which the undesirable effect may manifest. High level classification of the effect. How often the effect is seen. Actions for managing the undesirable effect. A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure. The situation that is being documented as an indication for this item. The status of the disease or symptom for the indication, for example "chronic" or "metastatic". A comorbidity (concurrent condition) or coinfection as part of the indication. Where this repeats it means that any one of these is relevant, rather than all of them needing to be present. The intended effect, aim or strategy to be achieved. Timing or duration information, that may be associated with use with the indicated condition e.g. Adult patients suffering from myocardial infarction (from a few days until less than 35 days), ischaemic stroke (from 7 days until less than 6 months). An unwanted side effect or negative outcome that may happen if you use the drug (or other subject of this resource) for this indication. An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements. Information about the use of the medicinal product in relation to other therapies described as part of the contraindication. A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure. The type of relationship between the medicinal product indication or contraindication and another therapy. Reference to a specific medication (active substance, medicinal product or class of products, biological, food etc.) as part of an indication or contraindication. A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure. The situation that is being documented as contraindicating against this item. The status of the disease or symptom for the contraindication, for example "chronic" or "metastatic". A comorbidity (concurrent condition) or coinfection. Where this repeats it means that any one of these is relevant, rather than all of them needing to be present. The indication which this is a contraindication for. An expression that returns true or false, indicating whether the indication is applicable or not, after having applied its other elements. Actions for managing the contraindication. Information about the use of the medicinal product in relation to other therapies described as part of the contraindication. A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure. The specific medication, product, food, substance etc. or laboratory test that interacts. The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction. The effect of the interaction, for example "reduced gastric absorption of primary medication". The incidence of the interaction, e.g. theoretical, observed. Actions for managing the interaction. The severity of the interaction. A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure. The specific medication, product, food, substance etc. or laboratory test that interacts. The route by which the item is administered to cause the interaction. A single issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure. A textual definition of this warning, with formatting. A coded or unformatted textual definition of this warning. Indication Contraindication Interaction Undesirable Effect Warning If the element is present, it must have either a @value, an @id, or extensions The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content. The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this code system when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this code system is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the code system is stored on different servers. This is used in [Coding](datatypes.html#Coding).system. A formal identifier that is used to identify this code system when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the code system when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the code system 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. This is used in [Coding](datatypes.html#Coding).version. Indicates the mechanism used to compare versions to determine which CodeSystem is more current. A natural language name identifying the code system. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the code system. The status of this code system. Enables tracking the life-cycle of the content. A Boolean value to indicate that this code system is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the code system was last significantly changed. The date must change 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 code system changes. The name of the organization or individual responsible for the release and ongoing maintenance of the code system. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the code system from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate code system instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this code system is needed and why it has been designed as it has. A copyright statement relating to the code system and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the code system. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. The period during which the CodeSystem content was or is planned to be in active use. Descriptions related to the content of the CodeSystem. Topics provide a high-level categorization as well as keywords for the CodeSystem that can be useful for filtering and searching. An individiual or organization primarily involved in the creation and maintenance of the CodeSystem. An individual or organization primarily responsible for internal coherence of the CodeSystem. An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the CodeSystem. An individual or organization asserted by the publisher to be responsible for officially endorsing the CodeSystem for use in some setting. Related artifacts such as additional documentation, justification, dependencies, bibliographic references, and predecessor and successor artifacts. If the type is `successor` or `predecessor`, the related resource must be a CodeSystem. If code comparison is case sensitive when codes within this system are compared to each other. Canonical reference to the value set that contains all codes in the code system independent of code status. The meaning of the hierarchy of concepts as represented in this resource. The code system defines a compositional (post-coordination) grammar. This flag is used to signify that the code system does not commit to concept permanence across versions. If true, a version must be specified when referencing this code system. The extent of the content of the code system (the concepts and codes it defines) are represented in this resource instance. The canonical URL of the code system that this code system supplement is adding designations and properties to. The total number of concepts defined by the code system. Where the code system has a compositional grammar, the basis of this count is defined by the system steward. A filter that can be used in a value set compose statement when selecting concepts using a filter. A property defines an additional slot through which additional information can be provided about a concept. Concepts that are in the code system. The concept definitions are inherently hierarchical, but the definitions must be consulted to determine what the meanings of the hierarchical relationships are. The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content. The code that identifies this filter when it is used as a filter in [ValueSet](valueset.html#).compose.include.filter. A description of how or why the filter is used. A list of operators that can be used with the filter. A description of what the value for the filter should be. The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content. A code that is used to identify the property. The code is used internally (in CodeSystem.concept.property.code) and also externally, such as in property filters. Reference to the formal meaning of the property. One possible source of meaning is the [Concept Properties](codesystem-concept-properties.html) code system. A description of the property- why it is defined, and how its value might be used. The type of the property value. Properties of type "code" contain a code defined by the code system (e.g. a reference to another defined concept). The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content. A code - a text symbol - that uniquely identifies the concept within the code system. A human readable string that is the recommended default way to present this concept to a user. The formal definition of the concept. The code system resource does not make formal definitions required, because of the prevalence of legacy systems. However, they are highly recommended, as without them there is no formal meaning associated with the concept. Additional representations for the concept - other languages, aliases, specialized purposes, used for particular purposes, etc. A property value for this concept. Defines children of a concept to produce a hierarchy of concepts. The nature of the relationships is variable (is-a/contains/categorizes) - see hierarchyMeaning. The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content. The language this designation is defined for. A code that details how this designation would be used. Additional codes that detail how this designation would be used, if there is more than one use. The text value for this designation. The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content. A code that is a reference to CodeSystem.property.code or is a code from [http://hl7.org/fhir/concept-properties](codesystem.html#defined-props) in the case that there is no corresponding code defined in `CodeSystem.property.code`. The value of this property. Equals Is A (by subsumption) Descendent Of (by subsumption) Not (Is A) (by subsumption) Regular Expression In Set Not in Set Generalizes (by Subsumption) Child Of Descendent Leaf Exists If the element is present, it must have either a @value, an @id, or extensions code (internal reference) Coding (external reference) string integer boolean dateTime decimal If the element is present, it must have either a @value, an @id, or extensions Grouped By Is-A Part Of Classified With If the element is present, it must have either a @value, an @id, or extensions Not Present Example Fragment Complete Supplement If the element is present, it must have either a @value, an @id, or extensions A clinical or business level record of information being transmitted or shared; e.g. an alert that was sent to a responsible provider, a public health agency communication to a provider/reporter in response to a case report for a reportable condition. A clinical or business level record of information being transmitted or shared; e.g. an alert that was sent to a responsible provider, a public health agency communication to a provider/reporter in response to a case report for a reportable condition. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server. An order, proposal or plan fulfilled in whole or in part by this Communication. A larger event (e.g. Communication, Procedure) of which this particular communication is a component or step. Prior communication that this communication is in response to. The status of the transmission. Captures the reason for the current state of the Communication. The type of message conveyed such as alert, notification, reminder, instruction, etc. Characterizes how quickly the planned or in progress communication must be addressed. Includes concepts such as stat, urgent, routine. A channel that was used for this communication (e.g. email, fax, SMS). The patient or group that was the focus of this communication. Description of the purpose/content, similar to a subject line in an email. Other resources that pertain to this communication and to which this communication should be associated. The Encounter during which this Communication was created or to which the creation of this record is tightly associated. The time when this communication was sent. The time when this communication arrived at the destination. The entity (e.g. person, organization, clinical information system, care team or device) which is the target of the communication. The entity (e.g. person, organization, clinical information system, or device) which is the source of the communication. The reason or justification for the communication. Text, attachment(s), or resource(s) that was communicated to the recipient. Additional notes or commentary about the communication by the sender, receiver or other interested parties. A clinical or business level record of information being transmitted or shared; e.g. an alert that was sent to a responsible provider, a public health agency communication to a provider/reporter in response to a case report for a reportable condition. A communicated content (or for multi-part communications, one portion of the communication). Preparation In Progress Not Done On Hold Stopped Completed Entered in Error Unknown If the element is present, it must have either a @value, an @id, or extensions A request to convey information from a sender to a recipient. A request to convey information from a sender to a recipient. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this communication request by the performer or other systems which remain constant as the resource is updated and propagates from server to server. A plan or proposal that is fulfilled in whole or in part by this request. Completed or terminated request(s) whose function is taken by this new request. A shared identifier common to multiple independent Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time. The status of the proposal or order. Captures the reason for the current state of the CommunicationRequest. Indicates the level of authority/intentionality associated with the CommunicationRequest and where the request fits into the workflow chain. The type of message to be sent such as alert, notification, reminder, instruction, etc. Characterizes how quickly the proposed act must be initiated. Includes concepts such as stat, urgent, routine. If true indicates that the CommunicationRequest is asking for the specified action to *not* occur. A channel that was used for this communication (e.g. email, fax). The patient or group that is the focus of this communication request. Other resources that pertain to this communication request and to which this communication request should be associated. The Encounter during which this CommunicationRequest was created or to which the creation of this record is tightly associated. Text, attachment(s), or resource(s) to be communicated to the recipient. The time when this communication is to occur. For draft requests, indicates the date of initial creation. For requests with other statuses, indicates the date of activation. The device, individual, or organization who asks for the information to be shared. The entity (e.g. person, organization, clinical information system, device, group, or care team) which is the intended target of the communication. The entity (e.g. person, organization, clinical information system, or device) which is to be the source of the communication. Describes why the request is being made in coded or textual form. Comments made about the request by the requester, sender, recipient, subject or other participants. A request to convey information from a sender to a recipient. The content (or for multi-part communications, one portion of the communication) to be communicated. A compartment definition that defines how resources are accessed on a server. A compartment definition that defines how resources are accessed on a server. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this compartment definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this compartment definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the compartment definition is stored on different servers. The identifier that is used to identify this version of the compartment definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the compartment 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the compartment definition. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the capability statement. The status of this compartment definition. Enables tracking the life-cycle of the content. A Boolean value to indicate that this compartment definition is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the compartment definition was last significantly changed. The date must change 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 compartment definition changes. The name of the organization or individual responsible for the release and ongoing maintenance of the compartment definition. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the compartment definition from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate compartment definition instances. Explanation of why this compartment definition is needed and why it has been designed as it has. Which compartment this definition describes. Whether the search syntax is supported,. Information about how a resource is related to the compartment. A compartment definition that defines how resources are accessed on a server. The name of a resource supported by the server. The search parameter 'code' as defined in the core specification that represents the link to the compartment. Search Parameter for mapping requests made with $everything.start (e.g. on [Patient.$everything](https://build.fhir.org/ig/HL7/admin-incubator/branches/main/en/OperationDefinition-Patient-everything.html)). Search Parameter for mapping requests made with $everything.end (e.g. on [Patient.$everything](https://build.fhir.org/ig/HL7/admin-incubator/branches/main/en/OperationDefinition-Patient-everything.html)). Patient Encounter RelatedPerson Practitioner Device EpisodeOfCare If the element is present, it must have either a @value, an @id, or extensions A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.). A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.). If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this Composition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this Composition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the Composition is stored on different servers. A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time. An explicitly assigned identifier of a variation of the content in the Composition. References the consents associated with this document. Examples include a consent to perform the clinical service being documented (.event) or a consent for the information contained in the document to be released to a third party. A plan, proposal or order that is fulfilled in whole or in part by this composition. The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document. Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition. A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type. Who or what the composition is about. The composition 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 livestock, or a set of patients that share a common exposure). Describes the clinical encounter or type of care this documentation is associated with. The composition editing time, when the composition was last logically changed by the author. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate Composition instances. Identifies who is responsible for the information in the composition, not necessarily who typed it in. Identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin). A natural language name identifying the {{title}}. This name should be usable as an identifier for the module by machine processing applications such as code generation. Official human-readable label for the composition. For any additional notes. A participant who has attested to the accuracy of the composition/document. Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information. Relationships that this composition has with other compositions or documents (FHIR or non-FHIR resources) that already exist. The clinical service, such as a colonoscopy or an appendectomy, being documented. The root of the sections that make up the composition. A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.). Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed. Exact function of the participant in the creation of the clinical document. This is more granular than type. Time period of participation. Who the participant is. A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.). The type of attestation the authenticator offers. When the composition was attested by the party. Who attested the composition in the specified way. A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.). The type of relationship to the related artifact. The artifact that is related to this Composition Resource. A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.). The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time. 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 case the procedure being documented is necessarily a "History and Physical" act. The events may be included as a code or as a reference to an other resource. A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and has traceability to the author who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.). The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents. A code identifying the kind of content contained within the section. This must be consistent with the section title. Identifies who is responsible for the information in this section, not necessarily who typed it in. The actual author of the section when it is not the author of the composition. If author is not specified, the author is assumed to be the author of the parent section or the author of the composition. The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources). A human-readable narrative that contains the attested content of the section, 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. Information about the section contents that is not represented by any of the section entries. Specifies the order applied to the items in the section entries. A reference to the actual resource from which the narrative in the section is derived. If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason. A nested sub-section within this section. Registered Partial Preliminary Final Amended Corrected Appended Cancelled Entered in Error Deprecated Unknown If the element is present, it must have either a @value, an @id, or extensions A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models. A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this concept map when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this concept map is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the concept map is stored on different servers. A formal identifier that is used to identify this concept map when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the concept map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the concept map 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. Indicates the mechanism used to compare versions to determine which ConceptMap is more current. A natural language name identifying the concept map. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the concept map. The status of this concept map. Enables tracking the life-cycle of the content. A Boolean value to indicate that this concept map is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the concept map was last significantly changed. The date must change 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 concept map changes. The name of the organization or individual responsible for the release and ongoing maintenance of the concept map. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the concept map from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate concept map instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this concept map is needed and why it has been designed as it has. A copyright statement relating to the concept map and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the concept map. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. The period during which the ConceptMap content was or is planned to be in active use. Descriptions related to the content of the ConceptMap. Topics provide a high-level categorization as well as keywords for the ConceptMap that can be useful for filtering and searching. An individiual or organization primarily involved in the creation and maintenance of the ConceptMap. An individual or organization primarily responsible for internal coherence of the ConceptMap. An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the ConceptMap. An individual or organization asserted by the publisher to be responsible for officially endorsing the ConceptMap for use in some setting. Related artifacts such as additional documentation, justification, dependencies, bibliographic references, and predecessor and successor artifacts. If the type is `successor` or `predecessor`, the related resource must be a ConceptMap. A property defines a slot through which additional information can be provided about a map from source -> target. An additionalAttribute defines an additional data element found in the source or target data model where the data will come from or be mapped to. Some mappings are based on data in addition to the source data element, where codes in multiple fields are combined to a single field (or vice versa). Identifier for the source value set that contains the concepts that are being mapped and provides context for the mappings. Limits the scope of the map to source codes (ConceptMap.group.element code or valueSet) that are members of this value set. Identifier for the target value set that provides important context about how the mapping choices are made. Limits the scope of the map to target codes (ConceptMap.group.element.target code or valueSet) that are members of this value set. A group of mappings that all have the same source and target system. A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models. A code that is used to identify the property. The code is used internally (in ConceptMap.group.element.target.property.code) and also in the $translate operation. Reference to the formal meaning of the property. A description of the property - why it is defined, and how its value might be used. The type of the property value. The CodeSystem that defines the codes from which values of type ```code``` in property values. A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models. A code that is used to identify this additional data attribute. The code is used internally in ConceptMap.group.element.target.dependsOn.attribute and ConceptMap.group.element.target.product.attribute. Reference to the formal definition of the source/target data element. For elements defined by the FHIR specification, or using a FHIR logical model, the correct format is {canonical-url}#{element-id}. A description of the additional attribute and/or the data element it refers to - why it is defined, and how the value might be used in mappings, and a discussion of issues associated with the use of the data element. The type of the source data contained in this concept map for this data element. A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models. An absolute URI that identifies the source system where the concepts to be mapped are defined. An absolute URI that identifies the target system that the concepts will be mapped to. Mappings for an individual concept in the source to one or more concepts in the target. What to do when there is no mapping to a target concept from the source concept and ConceptMap.group.element.noMap is not true. This provides the "default" to be applied when there is no target concept mapping specified or the expansion of ConceptMap.group.element.target.valueSet is empty. A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models. Identity (code or path) or the element/item being mapped. The display for the code. The display is only provided to help editors when editing the concept map. The set of concepts from the ConceptMap.group.source code system which are all being mapped to the target as part of this mapping rule. If noMap = true this indicates that no mapping to a target concept exists for this source concept. Comments related to the mapping of the source element, potentially including why there is no target. A concept from the target value set that this concept maps to. A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models. Identity (code or path) or the element/item that the map refers to. The display for the code. The display is only provided to help editors when editing the concept map. The set of concepts from the ConceptMap.group.target code system which are all being mapped to as part of this mapping rule. The effect of using this data element is the same as having multiple ConceptMap.group.element.target elements with one for each concept in the ConceptMap.group.element.target.valueSet value set. The relationship between the source and target concepts. The relationship is read from source to target (e.g. source-is-narrower-than-target). Comments related to the mapping to the target element. A property value for this source -> target mapping. A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified data attribute can be resolved, and it has the specified value. Product is the output of a ConceptMap that provides additional values that go in other attributes / data elemnts of the target data. A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models. A reference to a mapping property defined in ConceptMap.property. The value of this property. If the type chosen for this element is 'code', then the property SHALL be defined in a ConceptMap.property element and that ConceptMap.property element SHALL have a system element. A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models. A reference to the additional attribute that holds a value the map depends on. Data element value that the map depends on / produces. If the data type is a code, that code SHALL come from the .group.source code system for .dependsOn.valueCode or from the .group.target code system for .product.valueCode. This mapping applies if the data element value is a code from this value set. A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models. Defines which action to take if there is no match for the source concept in the target system designated for the group. One of 3 actions are possible: use the unmapped source code (this is useful when doing a mapping between versions, and only a few codes have changed), use a fixed code (a default code), or alternatively, a reference to a different concept map can be provided (by canonical URL). The fixed code to use when the mode = 'fixed' - all unmapped codes are mapped to a single fixed code. The display for the code. The display is only provided to help editors when editing the concept map. Comments related to the choice of how to handle unmapped elements. The set of fixed codes to use when the mode = 'fixed' - all unmapped codes are mapped to each of the fixed codes. The default relationship value to apply between the source and target concepts when the source code is unmapped and the mode is 'fixed' or 'use-source-code'. The canonical reference to an additional ConceptMap resource instance to use for mapping if this ConceptMap resource contains no matching mapping for the source concept. Coding (external reference) string integer boolean dateTime decimal code If the element is present, it must have either a @value, an @id, or extensions code Coding string boolean Quantity If the element is present, it must have either a @value, an @id, or extensions Use Provided Source Code Fixed Code Other Map If the element is present, it must have either a @value, an @id, or extensions A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server. The clinical status of the condition. The verification status to support the clinical status of the condition. The verification status pertains to the condition, itself, not to any specific condition attribute. A category assigned to the condition. A subjective assessment of the severity of the condition as evaluated by the clinician. Identification of the condition, problem or diagnosis. The anatomical location where this condition manifests itself. Indicates the body structure on the subject's body where this condition manifests itself. Indicates the patient or group who the condition record is associated with. The Encounter during which this Condition was created or to which the creation of this record is tightly associated. Estimated or actual date or date-time the condition, situation, or concern began, in the opinion of the clinician. The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Some conditions, such as chronic conditions, are never really resolved, but they can abate. The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date. Individual who recorded the record and takes responsibility for accurately recording its content. Individual or device that is making the condition statement. A simple summary of the stage such as "Stage 3" or "Early Onset". The determination of the stage is disease-specific, such as cancer, retinopathy of prematurity, kidney diseases, Alzheimer's, or Parkinson disease. Supporting evidence / manifestations that are the basis for determining the Condition. Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis. A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. A simple summary of the stage such as "Stage 3" or "Early Onset". The determination of the stage is disease-specific, such as cancer, retinopathy of prematurity, kidney diseases, Alzheimer's, or Parkinson disease. Reference to a formal record of the evidence on which the staging assessment is based. The kind of staging, such as pathological or clinical staging. A record of a healthcare consumer’s choices or choices made on their behalf by a third party, 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. A record of a healthcare consumer’s choices or choices made on their behalf by a third party, 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. If the element is present, it must have either a @value, an @id, or extensions Unique identifier for this copy of the Consent Statement. Indicates the current state of this Consent resource. A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements. The patient, healthcare practitioner, research subject, or a group of persons to whom this consent applies. Date the consent instance was agreed to. Effective period for this Consent Resource and all provisions unless specified in that provision. The entity responsible for granting the rights listed in a Consent Directive. The entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions. The actor that manages the consent through its lifecycle. The actor that controls/enforces the access according to the consent. The source on which this consent statement is based. The source might be a scanned original paper form. 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. A set of codes that indicate the regulatory basis (if any) that this consent supports. A Reference or URL used to uniquely identify the policy the organization will enforce for this Consent. This Reference or URL should be specific to the version of the policy and should be dereferencable to a computable policy of some form. A Reference to the human readable policy explaining the basis for the Consent. Whether a treatment instruction (e.g. artificial respiration: yes or no) was verified with the patient, his/her family or another authorized person. Action to take - permit or deny - as default. An exception to the base policy of this consent. An exception can be an addition or removal of access permissions. A record of a healthcare consumer’s choices or choices made on their behalf by a third party, 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. A Reference that identifies the policy the organization will enforce for this Consent. A URI that links to a computable version of the policy the organization will enforce for this Consent. A record of a healthcare consumer’s choices or choices made on their behalf by a third party, 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. Has the instruction been verified. Extensible list of verification type starting with verification and re-validation. The person who conducted the verification/validation of the Grantor decision. Who verified the instruction (Patient, Relative or other Authorized Person). Date(s) verification was collected. A record of a healthcare consumer’s choices or choices made on their behalf by a third party, 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. Timeframe for this provision. Who or what is controlled by this provision. Use group to identify a set of actors by some property they share (e.g. 'admitting officers'). Actions controlled by this provision. A security label, comprised of 0..* security label fields (Privacy tags), which define which resources are controlled by this exception. The context of the activities a user is taking - why the user is accessing the data - that are controlled by this provision. The documentType(s) covered by this provision. The type can be a CDA document, or some other type that indicates what sort of information the consent relates to. The resourceType(s) covered by this provision. The type can be a FHIR resource type or a profile on a type that indicates what information the consent relates to. If this code is found in an instance, then the provision applies. Clinical or Operational Relevant period of time that bounds the data controlled by this provision. The resources controlled by this provision if specific resources are referenced. A computable (FHIRPath or other) definition of what is controlled by this consent. Provisions which provide exceptions to the base provision or subprovisions. A record of a healthcare consumer’s choices or choices made on their behalf by a third party, 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. How the individual is involved in the resources content that is described in the exception. The resource that identifies the actor. To identify actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers'). A record of a healthcare consumer’s choices or choices made on their behalf by a third party, 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. How the resource reference is interpreted when testing consent restrictions. A reference to a specific resource that defines which resources are covered by this consent. Deny Permit If the element is present, it must have either a @value, an @id, or extensions Instance Related Dependents AuthoredBy If the element is present, it must have either a @value, an @id, or extensions Pending Active Inactive Abandoned Entered in Error Unknown If the element is present, it must have either a @value, an @id, or extensions Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. If the element is present, it must have either a @value, an @id, or extensions Unique identifier for this Contract or a derivative that references a Source Contract. Canonical identifier for this contract, represented as a URI (globally unique). An edition identifier used for business purposes to label business significant variants. The status of the resource instance. Legal states of the formation of a legal instrument, which is a formally executed written document that can be formally attributed to its author, records and formally expresses a legally enforceable act, process, or contractual duty, obligation, or right, and therefore evidences that act, process, or agreement. The URL pointing to a FHIR-defined Contract Definition that is adhered to in whole or part by this Contract. The URL pointing to an externally maintained definition that is adhered to in whole or in part by this Contract. The minimal content derived from the basal information source at a specific stage in its lifecycle. When this Contract was issued. Relevant time or time-period when this Contract is applicable. Event resulting in discontinuation or termination of this Contract instance by one or more parties to the contract. The target entity impacted by or of interest to parties to the agreement. A formally or informally recognized grouping of people, principals, organizations, or jurisdictions formed for the purpose of achieving some form of collective action such as the promulgation, administration and enforcement of contracts and policies. Recognized governance framework or system operating with a circumscribed scope in accordance with specified principles, policies, processes or procedures for managing rights, actions, or behaviors of parties or principals relative to resources. Sites in which the contract is complied with, exercised, or in force. A natural language name identifying this Contract definition, derivative, or instance in any legal state. Provides additional information about its content. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for this Contract definition, derivative, or instance in any legal state. A more detailed or qualifying explanatory or alternate user-friendly title for this Contract definition, derivative, or instance in any legal state. Alternative representation of the title for this Contract definition, derivative, or instance in any legal state., e.g., a domain specific contract number related to legislation. The individual or organization that authored the Contract definition, derivative, or instance in any legal state. A selector of legal concerns for this Contract definition, derivative, or instance in any legal state. Narrows the range of legal concerns to focus on the achievement of specific contractual objectives. A high-level category for the legal instrument, whether constructed as a Contract definition, derivative, or instance in any legal state. Provides additional information about its content within the context of the Contract's scope to distinguish the kinds of systems that would be interested in the contract. Sub-category for the Contract that distinguishes the kinds of systems that would be interested in the Contract within the context of the Contract's scope. Precusory content developed with a focus and intent of supporting the formation a Contract instance, which may be associated with and transformable into a Contract. One or more Contract Provisions, which may be related and conveyed as a group, and may contain nested groups. Information that may be needed by/relevant to the performer in their execution of this term action. Links to Provenance records for past versions of this Contract definition, derivative, or instance, which identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the Contract. The Provenance.entity indicates the target that was changed in the update (see [Provenance.entity](provenance-definitions.html#Provenance.entity)). Parties with legal standing in the Contract, including the principal parties, the grantor(s) and grantee(s), which are any person or organization bound by the contract, and any ancillary parties, which facilitate the execution of the contract such as a notary or witness. The "patient friendly language" versionof the Contract in whole or in parts. "Patient friendly language" means the representation of the Contract and Contract Provisions in a manner that is readily accessible and understandable by a layperson in accordance with best practices for communication styles that ensure that those agreeing to or signing the Contract understand the roles, actions, obligations, responsibilities, and implication of the agreement. List of Legal expressions or representations of this Contract. List of Computable Policy Rule Language Representations of this Contract. Legally binding Contract: This is the signed and legally recognized representation of the Contract, which is considered the "source of truth" and which would be the basis for legal action related to enforcement of this Contract. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Precusory content structure and use, i.e., a boilerplate, template, application for a contract such as an insurance policy or benefits under a program, e.g., workers compensation. Detailed Precusory content type. The individual or organization that published the Contract precursor content. The date (and optionally time) when the contract was last significantly changed. The date must change 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 contract changes. amended | appended | cancelled | disputed | entered-in-error | executable +. A copyright statement relating to Contract precursor content. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the Contract precursor content. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Unique identifier for this particular Contract Provision. When this Contract Provision was issued. Relevant time or time-period when this Contract Provision is applicable. The entity that the term applies to. A legal clause or condition contained within a contract that requires one or both parties to perform a particular requirement by some specified time or prevents one or both parties from performing a particular requirement by some specified time. A specialized legal clause or condition based on overarching contract type. Statement of a provision in a policy or a contract. Security labels that protect the handling of information about the term and its elements, which may be specifically identified. The matter of concern in the context of this provision of the agrement. Contract Term Asset List. An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place. Nested group of Contract Provisions. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Number used to link this term or term element to the applicable Security Label. Security label privacy tag that specifies the level of confidentiality protection required for this term and/or term elements. Security label privacy tag that specifies the applicable privacy and security policies governing this term and/or term elements. Security label privacy tag that specifies the manner in which term and/or term elements are to be protected. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Unique identifier for this particular Contract Provision. Offer Recipient. The owner of an asset has the residual control rights over the asset: the right to decide all usages of the asset in any way not inconsistent with a prior contract, custom, or law (Hart, 1995, p. 30). Type of Contract Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit. Type of choice made by accepting party with respect to an offer made by an offeror/ grantee. How the decision about a Contract was conveyed. Response to offer text. Human readable form of this Contract Offer. The id of the clause or question text of the offer in the referenced questionnaire/response. Security labels that protects the offer. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Participant in the offer. How the party participates in the offer. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Response to an offer clause or question text, which enables selection of values to be agreed to, e.g., the period of participation, the date of occupancy of a rental, warranty duration, or whether biospecimen may be used for further research. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Differentiates the kind of the asset . Target entity type about which the term may be concerned. Associated entities. May be a subtype or part of an offered asset. Specifies the applicability of the term to an asset resource instance, and instances it refers to or instances that refer to it, and/or are owned by the offeree. Circumstance of the asset. Description of the quality and completeness of the asset that may be a factor in its valuation. Type of Asset availability for use or ownership. Asset relevant contractual time period. Time period of asset use. Clause or question text (Prose Object) concerning the asset in a linked form, such as a QuestionnaireResponse used in the formation of the contract. Id [identifier??] of the clause or question text about the asset in the referenced form or QuestionnaireResponse. Response to assets. Security labels that protects the asset. Contract Valued Item List. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Asset context reference may include the creator, custodian, or owning Person or Organization (e.g., bank, repository), location held, e.g., building, jurisdiction. Coded representation of the context generally or of the Referenced entity, such as the asset holder type or location. Context description. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Specific type of Contract Valued Item that may be priced. Identifies a Contract Valued Item instance. Indicates the time during which this Contract ValuedItem information is effective. Specifies the units by which the Contract Valued Item is measured or counted, and quantifies the countable or measurable Contract Valued Item instances. A Contract Valued Item unit valuation measure. A real number that represents a multiplier used in determining the overall value of the Contract Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Valued Item delivered. The concept of Points allows for assignment of point values for a Contract Valued Item, such that a monetary amount can be assigned to each point. Expresses the product of the Contract Valued Item unitQuantity and the unitPriceAmt. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied. Terms of valuation. When payment is due. Who will make payment. Who will receive payment. Id of the clause or question text related to the context of this valuedItem in the referenced form or QuestionnaireResponse. A set of security labels that define which terms are controlled by this condition. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. True if the term prohibits the action. Activity or service obligation to be done or not done, performed or not performed, effectuated or not by this Contract term. Entity of the action. Reason or purpose for the action stipulated by this Contract Provision. Id [identifier??] of the clause or question text related to this action in the referenced form or QuestionnaireResponse. Current state of the term action. Encounter or Episode with primary association to the specified term activity. Id [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse. When action happens. Who or what initiated the action and has responsibility for its activation. Id [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse. The type of individual that is desired or required to perform or not perform the action. The type of role or competency of an individual desired or required to perform or not perform the action. Indicates who or what is being asked to perform (or not perform) the ction. Id [identifier??] of the clause or question text related to the reason type or reference of this action in the referenced form or QuestionnaireResponse. Rationale for the action to be performed or not performed. Describes why the action is permitted or prohibited. Either a coded concept, or another resource whose existence justifies permitting or not permitting this action. Id [identifier??] of the clause or question text related to the reason type or reference of this action in the referenced form or QuestionnaireResponse. Comments made about the term action made by the requester, performer, subject or other participants. Security labels that protects the action. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. The entity the action is performed or not performed on or for. Role type of agent assigned roles in this Contract. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Role of this Contract signer, e.g. notary, grantee. Party which is a signator to this Contract. Legally binding Contract DSIG signature contents in Base64. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Human readable rendering of this Contract in a format and representation intended to enhance comprehension and ensure understandability. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Contract legal text in human renderable form. Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement. Computable Contract conveyed using a policy rule language (e.g. XACML, DKAL, SecPal). Amended Appended Cancelled Disputed Entered in Error Executable Executed Negotiable Offered Policy Rejected Renewed Revoked Resolved Terminated If the element is present, it must have either a @value, an @id, or extensions Amended Appended Cancelled Disputed Entered in Error Executable Executed Negotiable Offered Policy Rejected Renewed Revoked Resolved Terminated If the element is present, it must have either a @value, an @id, or extensions Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment. Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment. If the element is present, it must have either a @value, an @id, or extensions The identifier of the coverage as issued by the insurer. The status of the resource instance. The status element does not indicate whether the policy reflected in the instance is in-force at any particular point in time, that would be conveyed via the 'period' element. Used to indicate why the status has changed. The nature of the coverage be it insurance, or cash payment such as self-pay. Link to the paying party and optionally what specifically they will be responsible to pay. The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization. The party who 'owns' the insurance policy. The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due. The insurer assigned ID for the Subscriber. The party who benefits from the insurance coverage; the patient when products and/or services are provided. A designator for a dependent under the coverage. The relationship of beneficiary (patient) to the subscriber. Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force. When non-contiguous periods of coverage need to be documented it is recommended that this is accomplished through the use of an extension,rather than complicating coverage period calculations for many users of the Coverage resource. The program or plan underwriter, payor, insurance company. A suite of underwriter specific classifiers. The order of applicability of this coverage relative to other coverages which are currently in force. Note, there may be gaps in the numbering and this does not imply primary, secondary etc. as the specific positioning of coverages depends upon the episode of care. For example; a patient might have (0) auto insurance (1) their own health insurance and (2) spouse's health insurance. When claiming for treatments which were not the result of an auto accident then only coverages (1) and (2) above would be applicable and would apply in the order specified in parenthesis. Coverage.order conveys the Coordination of Benefit (COB) ordering of coverage independent of use-case, for a use-case dependent set of Coverages see Account.coverage.priority. The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate, otherwise 'out of network' terms and conditions apply. A suite of codes indicating the cost category and associated amount which have been detailed in the policy and may have been included on the health card. When 'subrogation=true' this insurance instance has been included not for adjudication but to provide insurers with the details to recover costs. The policy(s) which constitute this insurance coverage. The insurance plan details, benefits and costs, which constitute this insurance coverage. Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment. The list of parties providing non-insurance payment for the treatment costs. Description of the financial responsibility. Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment. The type of classification for which an insurer-specific class label or number and optional name is provided. For example, type may be used to identify a class of coverage or employer group, policy, or plan. The alphanumeric identifier associated with the insurer issued label. A short description for the class. Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment. The category of patient centric costs associated with treatment. Code to identify the general type of benefits under which products and services are provided. Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers. Indicates if the benefits apply to an individual or to the family. The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'. The amount due from the patient for the cost category. A suite of codes indicating exceptions or reductions to patient costs and their effective periods. Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment. The code for the specific exception. The timeframe the exception is in force. Insurance Self-pay Other If the element is present, it must have either a @value, an @id, or extensions The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy. The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy. If the element is present, it must have either a @value, an @id, or extensions A unique identifier assigned to this coverage eligiblity request. The status of the resource instance. Used to indicate why the status has changed. When the requestor expects the processor to complete processing. Code to specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for the patient; and/or validation that the specified coverage is in-force at the date/period specified or 'now' if not specified. The party who is the beneficiary of the supplied coverage and for whom eligibility is sought. Information code for an event with a corresponding date or period. The date or dates when the enclosed suite of services were performed or completed. The date when this resource was created. Person who created the request. The provider which is responsible for the request. The Insurer who issued the coverage in question and is the recipient of the request. Facility where the services are intended to be provided. Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Financial instruments for reimbursement for the health care products and services. Service categories or billable services for which benefit details and/or an authorization prior to service delivery may be required by the payor. The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy. A coded event such as when a service is expected or a card printed. A date or period in the past or future indicating when the event occurred or is expectd to occur. The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy. A number to uniquely identify supporting information entries. Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data. The supporting materials are applicable for all detail items, product/servce categories and specific billing codes. The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy. A flag to indicate that this Coverage is to be used for evaluation of this request when set to true. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system. A business agreement number established between the provider and the insurer for special business processing purposes. The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy. Exceptions, special conditions and supporting information applicable for this service or product line. Code to identify the general type of benefits under which products and services are provided. This contains the product, service, drug or other billing code for the item. Item typification or modifiers codes to convey additional context for the product or service. The practitioner who is responsible for the product or service to be rendered to the patient. The number of repetitions of a service or product. The amount charged to the patient by the provider for a single unit. Facility where the services will be provided. Patient diagnosis for which care is sought. The plan/proposal/order describing the proposed service in detail. The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy. The nature of illness or problem in a coded form or as a reference to an external defined Condition. Coverage auth-requirements Coverage benefits Coverage Discovery Coverage Validation If the element is present, it must have either a @value, an @id, or extensions This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource. This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource. If the element is present, it must have either a @value, an @id, or extensions A unique identifier assigned to this coverage eligiblity request. The status of the resource instance. Used to indicate why the status has changed. Code to specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for the patient; and/or validation that the specified coverage is in-force at the date/period specified or 'now' if not specified. The party who is the beneficiary of the supplied coverage and for whom eligibility is sought. Information code for an event with a corresponding date or period. The date or dates when the enclosed suite of services were performed or completed. The date this resource was created. The provider which is responsible for the eligibility, claim, predetermination or preauthorization request. Reference to the original request resource. The outcome of the request processing. A human readable description of the status of the adjudication. The Insurer who issued the coverage in question and is the author of the response. Financial instruments for reimbursement for the health care products and services. A reference from the Insurer to which these services pertain to be used on further communication and as proof that the request occurred. A code for the form to be used for printing the content. Errors encountered during the processing of the request. This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource. A coded event such as when a service is expected or a card printed. A date or period in the past or future indicating when the event occurred or is expectd to occur. This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system. Flag indicating if the coverage provided is inforce currently if no service date(s) specified or for the whole duration of the service dates. The term of the benefits documented in this response. Benefits and optionally current balances, and authorization details by category or service. This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource. Code to identify the general type of benefits under which products and services are provided. This contains the product, service, drug or other billing code for the item. Item typification or modifiers codes to convey additional context for the product or service. The practitioner who is eligible for the provision of the product or service. True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage. A short name or tag for the benefit. A richer description of the benefit or services covered. Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers. Indicates if the benefits apply to an individual or to the family. The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'. Benefits used to date. A boolean flag indicating whether a preauthorization is required prior to actual service delivery. Codes or comments regarding information or actions associated with the preauthorization. A web location for obtaining requirements or descriptive information regarding the preauthorization. This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource. Classification of benefit being provided. The quantity of the benefit which is permitted under the coverage. The quantity of the benefit which have been consumed to date. This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource. An error code,from a specified code system, which details why the eligibility check could not be performed. A [simple subset of FHIRPath](fhirpath.html#simple) limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised. Queued Processing Complete Error Partial Processing If the element is present, it must have either a @value, an @id, or extensions Coverage auth-requirements Coverage benefits Coverage Discovery Coverage Validation If the element is present, it must have either a @value, an @id, or extensions 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, Ineffective treatment frequency, Procedure-condition conflict, gaps in care, etc. 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, Ineffective treatment frequency, Procedure-condition conflict, gaps in care, etc. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this detected issue by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server. The current state of the detected issue. Partitions the detected issue into one or more categories that can be used to filter searching, to govern access control and/or to guide system behavior. A code that identifies the specific type of issue detected. Indicates the degree of importance associated with the identified issue based on the potential impact on the patient. Indicates the subject whose record the detected issue is associated with. The Encounter during which this detected issue was created or to which the creation of this record is tightly associated. The date, period or timing when the detected issue did occur or is occurring. Individual or device responsible for the issue being raised. For example, a decision support application or a pharmacist conducting a medication review. Indicates the resource representing the current activity or proposed activity that is potentially problematic. Supporting evidence or manifestations that provide the basis for identifying the detected issue such as a GuidanceResponse or MeasureReport. A textual explanation of the detected issue. The literature, knowledge-base or similar reference that describes the propensity for the detected issue identified. The quality of the evidence supporting identification of the detected issue. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence. The time frame in which the clinical effects of the detected issue may be expected to occur. Rapid refers to an expected onset within 24 hours. Delayed refers to an expected onset in more than 24 hours. Represents the medication class that is responsible for the detected issue. An indication of the importance or type of step that should or may be taken in order to address the detected issue. This is different than mitigation in that it is not specifically providing actions to be taken, rather general suggestions about approach. Indicates an action that has been taken or is committed to reduce or eliminate the likelihood of the risk identified by the detected issue from manifesting. Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any 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, Ineffective treatment frequency, Procedure-condition conflict, gaps in care, etc. A manifestation that led to the recording of this detected issue. Links to resources that constitute evidence for the detected issue such as a GuidanceResponse or MeasureReport. 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, Ineffective treatment frequency, Procedure-condition conflict, gaps in care, etc. Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified issue. Indicates when the mitigating action was documented. Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring. Clinicians may add additional notes or justifications about the mitigation action. For example, patient can have this drug because they have had it before without any issues. Multiple justifications may be provided. Preliminary Final Entered in Error Unknwon Mitigated If the element is present, it must have either a @value, an @id, or extensions A manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device. A manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device. If the element is present, it must have either a @value, an @id, or extensions Unique instance identifiers assigned to a device by manufacturers other organizations or owners. The reference to the definition for the device. Unique Device Identifier (UDI) placed on a device label or package. Note that the Device may include multiple UDIs if it is sold in multiple jurisdictions. The Device record status. This is not the status of the device like availability. The availability of the device. A production identifier of the donation, collection, or pooling event from which biological material in this device was derived. A name of the manufacturer or entity legally responsible for the device. The date and time when the device was manufactured. The date and time beyond which this device is no longer valid or should not be used (if applicable). Lot number assigned by the manufacturer. The serial number assigned by the organization when the device was manufactured. This represents the manufacturer's name of the device as provided by the device, from a UDI label, or by a person describing the Device. This typically would be used when a person provides the name(s) or when the device represents one of the names available from DeviceDefinition. The manufacturer's model number for the device. The part number or catalog number of the device. Devices may be associated with one or more categories. The kind or type of device. A device instance may have more than one type - in which case those are the types that apply to the specific instance of the device. The actual design of the device or software version running on the device. Identifies the standards, specifications, or formal guidances for the capabilities supported by the device. The device may be certified as conformant to these specifications e.g., communication, performance, process, measurement, or specialization standards. Static or essentially fixed characteristics or features of the device (e.g., time or timing attributes, resolution, accuracy, intended use or instructions for use, and physical attributes) that are not otherwise captured in more specific attributes. Material added to a container device (typically used in specimen collection or initial processing). The material may be added by the device manufacturer or by a different party subsequent to manufacturing. Contact details for an organization or a particular human that is responsible for the device. The place where the device can be found. Descriptive information, usage information or implantation information that is not captured in an existing element. Provides additional safety characteristics about a medical device. For example devices containing latex. The higher level or encompassing device that this device is a logical part of. A manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device. The device identifier (UDI-DI) is a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device. The UDI-DI portion is placed on a device label or package. Note that the DeviceDefinition may include multiple UDI-DIs if it is sold in multiple jurisdictions. Establishes the namespace for the issuing agency's system (e.g, GS1's GTIN, ICCBBA's ISBT-128) used to create the device identifier. Organization that is charged with issuing UDIs for devices. For example, the US FDA issuers include: 1) GS1: http://hl7.org/fhir/NamingSystem/gs1-di, 2) HIBCC: http://hl7.org/fhir/NamingSystem/hibcc-diI, 3) ICCBBA for blood containers: http://hl7.org/fhir/NamingSystem/iccbba-blood-di, 4) ICCBA for other devices: http://hl7.org/fhir/NamingSystem/iccbba-other-di # Informationsstelle für Arzneispezialitäten (IFA GmbH) (EU only): http://hl7.org/fhir/NamingSystem/ifa-gmbh-di. The identity of the authoritative source for UDI generation within a jurisdiction. All UDIs are globally unique within a single namespace with the appropriate repository uri as the system. For example, UDIs of devices managed in the U.S. by the FDA, the value is http://hl7.org/fhir/NamingSystem/us-fda-udi or in the European Union by the European Commission http://hl7.org/fhir/NamingSystem/eu-ec-udi. The full UDI carrier of the Automatic Identification and Data Capture (AIDC) technology representation as printed on the packaging of the device - e.g., a barcode , 2D Matrix, or RFID. Some AIDC representations contain non-printable characters and cannot be represented in a string format. For this reason, AIDC format SHALL be base64Binary encoded. The full UDI carrier as the human readable form (HRF) representation as printed on the packaging of the device. A coded entry to indicate how the data was entered. A manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device. The actual name that identifies the device. Indicates the kind of name. RegisteredName | UserFriendlyName | PatientReportedName. Indicates the default or preferred name to be displayed. A manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device. The type of the device version, e.g. manufacturer, approved, internal. The hardware or software module of the device to which the version applies. The date the version was installed on the device. The version text. A manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device. Describes the type of the standard, specification, or formal guidance. Code that identifies the specific standard, specification, protocol, formal guidance, regulation, legislation, or certification scheme to which the device adheres. Identifies the specific form or variant of the standard, specification, or formal guidance. This may be a 'version number', release, document edition, publication year, or other label. A manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device. Code that specifies the property, such as resolution, color, size, being represented. The value of the property specified by the associated property.type code. A manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device. The type of the substance added to the container. This is represented as a concept from a code system or described in a Substance resource. The quantity of the additive substance in the container; may be volume, dimensions, or other appropriate measurements, depending on the container and additive substance type. Active Inactive Entered in Error Unknown If the element is present, it must have either a @value, an @id, or extensions Barcode RFID Manual Card Self Reported Electronic Transmission Unknown If the element is present, it must have either a @value, an @id, or extensions Describes a noteworthy condition or occurrence determined to exist by a device. Describes a noteworthy condition or occurrence determined to exist by a device. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this alert, by the source device, gateway software, manufacturers, or other systems or organizations. These identifiers remain constant as the resource is updated and propagates from server to server. The procedure (or procedures) during which the alert condition was raised. The current state of the device alert. Partitions the device alert into one or more categories that can be used to filter searching, to govern access control and/or to guide system behavior. physiological | technical. The alert priority is usually reported by the source device. A priority of `info` SHOULD indicate that the alert is “for information only” and urgent action is not required. The element MAY be omitted if the priority is unknown. A code that indicates the specific condition that triggered the alert. Who or what the alert is about. The Encounter during which the alert condition was raised. Whether the alert condition is currently active. This element is used to record the date or time period when the alert condition did occur or is occurring. Indicates the device that detected the alert condition. The device could be a top-level Device or component Device (such as an MDS, VMD, or Channel); or might identify the specific DeviceMetric of a Device (e.g., a heart rate reading) that was in an alert condition. An indication of whether (true) or not (false) the alert condition has been acknowledged. An indication of who or what acknowledged the alert condition. The principal physical location of the subject at the time the alert condition occurred. This could be different from the location of the alerting device at that time, and from the current location of either the subject or the alert condition detecting device. The value causing the alert condition. The label might combine information from the alert code, priority, the measurement type, measurement value, body sites and other sources, e.g., “HR > 180”. Annunciation or notification of the alert condition. Describes a noteworthy condition or occurrence determined to exist by a device. Indicates the Observation whose value is causing the alert condition; or, if `component` is present, the Observation with a component causing the alert condition. If applicable, the code of the component (of the Observation identified in `derivedFrom.observation`) having a value causing the alert condition. This might be used when the alert is associated with a specific component of an Observation, rather than the overall Observation; for example, a low diastolic blood pressure. Since the component is identified by matching `Observation.component.code`, if more than one component have the same code, the specific component is ambiguous. Repetitions of this element indicate additional components contributing to the alert condition. The limits beyond which a value was detected to cause the alert condition. The actual value is the `Observation.value[x]` referenced by `derivedFrom.observation` or, if specified, the `Observation.component.value[x]` of the component (with `Observation.component.code` matching `derivedFrom.component`) of the reference Observation. Describes a noteworthy condition or occurrence determined to exist by a device. Paused indicates that annunciation has temporarily been disabled ("snooze"). Indicates whether the signal is currently being annunciated. An on signal is currently being annunciated; a latched signal is currently being being annunciated although the alert condition has ended; an off signal is not currently being annunciated; and an acknowledged signal is not currently being annunciated because the user has acknowledged the signal. Signalling by the source device is local; signalling elsewhere is considered remote. A reference to the "top level" signalling device could also be present. How the signal is being annunciated. Details of the signal manifestation, such as a 1 meter visual indicator or a 4 meter visual indicator. The period during which the signal was being annunciated. If there is no indicated period end, the annunciation is on-going. In Progress Completed Entered in Error Unknown If the element is present, it must have either a @value, an @id, or extensions A record of association or dissociation of a device with a subject (e.g. patient) and/or operator. A record of association or dissociation of a device with a subject (e.g. patient) and/or operator. If the element is present, it must have either a @value, an @id, or extensions Instance identifier. Reference to the device that is being associated. Describes the relationship between the device and subject. Indicates the state of the Device association. The reasons given for the current association status. State of the device’s association (e.g., implanted, attached, on, off, standby, defective). The individual, group of individuals or device that the device is on or associated with. The entity for which the device is being used, benefitting from the device, or which the device is being operated upon, which is usually distinct from the association subject, such as an operator or similar. Current anatomical location of the device in/on subject. Begin and end dates and times for the device association. Active Inactive Entered in Error Unknown A coded concept specifying the state of the device association. If the element is present, it must have either a @value, an @id, or extensions The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this DeviceDefinition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this DeviceDefinition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the DeviceDefinition is stored on different servers. A formal identifier that is used to identify this DeviceDefinition when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the DeviceDefinition when it is referenced in a specification. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the DeviceDefinition. This name should be usable as an identifier for the resource by machine processing applications such as code generation. A short, descriptive, user-friendly title for the DeviceDefinition. The current state of this DeviceDefinition. A Boolean value to indicate that this DeviceDefinition is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the DeviceDefinition was last significantly changed. The date must change 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 DeviceDefinition changes. The name of the organization or individual responsible for the release and ongoing maintenance of the DeviceDefinition. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the DeviceDefinition from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate DeviceDefinitions. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this DeviceDefinition is needed and why it has been designed as it has. A copyright statement relating to the DeviceDefinition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the DeviceDefinition. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage. The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date. The period during which the DeviceDefinition content was or is planned to be effective. The part number or catalog number of the device. A name of the manufacturer or legal representative e.g. labeler. Whether this is the actual manufacturer or the labeler or responsible depends on implementation and jurisdiction. The model number for the device for example as defined by the manufacturer or labeler, or other agency. The Device Identifier (DI) portion of the Unique Device Identifier (UDI) placed on a device label or package. Also known as UDI-DI. Note that the DeviceDefinition may include multiple UDI-DIs if it is sold in multiple jurisdictions. Identifier associated with the regulatory documentation (certificates, technical documentation, post-market surveillance documentation and reports) of a set of device models sharing the same intended purpose, risk class and essential design and manufacturing characteristics. One example is the Basic UDI-DI in Europe. The name or names of the device as given by the manufacturer. What kind of device or device system this is. Identifies the standards, specifications, or formal guidances for the capabilities supported by the device. The device may be certified as conformant to these specifications e.g., communication, performance, process, measurement, or specialization standards. A device that is part (for example a component) of the present device. Information about the packaging of the device, i.e. how the device is packaged. The version of the device or software. Safety characteristics of the device. Shelf Life and storage information. Language code for the human-readable text strings produced by the device (all supported). Static or essentially fixed characteristics or features of this kind of device that are otherwise not captured in more specific attributes, e.g., time or timing attributes, resolution, accuracy, and physical attributes. An associated device, attached to, used with, communicating with or linking a previous or new device model to the focal device. Descriptive information, usage information or implantation information that is not captured in an existing element. A substance used to create the material(s) of which the device is made. Indicates the production identifier(s) that are expected to appear in the UDI carrier on the device label. Information aimed at providing directions for the usage of this model of device. Tracking of latest field safety corrective action. Billing code or reference associated with the device. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. The identifier that is to be associated with every Device that references this DeviceDefintiion for the issuer and jurisdiction provided in the DeviceDefinition.udiDeviceIdentifier. The organization that assigns the identifier algorithm. The jurisdiction to which the deviceIdentifier applies. Indicates where and when the device is available on the market. Establishes the namespace for the issuing agency's system (e.g, GS1's GTIN, ICCBBA's ISBT-128) used to create the device identifier. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. Begin and end dates for the commercial distribution of the device. National state or territory to which the marketDistribution recers, typically where the device is commercialized. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. The type of identifier itself. The identifier used in the associated regulatory context. The organization that issued this identifier. The applicable jurisdiction overseeing the enforcement of the Identifier. Establishes the namespace for the issuing agency's system (e.g, GS1's GTIN, ICCBBA's ISBT-128) used to create the identifier. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. A human-friendly name that is used to refer to the device - depending on the type, it can be the brand name, the common name or alias, or other. The type of deviceName. RegisteredName | UserFriendlyName | PatientReportedName. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. A classification or risk class of the device model. Further information qualifying this classification of the device model. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. Describes the type of the standard, specification, or formal guidance. Code that identifies the specific standard, specification, protocol, formal guidance, regulation, legislation, or certification scheme to which the device adheres. Identifies the specific form or variant of the standard, specification, or formal guidance. This may be a 'version number', release, document edition, publication year, or other label. Standard, regulation, certification, or guidance website, document, or other publication, or similar, supporting the conformance. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. The device that is part of the current device. Number of instances of the component device in the current device. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. The business identifier of the packaged medication. A code that defines the specific type of packaging. The number of items contained in the package (devices or sub-packages). An organization that distributes the packaged device. Unique Device Identifier (UDI) Barcode string on the packaging. Allows packages within packages. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. Distributor's human-readable name. Distributor as an Organization resource. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. The type of the device version, e.g. manufacturer, approved, internal. The hardware or software module of the device to which the version applies. The version text. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. Code that specifies the property such as a resolution or color being represented. The value of the property specified by the associated property.type code. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. The type indicates the relationship of the related device to the device instance. A reference to the linked device. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. A substance that the device contains, may contain, or is made of - for example latex - to be used to determine patient compatibility. This is not intended to represent the composition of the device, only the clinically relevant materials. Indicates an alternative material of the device. Whether the substance is a known or suspected allergen. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. The circumstances that form the setting for using the device. Detailed written and visual directions for the user on how to use the device. A source of information or reference for this guideline. A clinical condition for which the device was designed to be used. A specific situation when a device should not be used because it may cause harm. Specific hazard alert information that a user needs to know before using the device. A description of the general purpose or medical use of the device or its function. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. Whether the last corrective action known for this device was a recall. The scope of the corrective action - whether the action targeted all units of a given device model, or only a specific set of batches identified by lot numbers, or individually identified devices identified by the serial name. Start and end dates of the corrective action. The definition of a kind of device or device component. Typically, this definition corresponds to a device model although it may be a broader category of device. The code or reference for the charge item. Coefficient applicable to the billing code. A specific time period in which this charge item applies. The context to which this charge item applies. Model Lot Numbers Serial Numbers If the element is present, it must have either a @value, an @id, or extensions Describes a measurement, calculation or setting capability of a device. Describes a measurement, calculation or setting capability of a device. If the element is present, it must have either a @value, an @id, or extensions Instance identifiers assigned to a device, by the device or gateway software, manufacturers, other organizations or owners. For example, handle ID. Indicates current state of the record. Indicates current operational state of the device. For example: On, Off, Standby, etc. Indicates the category of the observation generation process. A DeviceMetric can be, for example, a setting, measurement, or calculation. Describes the type of the metric. For example: Heart Rate, PEEP Setting, etc. The device to which this DeviceMetric applies. The referenced device could be a top-level device or a component of a device. Describes the unit that an observed value determined for this metric will have. For example: Percent, Seconds, etc. The preferred color associated with the metric (e.g., display color). This is often used to aid clinicians to track and identify parameter types by color. In practice, consider a Patient Monitor that has ECG/HR and Pleth; the metrics are displayed in different characteristic colors, such as HR in blue, BP in green, and PR and SpO2 in magenta. The frequency at which the metric is taken or recorded. Devices measure metrics at a wide range of frequencies; for example, an ECG might sample measurements in the millisecond range, while an NIBP might trigger only once an hour. Less often, the measurementFrequency is based on a unit other than time, such as distance (e.g., for a measuring wheel). The update period could be different than the measurement frequency, if the device does not update the published observed value with the same frequency as it was measured. Indicates whether the metric is derived (measured) by a continuous means or by an intermittent means. Describes the calibrations that have been performed or that are required to be performed. Describes a measurement, calculation or setting capability of a device. Describes the type of the calibration method. Describes the state of the calibration. Describes the time last calibration has been performed. If the element is present, it must have either a @value, an @id, or extensions Not Calibrated Calibration Required Calibrated Unspecified If the element is present, it must have either a @value, an @id, or extensions On Off Standby Unknown If the element is present, it must have either a @value, an @id, or extensions Active Inactive Entered in Error Unknown If the element is present, it must have either a @value, an @id, or extensions Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker. Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker. If the element is present, it must have either a @value, an @id, or extensions Identifiers assigned to this order by the orderer or by the receiver. Plan/proposal/order fulfilled by this request. The request takes the place of the referenced completed or terminated request(s). A shared identifier common to multiple independent Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time. The status of the request. Whether the request is a proposal, plan, an original order or a reflex order. Indicates how quickly the request should be addressed with respect to other requests. If true, indicates that the provider is asking for the patient to either stop using or to not start using the specified device or category of devices. For example, the patient has undergone surgery and the provider is indicating that the patient should not wear contact lenses. The details of the device to be used. The number of devices to be provided. Specific parameters for the ordered item. For example, the prism value for lenses. The patient who will use the device. An encounter that provides additional context in which this request is made. The timing schedule for the use of the device. 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". When the request transitioned to being actionable. The individual or entity who initiated the request and has responsibility for its activation. The desired individual or entity to provide the device to the subject of the request (e.g., patient, location). The preferred location(s) where the device should actually be used in coded or free text form. E.g. at home or nursing day care center. Reason or justification for the use of this device. This status is to indicate whether the request is a PRN or may be given as needed. The reason for using the device. Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. Additional clinical information about the patient that may influence the request fulfilment. For example, this may include where on the subject's body the device will be used (i.e. the target site). Details about this request that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement. Key events in the history of the request. Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker. A code or string that identifies the device detail being asserted. The value of the device detail. The findings and interpretation of diagnostic tests performed on patients, groups of patients, products, substances, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. The report also includes non-clinical context such as batch analysis and stability reporting of products and substances. The findings and interpretation of diagnostic tests performed on patients, groups of patients, products, substances, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. The report also includes non-clinical context such as batch analysis and stability reporting of products and substances. If the element is present, it must have either a @value, an @id, or extensions Identifiers assigned to this report by the performer or other systems. Details concerning a service requested. The status of the diagnostic report. A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes. A code or name that describes this diagnostic report. The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources. Other DiagnosticReports that the current DiagnosticReport replaces, amendens, extends, or otherwise relates to. The encounter (e.g. a patient and healthcare provider interaction) that is associated with the DiagnosticReport. The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself. The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified. The performed procedure(s) that are reported on in the DiagnosticReport. The diagnostic service that is responsible for issuing the report. The practitioner or organization that is responsible for the report's conclusions and interpretations. Details about the specimens on which this diagnostic report is based. [Observations](observation.html) that are part of this diagnostic report. Comments about the diagnostic report. One or more links to full details of any study performed during the diagnostic investigation. An ImagingStudy might comprise a set of radiologic images obtained via a procedure that are analyzed as a group. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images. A GenomicStudy might comprise one or more analyses, each serving a specific purpose. These analyses may vary in method (e.g., karyotyping, CNV, or SNV detection), performer, software, devices used, or regions targeted. This backbone element contains supporting information that was used in the creation of the report not included in the results already included in the report. A list of key images or data associated with this report. The images or data are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest). Reference to a Composition resource instance that provides structure for organizing the contents of the DiagnosticReport. Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report. One or more codes and/or references that represent the summary conclusion (interpretation/impression) of the diagnostic report. Proposed follow-up actions based on the findings and interpretations of the diagnostic test for which this report is the subject. Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent. Communications initiated during the generation of the DiagnosticReport by members of the organization fulfilling that order. e.g. direct communication of time critical results by the radiologist to the referring physician. Prior data and findings made available for comparison when determining the current interpretation. The findings and interpretation of diagnostic tests performed on patients, groups of patients, products, substances, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. The report also includes non-clinical context such as batch analysis and stability reporting of products and substances. The code value for the role of the supporting information in the diagnostic report. The reference for the supporting information in the diagnostic report. The findings and interpretation of diagnostic tests performed on patients, groups of patients, products, substances, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. The report also includes non-clinical context such as batch analysis and stability reporting of products and substances. A comment about the image or data. Typically, this is used to provide an explanation for why the image or data is included, or to draw the viewer's attention to important features. Reference to the image or data source. Registered Partial Preliminary Modified Final Amended Corrected Appended Cancelled Entered in Error Unknown If the element is present, it must have either a @value, an @id, or extensions A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference. A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this document reference by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server. An explicitly assigned identifier of a variation of the content in the DocumentReference. A procedure that is fulfilled in whole or in part by the creation of this media. The current state of the document reference. The status of the underlying document. Imaging modality used. This may include both acquisition and non-acquisition modalities. 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. 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. 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). The Encounter during which this document reference was created or to which the creation of this record is tightly associated. 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 type Code, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act. Any other resource this document reference was created or to which the creation of this record is tightly associated. The anatomic structures included in the document. The kind of facility where the patient was seen. This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty. The time period over which the service that is described by the document was provided. When the document reference was created. Identifies who is responsible for adding the information to the document. A participant who has authenticated the accuracy of the document. Identifies the organization or group who is responsible for ongoing maintenance of and access to the document. Relationships that this document has with other document references that already exist. Human-readable description of the source document. A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened. The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata. A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference. The type of attestation the authenticator offers. When the document was attested by the party. Who attested the document in the specified way. A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference. The type of relationship that this document has with anther document. The target document of this relationship. A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference. The document or URL of the document along with critical metadata to prove content has integrity. An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType. A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference. Code|uri|canonical. 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. Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities. 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. Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities. If the element is present, it must have either a @value, an @id, or extensions Identifier(s) by which this encounter is known. The current state of the encounter (not the state of the patient within the encounter - that is subjectState). A granular, workflows specific set of statuses that apply to the encounter. Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. Indicates the urgency of the encounter. Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation). Broad categorization of the service that is to be provided (e.g. cardiology). The patient or group related to this encounter. In some use-cases the patient MAY not be present, such as a case meeting about a patient between several practitioners or a careteam. The subjectStatus value can be used to track the patient's status within the encounter. It details whether the patient has arrived or departed, has been triaged or is currently in a waiting status. 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). The request this encounter satisfies (e.g. incoming referral or procedure request). The group(s) of individuals, organizations that are allocated to participate in this encounter. The participants backbone will record the actuals of when these individuals participated during the encounter. Another Encounter of which this encounter is a part of (administratively or in time). The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation. Refer to the colonoscopy example on the Encounter examples tab. The list of people responsible for providing the service. The appointment that scheduled this encounter. Connection details of a virtual service (e.g. conference call). The actual start and end time of the encounter. The planned start date/time (or admission date) of the encounter. The planned end date/time (or discharge date) of the encounter. Actual quantity of time the encounter lasted. This excludes the time during leaves of absence. When missing it is the time in between the start and end values. The list of medical reasons that are expected to be addressed during the episode of care. The list of diagnosis relevant to this encounter. The set of accounts that may be used for billing for this Encounter. Diet preferences reported by the patient. Any special requests that have been made for this encounter, such as the provision of specific equipment or other things. Special courtesies that may be provided to the patient during the encounter (VIP, board member, professional courtesy). Details about the stay during which a healthcare service is provided. This does not describe the event of admitting the patient, but rather any information that is relevant from the time of admittance until the time of discharge. List of locations where the patient has been during this 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. Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities. The current business status. The kind of workflow the status is tracking. The date/time when the encounter entered this business status. 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. Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities. Role of participant in encounter. 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. Person involved in the encounter, the patient/group is also included here to indicate that the patient was actually participating in the encounter. Not including the patient here covers use cases such as a case meeting between practitioners about a patient - non contact times. 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. Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities. What the reason value should be used as e.g. Chief Complaint, Health Concern, Health Maintenance (including screening). Reason the encounter takes place, expressed as a code or a reference to another resource. For admissions, this can be used for a coded admission diagnosis. 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. Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities. The coded diagnosis or a reference to a Condition (with other resources referenced in the evidence.detail), the use property will indicate the purpose of this specific diagnosis. Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …). 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. Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities. Pre-admission identifier. The location/organization from which the patient came before admission. From where patient was admitted (physician referral, transfer). Indicates that this encounter is directly related to a prior admission, often because the conditions addressed in the prior admission were not fully addressed. Location/organization to which the patient is discharged. Category or kind of location after discharge. 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. Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities. The location where the encounter takes place. The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time. This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query. Time period during which the patient was present at the location. Planned Active Reserved Completed If the element is present, it must have either a @value, an @id, or extensions Planned In Progress On Hold Discharged Completed Cancelled Discontinued Entered in Error Unknown If the element is present, it must have either a @value, an @id, or extensions The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b, a REST endpoint for another FHIR server, or a s/Mime email address. This may include any security context information. The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b, a REST endpoint for another FHIR server, or a s/Mime email address. This may include any security context information. If the element is present, it must have either a @value, an @id, or extensions Identifier for the organization that is used to identify the endpoint across multiple disparate systems. The endpoint status represents whether the endpoint can currently be used for connections or why it can't be used. 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). A friendly name that this endpoint can be referred to with. The description of the endpoint and what it is for (typically used as supplemental information in an endpoint directory describing its usage/purpose). The type of environment(s) exposed at this endpoint (dev, prod, test, etc.). The organization that provides technical management services for this endpoint. This would be the organization that acts as the public help desk for when the endpoint is not functioning. It does NOT necessarily represent the organization who is the steward of data being provided/accepted by the endpoint. Contact details for a human to contact about the endpoint. The primary use of this for system administrator troubleshooting. The interval during which the endpoint is expected to be operational. The times the endpoint is expected to be available, including transient downtimes and any exceptions. The set of payloads that are provided/available at this endpoint. The uri that describes the actual end-point to connect to. Additional headers / information to send as part of the notification. The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b, a REST endpoint for another FHIR server, or a s/Mime email address. This may include any security context information. The payload type describes the acceptable content that can be communicated on the endpoint. 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). The FHIR profile that is expected at this endpoint. It describes the resources that are handled, or even simply which resource types -e.g. Vital Sign Observations or QuestionnaireResponse. The `profileUri` may be used when a FHIR Structure Definition is not available/appropriate. The profile (as a uri) that is expected at this endpoint when not represented using a FHIR profile. e.g. CDA Template ID expressed as an OID (in the Uri). Active Limited Suspended Error Off Entered in error If the element is present, it must have either a @value, an @id, or extensions This resource provides the insurance enrollment details to the insurer regarding a specified coverage. This resource provides the insurance enrollment details to the insurer regarding a specified coverage. If the element is present, it must have either a @value, an @id, or extensions The Response business identifier. The status of the resource instance. The date when this resource was created. The Insurer who is target of the request. The practitioner who is responsible for the services rendered to the patient. The subject or group of subjects to be enrolled. Reference to the program or plan identification, underwriter or payor. This resource provides enrollment and plan details from the processing of an EnrollmentRequest resource. This resource provides enrollment and plan details from the processing of an EnrollmentRequest resource. If the element is present, it must have either a @value, an @id, or extensions The Response business identifier. The status of the resource instance. Original request resource reference. Processing status: error, complete. A description of the status of the adjudication. The date when the enclosed suite of services were performed or completed. The Insurer who produced this adjudicated response. The practitioner who is responsible for the services rendered to the patient. The subject or group of subjects to be enrolled. Queued Processing Complete Error Partial Processing If the element is present, it must have either a @value, an @id, or extensions 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. 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. If the element is present, it must have either a @value, an @id, or extensions 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. planned | waitlist | active | onhold | finished | cancelled. The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource). A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care. The list of medical reasons that are expected to be addressed during the episode of care. The list of medical conditions that were addressed during the episode of care. The patient/group who is the focus of this episode of care. The organization that has assumed the specific responsibilities for care coordination, care delivery, or other services for the specified duration. The interval during which the managing organization assumes the defined responsibility. Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals. The practitioner that is the care manager/care coordinator for this patient. The list of practitioners that may be facilitating this episode of care for specific purposes. The set of accounts that may be used for billing for this EpisodeOfCare. 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. planned | waitlist | active | onhold | finished | cancelled. The period during this EpisodeOfCare that the specific status applied. 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. What the reason value should be used as e.g. Chief Complaint, Health Concern, Health Maintenance (including screening). The medical reason that is expected to be addressed during the episode of care, expressed as a text, code or a reference to another resource. 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. The medical condition that was addressed during the episode of care, expressed as a text, code or a reference to another resource. Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …). Planned Waitlist Active On Hold Finished Cancelled Entered in Error If the element is present, it must have either a @value, an @id, or extensions The EventDefinition resource provides a reusable description of when a particular event can occur. The EventDefinition resource provides a reusable description of when a particular event can occur. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this event definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this event definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the event definition is stored on different servers. A formal identifier that is used to identify this event definition when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the event definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the event 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the event definition. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the event definition. An explanatory or alternate title for the event definition giving additional information about its content. The status of this event definition. Enables tracking the life-cycle of the content. A Boolean value to indicate that this event definition is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. A code or group definition that describes the intended subject of the event definition. The date (and optionally time) when the event definition was last significantly changed. The date must change 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 event definition changes. The name of the organization or individual responsible for the release and ongoing maintenance of the event definition. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the event definition from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate event definition instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this event definition is needed and why it has been designed as it has. A detailed description of how the event definition is used from a clinical perspective. A copyright statement relating to the event definition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the event definition. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. The period during which the event definition content was or is planned to be in active use. Descriptive topics related to the module. Topics provide a high-level categorization of the module that can be useful for filtering and searching. An individiual or organization primarily involved in the creation and maintenance of the content. An individual or organization primarily responsible for internal coherence of the content. An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the content. An individual or organization asserted by the publisher to be responsible for officially endorsing the content for use in some setting. Related resources such as additional documentation, justification, or bibliographic references. The trigger element defines when the event occurs. If more than one trigger condition is specified, the event fires whenever any one of the trigger conditions is met. The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence. The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this evidence when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the summary is stored on different servers. A formal identifier that is used to identify this summary when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the summary when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the summary 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the evidence. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the summary. Display of the suggested method of how to cite this Evidence. The status of this summary. Enables tracking the life-cycle of the content. A Boolean value to indicate that this resource is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the summary was last significantly changed. The date must change 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 summary changes. 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. An individiual, organization, or device primarily involved in the creation and maintenance of the content. The name of the organization or individual responsible for the release and ongoing maintenance of the evidence. Contact details to assist a user in finding and communicating with the publisher. Who entered the data for the evidence. An individiual, organization, or device primarily responsible for internal coherence of the content. An individiual, organization, or device primarily responsible for review of some aspect of the content. An individiual, organization, or device responsible for officially endorsing the content for use in some setting. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence instances. Explanation of why this Evidence is needed and why it has been designed as it has. A copyright statement relating to the Evidence and/or its contents. Copyright statements are legal notices of intellectual property ownership and may include restrictions on the use and publishing of the Evidence. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). Relationships that this Evidence has with other FHIR or non-FHIR resources that already exist. A natural language summary of the evidence. Declarative description of the Evidence, such as conclusion or bottom line statement. Footnotes and/or explanatory notes. Description, classification, and definition of a single variable. The collection of variables defines what the evidence is about. The design of the synthesis (combination of studies) that produced this evidence. The design is described with any number of synthesis characteristics, such as type of meta-analysis. The design of the study that produced this evidence. The design is described with any number of study design characteristics. Values and parameters for a single statistic. Assessment of certainty, confidence in the estimates, or quality of the evidence. The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence. The type of relationship to the related artifact. The artifact that is related to this Evidence Resource. The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence. A text description or summary of the variable. Footnotes and/or explanatory notes. Classification of the role of the variable. Sub-classification of the role of the variable. The reference value used for comparison. Definition of the actual variable related to the statistic(s), i.e., the population being the actual study sample or the measured variable (exposure, outcome, or covariate) being the actual observation that occurred or will occur in the study. Definition of the intended variable related to the Evidence, i.e., the population, exposure, or outcome for which the statistical finding is being interpreted. Indication of quality of match between intended variable to actual variable. The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence. A natural language summary of the statistic. Footnotes and/or explanatory notes. Type of statistic, e.g., relative risk. The statistic type is a classification that formally defines the relationship between the variables (noted in Evidence.variableDefinition) and the value specification (noted in Evidence.statistic.quantity). When the measured variable (outcome) is handled categorically, the category element is used to define which category the statistic is reporting. Statistic value. The number of events associated with the statistic, where the unit of analysis is different from numberAffected, sampleSize.knownDataCount and sampleSize.numberOfParticipants. The number of participants affected where the unit of analysis is the same as sampleSize.knownDataCount and sampleSize.numberOfParticipants. Count of participants in the study sample. A statistical attribute of the statistic such as a measure of heterogeneity. A component of the method to generate the statistic. The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence. Human-readable summary of study sample size. A human-readable string to clarify or explain concepts about the sample size. Footnote or explanatory note about the sample size. Count of studies or samples combined to become the total sample for the statistic. Count of members in the total sample for the statistic. Number of participants with known results for measured variables. Total number of participants who were analayzed. The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence. Human-readable summary of the estimate. Footnote or explanatory note about the estimate. The type of attribute estimate, e.g., confidence interval or p value. The singular quantity of the attribute estimate, for attribute estimates represented as single values, which may include a unit of measure. Use 0.95 for a 95% confidence interval. Lower and upper bound values of the attribute estimate. A nested attribute estimate; which is the attribute estimate of an attribute estimate. The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence. Description of a component of the method to generate the statistic. Further specification of the value of the component of the method to generate the statistic. The plan for analysis. This model characteristic is part of the analysis that was applied, whether or not the analysis followed the plan. A variable adjusted for in the adjusted analysis. An attribute of the model characteristic. The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence. Description and definition of the variable. How the variable is classified for use in adjusted analysis. Qualitative label used for grouping values of a dichotomous, ordinal, or polychotomous variable. Quantitative label used for grouping values of a dichotomous, ordinal, or polychotomous variable. Range of quantitative labels used for grouping values of a dichotomous, ordinal, or polychotomous variable. The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence. Textual description of certainty. Footnotes and/or explanatory notes. Aspect of certainty being rated. Assessment or judgement of the aspect. Individual or group who did the rating. A domain or subdomain of certainty. Population Exposure Outcome Covariate If the element is present, it must have either a @value, an @id, or extensions The EvidenceVariable resource describes an element that knowledge (Evidence) is about. The EvidenceVariable resource describes an element that knowledge (Evidence) is about. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this evidence variable when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this evidence variable is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence variable is stored on different servers. A formal identifier that is used to identify this evidence variable when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the evidence variable when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence variable 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the evidence variable. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the evidence variable. The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary. Display of the suggested method of how to cite this EvidenceVariable. The status of this EvidenceVariable. Enables tracking the life-cycle of the content. A Boolean value to indicate that this resource is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the evidence variable was last significantly changed. The date must change 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 evidence variable changes. An individiual or organization primarily involved in the creation and maintenance of the content. The name of the organization or individual responsible for the release and ongoing maintenance of the evidence variable. Contact details to assist a user in finding and communicating with the publisher. The person or entity that entered the data into the EvidenceVariable Resource instance, if different than the author or creator of the intellectual property contained within the EvidenceVariable Resource instance. An individual or organization primarily responsible for internal coherence of the content. An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the content. An individual or organization asserted by the publisher to be responsible for officially endorsing the content for use in some setting. A natural language summary of the evidence variable. A human-readable string to clarify or explain concepts about the resource. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence variable instances. Explanation of why this EvidenceVariable is needed and why it has been designed as it has. A copyright statement relating to the EvidenceVariable and/or its contents. Copyright statements are legal notices of intellectual property ownership and may include restrictions on the use and publishing of the EvidenceVariable. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted . (e.g. 'All rights reserved', 'Some rights reserved'). The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage. See guidance around (not) making local changes to elements [here](canonicalresource.html#localization). The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. The period during which the resource content was or is planned to be in active use. Relationships that this EvidenceVariable has with other FHIR or non-FHIR resources that already exist. True if the actual variable measured, false if a conceptual representation of the intended variable. The meaning of the evidence variable. Further specification of the definition. The method of handling in statistical analysis. A grouping for dichotomous, ordinal, or polychotomouos variables. The context, situation, or parameters that determine whether the data is obtained to determine the value of the variable. Classification of the variable. How the data element is organized and where the data element (expressing the value of the variable) is found in the dataset. When the variable is observed in relation to a reference point in time defined by context or event. When the variable is observed in relation to calendar dates and times. Limit on acceptability of data used to express values of the variable. A method or transformation applied for missing data. A method or transformation applied for data that does not match required patterns. The EvidenceVariable resource describes an element that knowledge (Evidence) is about. The type of relationship to the related artifact. The artifact that is related to this EvidenceVariable Resource. The EvidenceVariable resource describes an element that knowledge (Evidence) is about. Attribute of the definition. Specification of the definition attribute. The EvidenceVariable resource describes an element that knowledge (Evidence) is about. Description of the grouping. Definition of the grouping. The EvidenceVariable resource describes an element that knowledge (Evidence) is about. The type of data used to express values of the variable. The mapping (order of elements) to reach the element containing the data element in the dataset. A character or series of characters that is used within a string to signal the separation of discrete values. A part of the value for a variable that is stored in 2 or more parts. The EvidenceVariable resource describes an element that knowledge (Evidence) is about. The context, situation, or parameters that determine whether this constraint applies. The lowest permissible value of the variable, used with variables that have a number-based datatype (with or without units). The highest permissible value of the variable, used with variables that have a number-based datatype (with or without units). The earliest permissible value of the variable, used with variables that have a date-based or dateTime-based datatype. The latest permissible value of the variable, used with variables that have a date-based or dateTime-based datatype. The lowest number of characters allowed for a value of the variable, used with variables that have a string-based datatype. The highest number of characters allowed for a value of the variable, used with variables that have a string-based datatype. A rule, such as a format or other expectation, for the data values. A rule, such as a format or other expectation, for the data values, expressed as an Expression. List of anticipated values used to express value of the variable, used with variables that have a codeable concept-based datatype. List of anticipated values used to express units for the value of the variable, used with variables that have a Quantity-based datatype. Whether the value expressed for a variable is allowed to not be restricted to the expected value set. A computable description of the actors, interactions between those actors that would occur, and concrete examples of the data that would be exchanged in a specific hypothetical exchange, typically used to help demonstrate the interoperability expectations of a specification. This resource is used to illustrate a specific time-based exchange, not to define in general terms how exchanges can/should occur. A computable description of the actors, interactions between those actors that would occur, and concrete examples of the data that would be exchanged in a specific hypothetical exchange, typically used to help demonstrate the interoperability expectations of a specification. This resource is used to illustrate a specific time-based exchange, not to define in general terms how exchanges can/should occur. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this example scenario when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this example scenario is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the example scenario is stored on different servers. A formal identifier that is used to identify this example scenario when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the example scenario when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the example scenario 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the ExampleScenario. This name should be usable as an identifier for the resource by machine processing applications such as code generation. A short, descriptive, user-friendly title for the ExampleScenario. The status of this example scenario. Enables tracking the life-cycle of the content. A Boolean value to indicate that this example scenario is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the example scenario was last significantly changed. The date must change 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 example scenario changes. (e.g. the 'content logical definition'). The name of the organization or individual responsible for the release and ongoing maintenance of the example scenario. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the ExampleScenario from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate example scenario instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. What the example scenario resource is created for. This should not be used to show the business purpose of the scenario itself, but the purpose of documenting a scenario. A copyright statement relating to the example scenario and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the example scenario. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). A system or person who shares or receives an instance within the scenario. A single data collection that is shared as part of the scenario. A group of operations that represents a significant step within a scenario. A computable description of the actors, interactions between those actors that would occur, and concrete examples of the data that would be exchanged in a specific hypothetical exchange, typically used to help demonstrate the interoperability expectations of a specification. This resource is used to illustrate a specific time-based exchange, not to define in general terms how exchanges can/should occur. A unique string within the scenario that is used to reference the actor. The category of actor - person or system. The human-readable name for the actor used when rendering the scenario. An explanation of who/what the actor is and its role in the scenario. The formal definition of the actor in the scenario. A computable description of the actors, interactions between those actors that would occur, and concrete examples of the data that would be exchanged in a specific hypothetical exchange, typically used to help demonstrate the interoperability expectations of a specification. This resource is used to illustrate a specific time-based exchange, not to define in general terms how exchanges can/should occur. A unique string within the scenario that is used to reference the instance. A code indicating the kind of data structure (FHIR resource or some other standard) this is an instance of. Conveys the version of the data structure instantiated. I.e. what release of FHIR, X12, OpenEHR, etc. is instance compliant with. Refers to a profile, template or other ruleset the instance adheres to. A short descriptive label the instance to be used in tables or diagrams. An explanation of what the instance contains and what it's for. Points to an instance (typically an example) that shows the data that would corespond to this instance. Represents the instance as it was at a specific time-point. References to other instances that can be found within this instance (e.g. the observations contained in a bundle). A computable description of the actors, interactions between those actors that would occur, and concrete examples of the data that would be exchanged in a specific hypothetical exchange, typically used to help demonstrate the interoperability expectations of a specification. This resource is used to illustrate a specific time-based exchange, not to define in general terms how exchanges can/should occur. A unique string within the instance that is used to reference the version of the instance. A short descriptive label the version to be used in tables or diagrams. An explanation of what this specific version of the instance contains and represents. Points to an instance (typically an example) that shows the data that would flow at this point in the scenario. A computable description of the actors, interactions between those actors that would occur, and concrete examples of the data that would be exchanged in a specific hypothetical exchange, typically used to help demonstrate the interoperability expectations of a specification. This resource is used to illustrate a specific time-based exchange, not to define in general terms how exchanges can/should occur. A reference to the key of an instance found within this one. A reference to the key of a specific version of an instance in this instance. A computable description of the actors, interactions between those actors that would occur, and concrete examples of the data that would be exchanged in a specific hypothetical exchange, typically used to help demonstrate the interoperability expectations of a specification. This resource is used to illustrate a specific time-based exchange, not to define in general terms how exchanges can/should occur. A short descriptive label the process to be used in tables or diagrams. An explanation of what the process represents and what it does. Description of the initial state of the actors, environment and data before the process starts. Description of the final state of the actors, environment and data after the process has been successfully completed. A significant action that occurs as part of the process. A computable description of the actors, interactions between those actors that would occur, and concrete examples of the data that would be exchanged in a specific hypothetical exchange, typically used to help demonstrate the interoperability expectations of a specification. This resource is used to illustrate a specific time-based exchange, not to define in general terms how exchanges can/should occur. The sequence number of the step, e.g. 1.2.5. Indicates that the step is a complex sub-process with its own steps. Indicates that the step is defined by a seaparate scenario instance. The step represents a single operation invoked on receiver by sender. Indicates an alternative step that can be taken instead of the sub-process, scenario or operation. E.g. to represent non-happy-path/exceptional/atypical circumstances. If true, indicates that, following this step, there is a pause in the flow and the subsequent step will occur at some later time (triggered by some event). A computable description of the actors, interactions between those actors that would occur, and concrete examples of the data that would be exchanged in a specific hypothetical exchange, typically used to help demonstrate the interoperability expectations of a specification. This resource is used to illustrate a specific time-based exchange, not to define in general terms how exchanges can/should occur. The standardized type of action (FHIR or otherwise). A short descriptive label the step to be used in tables or diagrams. The system that invokes the action/transmits the data. The system on which the action is invoked/receives the data. An explanation of what the operation represents and what it does. If false, the initiator is deactivated right after the operation. If false, the receiver is deactivated right after the operation. A reference to the instance that is transmitted from requester to receiver as part of the invocation of the operation. A reference to the instance that is transmitted from receiver to requester as part of the operation's synchronous response (if any). A computable description of the actors, interactions between those actors that would occur, and concrete examples of the data that would be exchanged in a specific hypothetical exchange, typically used to help demonstrate the interoperability expectations of a specification. This resource is used to illustrate a specific time-based exchange, not to define in general terms how exchanges can/should occur. The label to display for the alternative that gives a sense of the circumstance in which the alternative should be invoked. A human-readable description of the alternative explaining when the alternative should occur rather than the base step. Indicates the operation, sub-process or scenario that happens if the alternative option is selected. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. If the element is present, it must have either a @value, an @id, or extensions A unique identifier assigned to this explanation of benefit. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The status of the resource instance. Used to indicate why the status has changed. The category of claim, e.g. oral, pharmacy, vision, institutional, professional. A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service. A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided. The party/group to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought. The period for which charges are being submitted. The date this resource was created. Individual who created the claim, predetermination or preauthorization. The party responsible for authorization, adjudication and reimbursement. The provider which is responsible for the claim, predetermination or preauthorization. The provider-required urgency of processing the request. Typical values include: stat, normal deferred. A code to indicate whether and for whom funds are to be reserved for future claims. A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom. Other claims which are related to this claim such as prior submissions or claims for related services or for the same event. Prescription is the document/authorization given to the claim author for them to provide products and services for which consideration (reimbursement) is sought. Could be a RX for medications, an 'order' for oxygen or wheelchair or physiotherapy treatments. Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products. Information code for an event with a corresponding date or period. The party to be reimbursed for cost of the products and services according to the terms of the policy. The referral information received by the claim author, it is not to be used when the author generates a referral for a patient. A copy of that referral may be provided as supporting information. Some insurers require proof of referral to pay for services or to pay specialist rates for services. Healthcare encounters related to this claim. Facility where the services were provided. The business identifier for the instance of the adjudication request: claim predetermination or preauthorization. The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response. The outcome of the claim, predetermination, or preauthorization processing. The result of the claim, predetermination, or preauthorization adjudication. A human readable description of the status of the adjudication. Reference from the Insurer which is used in later communications which refers to this adjudication. The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided. A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system. The members of the team who provided the products and services. Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Information about diagnoses relevant to the claim items. Procedures performed on the patient relevant to the billing items with the claim. This indicates the relative order of a series of EOBs related to different coverages for the same suite of services. Financial instruments for reimbursement for the health care products and services specified on the claim. Details of a accident which resulted in injuries which required the products and services listed in the claim. The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services. A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details. The first-tier service adjudications for payer added product or service lines. The adjudication results which are presented at the header level rather than at the line-item or add-item levels. Categorized monetary totals for the adjudication. Payment details for the adjudication of the claim. A code for the form to be used for printing the content. The actual form, by reference or inclusion, for printing the content or an EOB. A note that describes or explains adjudication results in a human readable form. The term of the benefits documented in this response. Balance by Benefit Category. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. Reference to a related Claim or ExplanationOfBenefit as a representation of a claim. A code to convey how the claims are related. An alternate organizational reference to the case or file to which this particular claim pertains. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A coded event such as when a service is expected or a card printed. A date or period in the past or future indicating when the event occurred or is expectd to occur. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. Type of Party to be reimbursed: Subscriber, billing provider, other. Reference to the individual or organization to whom any payment will be made. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A number to uniquely identify care team entries. Member of the team who provided the product or service. The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team. The specialization of the practitioner or provider which is applicable for this service. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A number to uniquely identify supporting information entries. The general class of the information supplied: information; exception; accident, employment; onset, etc. System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought. The date when or period to which this information refers. Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data. Provides the reason in the situation where a reason code is required in addition to the content. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A number to uniquely identify diagnosis entries. The nature of illness or problem in a coded form or as a reference to an external defined Condition. When the condition was observed or the relative ranking. Indication of whether the diagnosis was present on admission to a facility. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A number to uniquely identify procedure entries. When the condition was observed or the relative ranking. Date and optionally time the procedure was performed. The code or reference to a Procedure resource which identifies the clinical intervention performed. Unique Device Identifiers associated with this line item. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system. Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. Date of an accident event related to the products and services contained in the claim. The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers. The physical location of the accident event. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A number to uniquely identify item entries. Care team members related to this service or product. Diagnoses applicable for this service or product. Procedures applicable for this service or product. Exceptions, special conditions and supporting information applicable for this service or product. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought. The type of revenue or cost center providing the product and/or service. Code to identify the general type of benefits under which products and services are provided. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Request or Referral for Goods or Service to be rendered. Item typification or modifiers codes to convey additional context for the product or service. Identifies the program under which this may be recovered. The date or dates when the service or product was supplied, performed or completed. Where the product or service was provided. The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for the group (if a grouper) or the line item. Net = unit price * quantity * factor. Unique Device Identifiers associated with this line item. Physical location where the service is performed or applies. Healthcare encounters related to this claim. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item. Second-tier of goods and services. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. Physical service site on the patient (limb, tooth, etc.). A region or surface of the bodySite, e.g. limb region or tooth surface(s). This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. The result of the claim, predetermination, or preauthorization adjudication. The reasons for the result of the claim, predetermination, or preauthorization adjudication. Reference from the Insurer which is used in later communications which refers to this adjudication. The time frame during which this authorization is effective. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item. A code supporting the understanding of the adjudication result and explaining variance from expected amount. Monetary amount associated with the category. A non-monetary value associated with the category. Mutually exclusive to the amount element above. The date and time the adjudication decision occured. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The type of revenue or cost center providing the product and/or service. Code to identify the general type of benefits under which products and services are provided. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Item typification or modifiers codes to convey additional context for the product or service. Identifies the program under which this may be recovered. The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for the group (if a grouper) or the line item.detail. Net = unit price * quantity * factor. Unique Device Identifiers associated with this line item. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. The adjudication results. Third-tier of goods and services. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The type of revenue or cost center providing the product and/or service. Code to identify the general type of benefits under which products and services are provided. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Item typification or modifiers codes to convey additional context for the product or service. Identifies the program under which this may be recovered. The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for the line item.detail.subDetail. Net = unit price * quantity * factor. Unique Device Identifiers associated with this line item. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. The adjudication results. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. Claim items which this service line is intended to replace. The sequence number of the details within the claim item which this line is intended to replace. The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought. Exceptions, special conditions and supporting information applicable for this service or product. The providers who are authorized for the services rendered to the patient. The type of revenue or cost center providing the product and/or service. Code to identify the general type of benefits under which products and services are provided. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Request or Referral for Goods or Service to be rendered. Item typification or modifiers codes to convey additional context for the product or service. Identifies the program under which this may be recovered. The date or dates when the service or product was supplied, performed or completed. Where the product or service was provided. The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for the group (if a grouper) or the addItem. Net = unit price * quantity * factor. Physical location where the service is performed or applies. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. The adjudication results. The second-tier service adjudications for payer added services. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. Physical service site on the patient (limb, tooth, etc.). A region or surface of the bodySite, e.g. limb region or tooth surface(s). This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The type of revenue or cost center providing the product and/or service. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Item typification or modifiers codes to convey additional context for the product or service. The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for the group (if a grouper) or the addItem.detail. Net = unit price * quantity * factor. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. The adjudication results. The third-tier service adjudications for payer added services. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. The type of revenue or cost center providing the product and/or service. When the value is a group code then this item collects a set of related item details, otherwise this contains the product, service, drug or other billing code for the item. This element may be the start of a range of .productOrService codes used in conjunction with .productOrServiceEnd or it may be a solo element where .productOrServiceEnd is not used. This contains the end of a range of product, service, drug or other billing codes for the item. This element is not used when the .productOrService is a group code. This value may only be present when a .productOfService code has been provided to convey the start of the range. Typically this value may be used only with preauthorizations and not with claims. Item typification or modifiers codes to convey additional context for the product or service. The amount paid by the patient, in total at the claim claim level or specifically for the item and detail level, to the provider for goods and services. The number of repetitions of a service or product. If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group. A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. The total of taxes applicable for this product or service. The total amount claimed for the addItem.detail.subDetail. Net = unit price * quantity * factor. The numbers associated with notes below which apply to the adjudication of this item. The high-level results of the adjudication if adjudication has been performed. The adjudication results. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item. Monetary total amount associated with the category. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. Whether this represents partial or complete payment of the benefits payable. Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication. Reason for the payment adjustment. Estimated date the payment will be issued or the actual issue date of payment. Benefits payable less any payment adjustment. Issuer's unique identifier for the payment instrument. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. A code to indicate the business purpose of the note. A number to uniquely identify a note entry. The business purpose of the note text. The explanation or description associated with the processing. A code to define the language used in the text of the note. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. Code to identify the general type of benefits under which products and services are provided. True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage. A short name or tag for the benefit. A richer description of the benefit or services covered. Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers. Indicates if the benefits apply to an individual or to the family. The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'. Benefits Used to date. This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. Classification of benefit being provided. The quantity of the benefit which is permitted under the coverage. The quantity of the benefit which have been consumed to date. Active Cancelled Draft Entered In Error If the element is present, it must have either a @value, an @id, or extensions Significant health conditions for a person related to the patient relevant in the context of care for the patient. Significant health conditions for a person related to the patient relevant in the context of care for the patient. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this family member history by the performer or other systems which remain constant as the resource is updated and propagates from server to server. A code specifying the status of the record of the family history of a specific family member. Describes why the family member's history is not available. The person who this history concerns. The date (and possibly time) when the family member history was recorded or last updated. Individual who recorded the record and takes responsibility for its content. Individual or device that is making the family member history statement. This will either be a name or a description; e.g. "Aunt Susan", "my cousin with the red hair". The type of relationship this person has to the patient (father, mother, brother etc.). The birth sex of the family member. The actual or approximate date of birth of the relative. The age of the relative at the time the family member history is recorded. If true, indicates that the age value specified is an estimated value. Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record. Describes why the family member history occurred in coded or textual form, or Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event. This property allows a non condition-specific note to the made about the related person. Ideally, the note would be in the condition property, but this is not always possible. The significant Conditions (or condition) that the family member had. This is a repeating section to allow a system to represent more than one condition per resource, though there is nothing stopping multiple resources - one per condition. The significant Procedures (or procedure) that the family member had. This is a repeating section to allow a system to represent more than one procedure per resource, though there is nothing stopping multiple resources - one per procedure. Significant health conditions for a person related to the patient relevant in the context of care for the patient. The actual condition, allergy, or intolerance specified. Could be a coded condition (like MI or Diabetes) or a less specific string like 'cancer' depending on how much is known about the condition and the capabilities of the creating system. Indicates what happened following the condition. If the condition resulted in death, deceased date is captured on the relation. This condition contributed to the cause of death of the related person. If contributedToDeath is not populated, then it is unknown. Either the age of onset, range of approximate age or descriptive string can be recorded. For conditions with multiple occurrences, this describes the first known occurrence. An area where general notes can be placed about this specific condition. Significant health conditions for a person related to the patient relevant in the context of care for the patient. The actual procedure specified. Could be a coded procedure or a less specific string depending on how much is known about the procedure and the capabilities of the creating system. Indicates what happened following the procedure. If the procedure resulted in death, deceased date is captured on the relation. This procedure contributed to the cause of death of the related person. If contributedToDeath is not populated, then it is unknown. Estimated or actual date, date-time, period, or age when 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. An area where general notes can be placed about this specific procedure. Partial Completed Entered in Error Health Unknown If the element is present, it must have either a @value, an @id, or extensions Prospective warnings of potential issues when providing care to the patient. Prospective warnings of potential issues when providing care to the patient. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this flag by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Supports basic workflow. Allows a flag to be divided into different categories like clinical, administrative etc. Intended to be used as a means of filtering which flags are displayed to particular user or in a given context. The coded value or textual component of the flag to display to the user. The patient, related person, location, group, organization, or practitioner etc. this is about record this flag is associated with. 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. This alert is only relevant during the encounter. The person, organization or device that created the flag. Additional information that may be relevant to the flag, such as why the flag was created or how to guide management of the flag. Active Inactive Entered in Error If the element is present, it must have either a @value, an @id, or extensions Describes the intended objective(s) for a patient, group, or organizational care. Examples include a patient's weight loss, restoration of an activity of daily living for a patient, obtaining herd immunity via immunization for a group, meeting a process improvement objective for an organization, etc. Describes the intended objective(s) for a patient, group, or organizational care. Examples include a patient's weight loss, restoration of an activity of daily living for a patient, obtaining herd immunity via immunization for a group, meeting a process improvement objective for an organization, etc. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server. The state of the goal throughout its lifecycle. Describes the progression, or lack thereof, towards the goal against the target. Indicates a category the goal falls within. After meeting the goal, ongoing activity is needed to sustain the goal objective. Identifies the mutually agreed level of importance associated with reaching/sustaining 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". Identifies the patient, group or organization for whom the goal is being established. The date or event after which the goal should begin being pursued. Information about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stakeholders. Indicates what should be done by when. Identifies when the current achievement status took effect. I.e. When achieved, when improving, etc. Captures the reason for the current lifecycle status. Individual who recorded the record and takes responsibility for its content. Indicates whose goal this is - patient goal, practitioner goal, etc. The identified conditions and other resources that provide the context for why the goal exists. Any comments related to the goal. Describes the intended objective(s) for a patient, group, or organizational care. Examples include a patient's weight loss, restoration of an activity of daily living for a patient, obtaining herd immunity via immunization for a group, meeting a process improvement objective for an organization, etc. The person ororganization whose acceptance/priority is being reflected. Indicates whether the specified individual has accepted the goal or not. Indicates the relative priority assigned to the goal by the stakeholder. Describes the intended objective(s) for a patient, group, or organizational care. Examples include a patient's weight loss, restoration of an activity of daily living for a patient, obtaining herd immunity via immunization for a group, meeting a process improvement objective for an organization, etc. The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. A CodeableConcept target value could be Positive, Negative, Abnormal, Normal, Present, Absent, Yes, No. Indicates either the date or the duration after start by which the goal should be met. Proposed Planned Accepted Active On Hold Completed Cancelled Entered in Error Rejected If the element is present, it must have either a @value, an @id, or extensions Agree Disagree Pending If the element is present, it must have either a @value, an @id, or extensions Represents a defined collection of entities that may be discussed or acted upon collectively but which are not typically expected to act collectively. These collections are also not typically formally or legally recognized. NOTE: Group may be used to define families or households, which in some circumstances may act collectively or have a degree of legal or formal recognition. This should be considered an exception. When Group is used for types of entities other than Patient or RelatedPerson, the expectation remains that the Group will not act collectively or have formal recognition - use Organization if these behaviors are needed. For example, it is possible for a 'family' Group to be a performer of an Observation or owner of a Task. However, this is not permitted for a Group made up of Practitioners, PractitionerRoles or Organizations. Organization or CareTeam would need to be used instead. A Group of Practitioners could, however, be a subject of an Observation. Represents a defined collection of entities that may be discussed or acted upon collectively but which are not typically expected to act collectively. These collections are also not typically formally or legally recognized. NOTE: Group may be used to define families or households, which in some circumstances may act collectively or have a degree of legal or formal recognition. This should be considered an exception. When Group is used for types of entities other than Patient or RelatedPerson, the expectation remains that the Group will not act collectively or have formal recognition - use Organization if these behaviors are needed. For example, it is possible for a 'family' Group to be a performer of an Observation or owner of a Task. However, this is not permitted for a Group made up of Practitioners, PractitionerRoles or Organizations. Organization or CareTeam would need to be used instead. A Group of Practitioners could, however, be a subject of an Observation. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this Group when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this Group is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the Group is stored on different servers. Business identifiers assigned to this participant by one of the applications involved. These identifiers remain constant as the resource is updated and propagates from server to server. The identifier that is used to identify this version of the Group when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the Group 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 without additional knowledge. Indicates the mechanism used to compare versions to determine which is more current. A label assigned to the group for human identification and communication. A short, descriptive, user-friendly title for the Group. The current state of this Group. A Boolean value to indicate that this Group is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the Group was last significantly changed. The date must change 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 Group changes. The name of the organization or individual responsible for the release and ongoing maintenance of the Group. Contact details to assist a user in finding and communicating with the publisher. Explanation of what the group represents and how it is intended to be used. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate Groups. Explanation of why this Group is needed and why it has been designed as it has. A copyright statement relating to the Group and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the Group. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). Identifies the broad classification of the kind of resources the group includes. Basis for membership in the Group: * 'definitional': The Group.characteristics specified are both necessary and sufficient to determine membership. All entities that meet the criteria are considered to be members of the group, whether referenced by the group or not. If members are present, they are individuals that happen to be known as meeting the Group.characteristics. The list cannot be presumed to be complete. * 'conceptual': The Group.characteristics specified are both necessary and sufficient to determine membership. The 'conceptual' Group is a 'definitional' Group in which the Group.type is not bound to FHIR types. * 'enumerated': The Group.characteristics are necessary but not sufficient to determine membership. Membership is determined by being listed as one of the Group.member. A code that describes the use of the group. The use of the group usually dictates what kind of entities can be members of the group. A count of the number of resource instances that are part of the group. Entity responsible for defining and maintaining Group characteristics and/or registered members. Used to specify how two or more characteristics are combined. Provides the value of "n" when "at-least" or "at-most" codes are used for combinationMethod. Identifies traits whose presence r absence is shared by members of the group. Identifies the resource instances that are members of the group. Represents a defined collection of entities that may be discussed or acted upon collectively but which are not typically expected to act collectively. These collections are also not typically formally or legally recognized. NOTE: Group may be used to define families or households, which in some circumstances may act collectively or have a degree of legal or formal recognition. This should be considered an exception. When Group is used for types of entities other than Patient or RelatedPerson, the expectation remains that the Group will not act collectively or have formal recognition - use Organization if these behaviors are needed. For example, it is possible for a 'family' Group to be a performer of an Observation or owner of a Task. However, this is not permitted for a Group made up of Practitioners, PractitionerRoles or Organizations. Organization or CareTeam would need to be used instead. A Group of Practitioners could, however, be a subject of an Observation. A code that identifies the kind of trait being asserted. The value of the trait that holds (or does not hold - see 'exclude') for members of the group. If true, indicates the characteristic is one that is NOT held by members of the group. A short, natural language description of the characteristic that could be used to communicate the criteria to an end-user. Method for how the characteristic value was determined. A CQL, FHIRPath, or other expression that is used to generate the value for this characteristic. The entity who is expected to evaluate the characteristic value for candidate group members. Defines the reference point for comparison when other than 0. Number of occurrences meeting the characteristic. Length of time in which the characteristic is met. The period over which the characteristic is tested; e.g. the patient had an operation during the month of June. Timing in which the characteristic is determined. Represents a defined collection of entities that may be discussed or acted upon collectively but which are not typically expected to act collectively. These collections are also not typically formally or legally recognized. NOTE: Group may be used to define families or households, which in some circumstances may act collectively or have a degree of legal or formal recognition. This should be considered an exception. When Group is used for types of entities other than Patient or RelatedPerson, the expectation remains that the Group will not act collectively or have formal recognition - use Organization if these behaviors are needed. For example, it is possible for a 'family' Group to be a performer of an Observation or owner of a Task. However, this is not permitted for a Group made up of Practitioners, PractitionerRoles or Organizations. Organization or CareTeam would need to be used instead. A Group of Practitioners could, however, be a subject of an Observation. A reference to the entity that is a member of the group. Must be consistent with Group.type. If the entity is another group, then the type must be the same. A code that describes how a user is involved in the group. Some groups (e.g. exposure-group) typically don't have variance between members, or it is not tracked, while for other groups (e.g. family, household) this may be meaningful. The period that the member was in the group, if known. A flag to indicate that the member is no longer in the group, but previously may have been a member. Person Animal Practitioner Device CareTeam HealthcareService Location Organization RelatedPerson Specimen Medication MedicinalProductDefinition Substance SubstanceDefinition BiologicallyDerivedProduct NutritionProduct If the element is present, it must have either a @value, an @id, or extensions Definitional Conceptual Enumerated If the element is present, it must have either a @value, an @id, or extensions All of Any of At least At most Except subset If the element is present, it must have either a @value, an @id, or extensions A guidance response is the formal response to a guidance request, including any output parameters returned by the evaluation, as well as the description of any proposed actions to be taken. A guidance response is the formal response to a guidance request, including any output parameters returned by the evaluation, as well as the description of any proposed actions to be taken. If the element is present, it must have either a @value, an @id, or extensions The identifier of the request associated with this response. If an identifier was given as part of the request, it will be reproduced here to enable the requester to more easily identify the response in a multi-request scenario. Business identifiers assigned to this guidance response by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server. An identifier, CodeableConcept or canonical reference to the guidance that was requested. The status of the response. If the evaluation is completed successfully, the status will indicate success. However, in order to complete the evaluation, the engine may require more information. In this case, the status will be data-required, and the response will contain a description of the additional required information. If the evaluation completed successfully, but the engine determines that a potentially more accurate response could be provided if more data was available, the status will be data-requested, and the response will contain a description of the additional requested information. The individual or set of individuals the action is being or was performed on. The Encounter during which this guidance response was created or to which the creation of this record is tightly associated. Indicates when the guidance response was processed. Provides a reference to the device that performed the guidance. The principal physical location where the guidance response was performed. Describes the reason for the guidance response in coded or textual form, or Indicates the reason the request was initiated. This is typically provided as a parameter to the evaluation and echoed by the service, although for some use cases, such as subscription- or event-based scenarios, it may provide an indication of the cause for the response. Provides a mechanism to communicate additional information about the response. Messages resulting from the evaluation of the artifact or artifacts. As part of evaluating the request, the engine may produce informational or warning messages. These messages will be provided by this element. The output parameters of the evaluation, if any. Many modules will result in the return of specific resources such as procedure or communication requests that are returned as part of the operation result. However, modules may define specific outputs that would be returned as the result of the evaluation, and these would be returned in this element. The actions, if any, produced by the evaluation of the artifact. If the evaluation could not be completed due to lack of information, or additional information would potentially result in a more accurate response, this element will a description of the data required in order to proceed with the evaluation. A subsequent request to the service should include this data. Success Data Requested Data Required In Progress Failure Entered In Error If the element is present, it must have either a @value, an @id, or extensions The details of a healthcare service available at a location. The details of a healthcare service available at a location. If the element is present, it must have either a @value, an @id, or extensions External identifiers for this item. This flag is used to mark the record to not be used. This is not used when a center is closed for maintenance, or for holidays, the notAvailable period is to be used for this. The organization that provides this healthcare service. When the HealthcareService is representing a specific, schedulable service, the availableIn property can refer to a generic service. Identifies the broad category of service being performed or delivered. The specific type of service that may be delivered or performed. Collection of specialties handled by the Healthcare service. This is more of a medical term. The location(s) where this healthcare service may be provided. Further description of the service as it would be presented to a consumer while searching. Any additional description of the service and/or any specific issues not covered by the other attributes, which can be displayed as further detail under the serviceName. Extra details about the service that can't be placed in the other fields. If there is a photo/symbol associated with this HealthcareService, it may be included here to facilitate quick identification of the service in a list. The contact details of communication devices available relevant to the specific HealthcareService. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites. The location(s) that this service is available to (not where the service is provided). The code(s) that detail the conditions under which the healthcare service is available/offered. Does this service have specific eligibility requirements that need to be met in order to use the service? Programs that this service is applicable to. Collection of characteristics (attributes). Some services are specifically made available in multiple languages, this property permits a directory to declare the languages this is offered in. Typically this is only provided where a service operates in communities with mixed languages used. Ways that the service accepts referrals, if this is not provided then it is implied that no referral is required. Indicates whether or not a prospective consumer will require a referral for a particular service at a site to be provided by the Organization. Indicates whether or not a prospective consumer will require an appointment for a particular service at a site to be provided by the Organization. A collection of times that the healthcare service is available. Technical endpoints providing access to services operated for the specific healthcare services defined at this resource. The details of a healthcare service available at a location. Coded value for the eligibility. Sometimes an eligibility code requires additional data to calculate the eligibility rules. Describes the eligibility conditions for the service. The period that this eligibility rule is a requirement for this service. A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource. A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this imaging selection by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server. The current state of the imaging selection. This is distinct from the status of any imaging study, service request, or task associated with the imaging selection. Classifies the general purpose of the imaging selection. The distinct modality for this selected series. This MAY be either an acquisition modality (e.g. CT, MR) or a non-acquisition modality (e.g. segmentation, presentation state). Identifies the type of imaging selection. The subject, typically a patient, of the imaging selection. Date and time the imaging selection was created. Indicates who or what performed the imaging selection and how they were involved. A plan or order that is fulfilled in whole or in part by this imaging selection. The imaging study from which the imaging selection is made. The Study Instance UID for the DICOM Study from which the images were selected. The DICOM Series Instance UID of the selected series. The numeric identifier of the selected series in the study. Identifier used to group composite instances that have the same coordinate system that conveys spatial and/or temporal information. The anatomic structures selected. See [DICOM Part 16 Annex L](http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite MAY include the laterality of body part imaged. The actual focus of an imaging selection when it is another imaging selection resource and not the patient of record. The network services providing access to the selected images, frames, etc. See implementation notes for information about using DICOM endpoints. Each imaging selection includes one or more selected DICOM SOP instances. Specifies a 3D image region, defined by a region type and a set of 3D coordinates. A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource. Distinguishes the type of involvement of the performer in the imaging selection. Indicates who or what performed the imaging selection. A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource. The SOP Instance UID for the selected DICOM this image or other DICOM content. The number of the instance assigned by the creator of the series. MAY or MAY NOT correspond to intended display order. DICOM instance type. A list of frame numbers selected from a multiframe SOP Instance (See [DICOM PS 3.3 Table 10.3](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html#table_10-3)). A list of Referenced Content Item Identifier values selected from a DICOM SR or other structured document SOP Instance (See [DICOM PS 3.3 C.17.3.2.5](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.17.3.2.5.html)). A list of segment numbers selected from a segmentation SOP Instance (See [DICOM PS 3.3 Table C.8.20-4](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.20.4.html#table_C.8.20-4)). A list of Region of Interest (ROI) numbers selected from a radiotherapy structure set SOP Instance (See [DICOM PS 3.3 C.8.8.5](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.8.5.html)). A list of channels in a Waveform selected from an instance of a waveform SOP Class. Each channel is specified as a pair of values where the first value is the Multiplex Group Number, and the second value is the Channel Number within the multiplex group (See [DICOM PS 3.3 C.18.5.1.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.5.html#sect_C.18.5.1.1)). Specifies an image region, defined by a region type and a set of 2D coordinates in pixel space. A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource. The type of image region. The coordinates defining the image region. Encoded as a set of (column, row) pairs that denote positions in the selected image / frames specified with sub-pixel resolution. The origin at the TLHC of the TLHC pixel is 0.0\0.0, the BRHC of the TLHC pixel is 1.0\1.0, and the BRHC of the BRHC pixel is the number of columns\rows in the image / frames. The values SHALL be within the range 0\0 to the number of columns\rows in the image / frames. A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource. Specifies the type of image region. The coordinates defining the image region. Encoded as an ordered set of (x,y,z) triplets (in mm and MAY be negative) that define a region of interest in the patient-relative Reference Coordinate System defined by ImagingSelection.frameOfReferenceUid element. Available Entered in Error Inactive Unknown If the element is present, it must have either a @value, an @id, or extensions POINT MULTIPOINT POLYLINE POLYGON ELLIPSE ELLIPSOID If the element is present, it must have either a @value, an @id, or extensions Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study can have multiple series of different modality values. Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study can have multiple series of different modality values. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this imaging study by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server. Typically this will include the DICOM Study Instance UID. The current state of the imaging study. This is distinct from the status of any service request or task associated with the imaging study. All the distinct values of series.modality. This MAY be either an acquisition or a non-acquisition modality. The subject, typically a patient, of the imaging study. The healthcare event (e.g. a patient and healthcare provider interaction) during which the imaging data represented by this imaging study was acquired. Date and time the study started. A plan or order that is fulfilled in whole or in part by this imaging study. The performed procedure(s) during which the data associated with this imaging study was created. The referring physician. The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType. The principal physical location where the imaging study was performed. Describes why the imaging study occurred in coded or textual form or indicates another resource whose existence justifies this imaging study. Comments made about the imaging study by the performer, subject or other participants. Description or classification of the imaging study. Number of known Series in the Study. This value might be present even if the ImagingStudy.series element is empty or only partially populated. Number of known SOP Instances in Study. This value might be present even if the ImagingStudy.series.instance elements are empty or only partially populated. The set of Series belonging to the study. Each Series contains a set of SOP Instances, which could be images, waveforms, or other content. Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study can have multiple series of different modality values. The DICOM Series Instance UID of the series. The numeric identifier of this series in the study. The distinct modality for this series. This MAY be either an acquisition modality (e.g., CT, MR) or a non-acquisition modality (e.g., segmentation, presentation state). Description or classification of the series. Number of SOP Instances in the Series. The value given MAY be larger than the number of instance elements this series contains due to resource availability, security, or other factors. This element SHOULD be present if any instance elements are present. The network service providing access for the study. See implementation notes for information about [using DICOM endpoints](imagingstudy.html#endpoints). The anatomic structures examined. See [DICOM Part 16 Annex L](http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite MAY include the laterality of body part imaged. The specimen imaged, e.g., for whole slide imaging of a biopsy. The date and time the series was started. Indicates who or what performed the series and how they were involved. A single SOP instance within the series, e.g. an image, or presentation state. Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study can have multiple series of different modality values. Distinguishes the type of involvement of the performer in the imaging study.. Indicates who or what performed the imaging study. Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study can have multiple series of different modality values. The DICOM SOP Instance UID for this image or other DICOM content. DICOM instance type. The number of the instance assigned by the creator of the series. MAY or MAY NOT correspond to intended display order. The title of the instance. Registered Available Cancelled Entered in Error Unknown Inactive If the element is present, it must have either a @value, an @id, or extensions Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party. Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party. If the element is present, it must have either a @value, an @id, or extensions A unique identifier assigned to this immunization record. A plan, order or recommendation fulfilled in whole or in part by this immunization. Indicates the current status of the immunization event. Indicates the reason the immunization event was **not performed** or was **entered in error**. Vaccine that was administered or was to be administered. An indication of which product was administered to the patient. This is typically a more detailed representation of the concept conveyed by the vaccineCode data element. If a Medication resource is referenced, it may be to a stand-alone resource or a contained resource within the Immunization resource. Name of vaccine manufacturer. Lot number of the vaccine product. Date vaccine batch expires. The patient who either received or did not receive the immunization. The visit or admission or other contact between patient and health care provider the immunization was performed as part of. Additional information that is relevant to the immunization (e.g. for a vaccine recipient who is pregnant, the gestational age of the fetus). The reason why a vaccine was given (e.g. occupation, underlying medical condition) should be conveyed in Immunization.reason, not as supporting information. The reason why a vaccine was not given (e.g. contraindication) should be conveyed in Immunization.statusReason, not as supporting information. Date vaccine administered or was to be administered. Indicates whether the data contained in the resource was captured by the individual/organization which was responsible for the administration of the vaccine rather than as 'secondary reported' data documented by a third party. A value of 'true' means this data originated with the individual/organization which was responsible for the administration of the vaccine. Typically the source of the data when the report of the immunization event is not based on information from the person who administered the vaccine. The service delivery location where the vaccine administration occurred. Body site where vaccine was administered. The path by which the vaccine product is taken into the body. The quantity of vaccine product that was administered. Indicates who performed the immunization event. Extra information about the immunization that is not conveyed by the other attributes. Describes why the immunization occurred in coded or textual form, or indicates another resource (Condition, Observation or DiagnosticReport) whose existence justifies this immunization. Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent. Reason why a dose is considered to be subpotent. Indicates a patient's eligibility for a funding program. Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publicly purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered). Categorical data indicating that an adverse event is associated in time to an immunization. The protocol (set of recommendations) being followed by the provider who administered the dose. Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party. Describes the function played by the performer in the immunization event (e.g. ordering provider, administering provider, etc.). The practitioner or organization who performed the action. Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party. Indicates which program the patient had their eligibility evaluated for. Indicates the patient's eligibility status for a specific payment program. Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party. Date of reaction to the immunization. Details of the reaction. Self-reported indicator. Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party. One possible path to achieve presumed immunity against a disease - within the context of an authority. Indicates the authority who published the protocol (e.g. ACIP) that is being followed. The vaccine preventable disease the dose is being administered against. Nominal position in a series as intended by the practitioner administering the dose. The recommended number of doses to achieve immunity as intended by the practitioner administering the dose. Completed Entered in Error Not Done A set of codes indicating the current status of an Immunization. If the element is present, it must have either a @value, an @id, or extensions A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this implementation guide when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this implementation guide is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the implementation guide is stored on different servers. A formal identifier that is used to identify this implementation guide when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the implementation guide when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the implementation guide 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the implementation guide. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the implementation guide. The status of this implementation guide. Enables tracking the life-cycle of the content. A Boolean value to indicate that this implementation guide is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the implementation guide was last significantly changed. The date must change 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 implementation guide changes. The name of the organization or individual responsible for the release and ongoing maintenance of the implementation guide. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the implementation guide from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate implementation guide instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this implementation guide is needed and why it has been designed as it has. A copyright statement relating to the implementation guide and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the implementation guide. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). The NPM package name for this Implementation Guide, used in the NPM package distribution, which is the primary mechanism by which FHIR based tooling manages IG dependencies. This value must be globally unique, and should be assigned with care. The license that applies to this Implementation Guide, using an SPDX license code, or 'not-open-source'. The version(s) of the FHIR specification that this ImplementationGuide targets - e.g. describes how to use. The value of this element is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.6.0. for this version. Another implementation guide that this implementation depends on. Typically, an implementation guide uses value sets, profiles etc.defined in other implementation guides. A set of profiles that all resources covered by this implementation guide must conform to. The information needed by an IG publisher tool to publish the whole implementation guide. Information about an assembled implementation guide, created by the publication tooling. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. A canonical reference to the Implementation guide for the dependency. The NPM package name for the Implementation Guide that this IG depends on. The version of the IG that is depended on, when the correct version is required to understand the IG correctly. A description explaining the nature of the dependency on the listed IG. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. The type of resource that all instances must conform to. A reference to the profile that all instances must conform to. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. A logical group of resources. Logical groups can be used when building pages. A resource that is part of the implementation guide. Conformance resources (value set, structure definition, capability statements etc.) are obvious candidates for inclusion, but any kind of resource can be included as an example resource. A page / section in the implementation guide. The root page is the implementation guide home page. A set of parameters that defines how the implementation guide is built. The parameters are defined by the relevant tools that build the implementation guides. A template for building resources. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. The human-readable title to display for the package of resources when rendering the implementation guide. Human readable text describing the package. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. Where this resource is found. Indicates the FHIR Version(s) this artifact is intended to apply to. If no versions are specified, the resource is assumed to apply to all the versions stated in ImplementationGuide.fhirVersion. A human assigned name for the resource. All resources SHOULD have a name, but the name may be extracted from the resource (e.g. ValueSet.name). A description of the reason that a resource has been included in the implementation guide. If true, indicates the resource is an example instance. If present, indicates profile(s) the instance is valid against. Reference to the id of the grouping this resource appears in. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. Indicates the URL or the actual content to provide for the page. The url by which the page should be known when published. A short title used to represent this page in navigational structures such as table of contents, bread crumbs, etc. A code that indicates how the page is generated. Nested Pages/Sections under this page. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. A tool-specific code that defines the parameter. Value for named type. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. Type of template specified. The source location for the template. The scope in which the template applies. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. A pointer to official web page, PDF or other rendering of the implementation guide. A resource that is part of the implementation guide. Conformance resources (value set, structure definition, capability statements etc.) are obvious candidates for inclusion, but any kind of resource can be included as an example resource. Information about a page within the IG. Indicates a relative path to an image that exists within the IG. Indicates the relative path of an additional non-page, non-image file that is part of the IG - e.g. zip, jar and similar files that could be the target of a hyperlink in a derived IG. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. Where this resource is found. If true, indicates the resource is an example instance. If present, indicates profile(s) the instance is valid against. The relative path for primary page for this resource within the IG. A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts. Relative path to the page. Label for the page intended for human display. The name of an anchor available on the page. 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Public License v1.0 Yahoo! Public License v1.1 Zed License Zend License v2.0 Zimbra Public License v1.3 Zimbra Public License v1.4 zlib/libpng License with Acknowledgement zlib License Zope Public License 1.1 Zope Public License 2.0 Zope Public License 2.1 If the element is present, it must have either a @value, an @id, or extensions HTML Markdown XML Generated If the element is present, it must have either a @value, an @id, or extensions An ingredient of a manufactured item or pharmaceutical product. An ingredient of a manufactured item or pharmaceutical product. If the element is present, it must have either a @value, an @id, or extensions The identifier(s) of this Ingredient that are assigned by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. The status of this ingredient. Enables tracking the life-cycle of the content. The product which this ingredient is a constituent part of. A classification of the ingredient identifying its purpose within the product, e.g. active, inactive. A classification of the ingredient identifying its precise purpose(s) in the drug product. This extends the Ingredient.role to add more detail. Example: antioxidant, alkalizing agent. A classification of the ingredient according to where in the physical item it tends to be used, such the outer shell of a tablet, inner body or ink. If the ingredient is a known or suspected allergen. Note that this is a property of the substance, so if a reference to a SubstanceDefinition is used to describe that (rather than just a code), the allergen information should go there, not here. A place for providing any notes that are relevant to the component, e.g. removed during process, adjusted for loss on drying. The organization(s) that manufacture this ingredient. Can be used to indicate: 1) Organizations we are aware of that manufacture this ingredient 2) Specific Manufacturer(s) currently being used 3) Set of organisations allowed to manufacture this ingredient for this product Users must be clear on the application of context relevant to their use case. The substance that comprises this ingredient. An ingredient of a manufactured item or pharmaceutical product. The way in which this manufacturer is associated with the ingredient. For example whether it is a possible one (others allowed), or an exclusive authorized one for this ingredient. Note that this is not the manufacturing process role. An organization that manufactures this ingredient. An ingredient of a manufactured item or pharmaceutical product. A code or full resource that represents the ingredient's substance. The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. The allowed repetitions do not represent different strengths, but are different representations - mathematically equivalent - of a single strength. An ingredient of a manufactured item or pharmaceutical product. The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. Unit of presentation refers to the quantity that the item occurs in e.g. a strength per tablet size, perhaps 'per 20mg' (the size of the tablet). It is not generally normalized as a unitary unit, which would be 'per mg'). A textual representation of either the whole of the presentation strength or a part of it - with the rest being in Strength.presentation as a ratio. The strength per unitary volume (or mass). A textual representation of either the whole of the concentration strength or a part of it - with the rest being in Strength.concentration as a ratio. A code that indicates if the strength is, for example, based on the ingredient substance as stated or on the substance base (when the ingredient is a salt). For when strength is measured at a particular point or distance. There are products where strength is measured at a particular point. For example, the strength of the ingredient in some inhalers is measured at a particular position relative to the point of aerosolization. The country or countries for which the strength range applies. Strength expressed in terms of a reference substance. For when the ingredient strength is additionally expressed as equivalent to the strength of some other closely related substance (e.g. salt vs. base). Reference strength represents the strength (quantitative composition) of the active moiety of the active substance. There are situations when the active substance and active moiety are different, therefore both a strength and a reference strength are needed. An ingredient of a manufactured item or pharmaceutical product. Relevant reference substance. Strength expressed in terms of a reference substance. For when strength is measured at a particular point or distance. The country or countries for which the strength range applies. InsurancePlan describes the costs to the subscriber or beneficiary associated with benefits, as well as additional information about the offering, such as who administers the plan, a coverage area, contact information, etc. The specific benefits covered by the plan are described in the `InsuranceProduct` referenced in `InsurancePlan.product`. InsurancePlan describes the costs to the subscriber or beneficiary associated with benefits, as well as additional information about the offering, such as who administers the plan, a coverage area, contact information, etc. The specific benefits covered by the plan are described in the `InsuranceProduct` referenced in `InsurancePlan.product`. If the element is present, it must have either a @value, an @id, or extensions Identifiers, such as the plan ID and/or group ID associated with the insurance plan. Type of plan. For example, "Platinum" or "High Deductable". The product that this plan is available under. The geographic region in which a health insurance plan's benefits apply. Reference to the network that providing the type of coverage. Overall costs associated with the plan. Costs associated with the coverage provided by the product-plan. InsurancePlan describes the costs to the subscriber or beneficiary associated with benefits, as well as additional information about the offering, such as who administers the plan, a coverage area, contact information, etc. The specific benefits covered by the plan are described in the `InsuranceProduct` referenced in `InsurancePlan.product`. Type of cost. Number of participants enrolled in the plan. Value of the cost. Additional information about the general costs associated with this plan. InsurancePlan describes the costs to the subscriber or beneficiary associated with benefits, as well as additional information about the offering, such as who administers the plan, a coverage area, contact information, etc. The specific benefits covered by the plan are described in the `InsuranceProduct` referenced in `InsurancePlan.product`. General category of benefit (Medical; Dental; Vision; Drug; Mental Health; Substance Abuse; Hospice, Home Health). List of the specific benefits under this category of benefit. InsurancePlan describes the costs to the subscriber or beneficiary associated with benefits, as well as additional information about the offering, such as who administers the plan, a coverage area, contact information, etc. The specific benefits covered by the plan are described in the `InsuranceProduct` referenced in `InsurancePlan.product`. Type of specific benefit (preventative; primary care office visit; speciality office visit; hospitalization; emergency room; urgent care). List of the costs associated with a specific benefit. InsurancePlan describes the costs to the subscriber or beneficiary associated with benefits, as well as additional information about the offering, such as who administers the plan, a coverage area, contact information, etc. The specific benefits covered by the plan are described in the `InsuranceProduct` referenced in `InsurancePlan.product`. Type of cost (copay; individual cap; family cap; coinsurance; deductible). Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other). Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA). The actual cost value. (some of the costs may be represented as percentages rather than currency, e.g. 10% coinsurance). A product is a discrete package of health insurance coverage benefits that are offered under a particular network, by an organization (payer) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. A product is a discrete package of health insurance coverage benefits that are offered under a particular network, by an organization (payer) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this health insurance product which remain constant as the resource is updated and propagates from server to server. The current state of the health insurance product. The kind of health insurance product. Official name of the health insurance product as designated by the owner. A list of alternate names that the product is known as, or was known as in the past. The period of time that the health insurance product is available. The entity that is providing the health insurance product and underwriting the risk. This is typically an insurance carriers, other third-party payers, or health plan sponsors comonly referred to as 'payers'. An organization which administer other services such as underwriting, customer service and/or claims processing on behalf of the health insurance product owner. The geographic region in which a health insurance product's benefits apply. The contact details of communication devices available relevant to the specific Insurance Product. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites. The technical endpoints providing access to services operated for the health insurance product. Reference to the network included in the health insurance product. Details about the coverage offered by the insurance product. Another product that is related to this product. Often used to create relationships to parents or families of products. A product is a discrete package of health insurance coverage benefits that are offered under a particular network, by an organization (payer) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health). Reference to the network that providing the type of coverage. Specific benefits under this type of coverage. A product is a discrete package of health insurance coverage benefits that are offered under a particular network, by an organization (payer) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. Type of benefit (primary care; specialty care; inpatient; outpatient). The referral requirements to have access/coverage for this benefit. The specific limits on the benefit. A product is a discrete package of health insurance coverage benefits that are offered under a particular network, by an organization (payer) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. The maximum amount of a service item a plan will pay for a covered benefit. For examples. wellness visits, or eyeglasses. The specific limit on the benefit. A product is a discrete package of health insurance coverage benefits that are offered under a particular network, by an organization (payer) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. The Related Product reference. The relationship of this product to the related product. an example would be 'sub-plan' where this product is a sub-plan of the related.product. Period of time that the product relationship is valid. The start and/or end dates can be empty if this is an open ended relationship. Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose. Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose. If the element is present, it must have either a @value, an @id, or extensions Identifier of this Invoice, often used for reference in correspondence about this invoice or for tracking of payments. The current state of the Invoice. In case of Invoice cancellation a reason must be given (entered in error, superseded by corrected invoice etc.). Type of Invoice depending on domain, realm an usage (e.g. internal/external, dental, preliminary). The individual or set of individuals receiving the goods and services billed in this invoice. The individual or Organization responsible for balancing of this invoice. Date/time(s) of when this Invoice was posted. Date/time(s) range of services included in this invoice. Indicates who or what performed or participated in the charged service. The organizationissuing the Invoice. Account which is supposed to be balanced with this Invoice. Each line item represents one charge for goods and services rendered. Details such.ofType(date), code and amount are found in the referenced ChargeItem resource. The total amount for the Invoice may be calculated as the sum of the line items with surcharges/deductions that apply in certain conditions. The priceComponent element can be used to offer transparency to the recipient of the Invoice of how the total price was calculated. Invoice total , taxes excluded. Invoice total, tax included. Payment details such as banking details, period of payment, deductibles, methods of payment. Comments made about the invoice by the issuer, subject, or other participants. Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose. Describes the type of involvement (e.g. transcriptionist, creator etc.). If the invoice has been created automatically, the Participant may be a billing engine or another kind of device. The device, practitioner, etc. who performed or participated in the service. Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose. Sequence in which the items appear on the invoice. Date/time(s) range when this service was delivered or completed. The ChargeItem contains information such as the billing code, date, amount etc. If no further details are required for the lineItem, inline billing codes can be added using the CodeableConcept data type instead of the Reference. The price for a ChargeItem may be calculated as a base price with surcharges/deductions that apply in certain conditions. A ChargeItemDefinition resource that defines the prices, factors and conditions that apply to a billing code is currently under development. The priceComponent element can be used to offer transparency to the recipient of the Invoice as to how the prices have been calculated. draft issued balanced cancelled entered in error If the element is present, it must have either a @value, an @id, or extensions The Library resource is a general-purpose container for knowledge artifact definitions. It can be used to describe and expose existing knowledge artifacts such as logic libraries and information model descriptions, as well as to describe a collection of knowledge artifacts. The Library resource is a general-purpose container for knowledge artifact definitions. It can be used to describe and expose existing knowledge artifacts such as logic libraries and information model descriptions, as well as to describe a collection of knowledge artifacts. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this library when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this library is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the library is stored on different servers. A formal identifier that is used to identify this library when it is represented in other formats, or referenced in a specification, model, design or an instance. e.g. CMS or NQF identifiers for a measure artifact. Note that at least one identifier is required for non-experimental active artifacts. The identifier that is used to identify this version of the library when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the library 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 artifacts, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the library. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the library. An explanatory or alternate title for the library giving additional information about its content. The status of this library. Enables tracking the life-cycle of the content. A Boolean value to indicate that this library is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. Identifies the type of library such as a Logic Library, Model Definition, Asset Collection, or Module Definition. A code or group definition that describes the intended subject of the contents of the library. The date (and optionally time) when the library was last significantly changed. The date must change 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 library changes. The name of the organization or individual responsible for the release and ongoing maintenance of the library. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the library from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate library instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this library is needed and why it has been designed as it has. A detailed description of how the library is used from a clinical perspective. A copyright statement relating to the library and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the library. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. The period during which the library content was or is planned to be in active use. Descriptive topics related to the content of the library. Topics provide a high-level categorization of the library that can be useful for filtering and searching. An individiual or organization primarily involved in the creation and maintenance of the content. An individual or organization primarily responsible for internal coherence of the content. An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the content. An individual or organization asserted by the publisher to be responsible for officially endorsing the content for use in some setting. Related artifacts such as additional documentation, justification, or bibliographic references. The parameter element defines parameters used by the library. Describes a set of data that must be provided in order to be able to successfully perform the computations defined by the library. The content of the library as an Attachment. The content may be a reference to a url, or may be directly embedded as a base-64 string. Either way, the contentType of the attachment determines how to interpret the content. A List is a curated collection of resources, for things such as problem lists, allergy lists, facility list, organization list, etc. A List is a curated collection of resources, for things such as problem lists, allergy lists, facility list, organization list, etc. If the element is present, it must have either a @value, an @id, or extensions Identifier for the List assigned for business purposes outside the context of FHIR. Indicates the current state of this list. How this list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted. A label for the list assigned by the author. This code defines the purpose of the list - why it was created. The common subject(s) (or patient(s)) of the resources that are in the list if there is one (or a set of subjects). The encounter that is the context in which this list was created. Date list was last reviewed/revised and determined to be 'current'. The entity responsible for deciding what the contents of the list were. Where the list was created by a human, this is the same as the author of the list. What order applies to the items in the list. Comments that apply to the overall list. Entries in this list. If the list is empty, why the list is empty. A List is a curated collection of resources, for things such as problem lists, allergy lists, facility list, organization list, etc. The flag allows the system constructing the list to indicate the role and significance of the item in the list. True if this item is marked as deleted in the list. When this item was added to the list. A reference to the actual resource from which data was derived. Current Retired Entered In Error If the element is present, it must have either a @value, an @id, or extensions Working List Snapshot List Change List If the element is present, it must have either a @value, an @id, or extensions Details and position information for a place where services are provided and resources and participants may be stored, found, contained, or accommodated. Details and position information for a place where services are provided and resources and participants may be stored, found, contained, or accommodated. If the element is present, it must have either a @value, an @id, or extensions Unique code or number identifying the location to its users. The status property covers the general availability of the resource, not the current value which may be covered by the operationalStatus, or by a schedule/slots if they are configured for the location. The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance. A coded representation of this Location, where the codes may be found in a geospatial system. Name of the location as used by humans. Does not need to be unique. A list of alternate names that the location is known as, or was known as, in the past. Description of the Location, which helps in finding or referencing the place. Indicates whether a resource instance represents a specific location or a class of locations. Indicates the type of services that are available at this location. The contact details of communication devices available at the location. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites. Physical location. Physical form of the location, e.g. building, room, vehicle, road, virtual. The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML). The organization responsible for the provisioning and upkeep of the location. Another Location of which this Location is physically a part of. Collection of characteristics (attributes). What days/times during a week is this location usually open, and any exceptions where the location is not available. Connection details of a virtual service (e.g. shared conference call facility with dedicated number/details). Technical endpoints providing access to services operated for the location. Details and position information for a place where services are provided and resources and participants may be stored, found, contained, or accommodated. Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes on Location main page). Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes on Location main page). Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes on Location main page). Instance Kind If the element is present, it must have either a @value, an @id, or extensions Active Suspended Inactive If the element is present, it must have either a @value, an @id, or extensions The definition and characteristics of a medicinal manufactured item, such as a tablet or capsule, as contained in a packaged medicinal product. The definition and characteristics of a medicinal manufactured item, such as a tablet or capsule, as contained in a packaged medicinal product. If the element is present, it must have either a @value, an @id, or extensions Unique identifier. The status of this item. Enables tracking the life-cycle of the content. A descriptive name applied to this item. Dose form as manufactured and before any transformation into the pharmaceutical product. The “real-world” units in which the quantity of the manufactured item is described. Manufacturer of the item, one of several possible. Allows specifying that an item is on the market for sale, or that it is not available, and the dates and locations associated. The ingredients of this manufactured item. This is only needed if the ingredients are not specified by incoming references from the Ingredient resource. General characteristics of this item. Physical parts of the manufactured item, that it is intrinsically made from. This is distinct from the ingredients that are part of its chemical makeup. The definition and characteristics of a medicinal manufactured item, such as a tablet or capsule, as contained in a packaged medicinal product. A code expressing the type of characteristic. A value for the characteristic. The definition and characteristics of a medicinal manufactured item, such as a tablet or capsule, as contained in a packaged medicinal product. Defining type of the component e.g. shell, layer, ink. The function of this component within the item e.g. delivers active ingredient, masks taste. The measurable amount of total quantity of all substances in the component, expressible in different ways (e.g. by mass or volume). A reference to a constituent of the manufactured item as a whole, linked here so that its component location within the item can be indicated. This not where the item's ingredient are primarily stated (for which see Ingredient.for or ManufacturedItemDefinition.ingredient). General characteristics of this component. A component that this component contains or is made from. The definition and characteristics of a medicinal manufactured item, such as a tablet or capsule, as contained in a packaged medicinal product. The measurable amount of the substance, expressible in different ways (e.g. by mass or volume). The physical location of the constituent/ingredient within the component. Example – if the component is the bead in the capsule, then the location would be where the ingredient resides within the product part – intragranular, extra-granular, etc. The function of this constituent within the component e.g. binder. The ingredient that is the constituent of the given component. The Measure resource provides the definition of a quality measure. The Measure resource provides the definition of a quality measure. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this measure when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this measure is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the measure is stored on different servers. A formal identifier that is used to identify this measure when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the measure when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the measure 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the measure. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the measure. An explanatory or alternate title for the measure giving additional information about its content. The status of this measure. Enables tracking the life-cycle of the content. A Boolean value to indicate that this measure is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The intended subjects for the measure. If this element is not provided, a Patient subject is assumed, but the subject of the measure can be anything. The date (and optionally time) when the measure was last significantly changed. The date must change 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 measure changes. The name of the organization or individual responsible for the release and ongoing maintenance of the measure. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the measure from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate measure instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this measure is needed and why it has been designed as it has. A detailed description, from a clinical perspective, of how the measure is used. A copyright statement relating to the measure and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the measure. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. The period during which the measure content was or is planned to be in active use. The frequency that this measure should be reported, usually specified by the program it is being submitted to. Descriptive topics related to the content of the measure. Topics provide a high-level categorization grouping types of measures that can be useful for filtering and searching. An individiual or organization primarily involved in the creation and maintenance of the content. An individual or organization primarily responsible for internal coherence of the content. An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the content. An individual or organization asserted by the publisher to be responsible for officially endorsing the content for use in some setting. Related artifacts such as additional documentation, justification, or bibliographic references. A reference to a Library resource containing the formal logic used by the measure. Notices and disclaimers regarding the use of the measure or related to intellectual property (such as code systems) referenced by the measure. A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results. Describes how to combine the information calculated, based on logic in each of several populations, into one summarized result. Provides a detailed justification of the need for the measure including statements pertaining to importance criterion: impact, gap in care, and evidence. Provides a summary of relevant clinical guidelines or other clinical recommendations supporting the measure. Provides a description of an individual term used within the measure. Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measure. A group of population criteria for the measure. The supplemental data criteria for the measure report, specified as either the name of a valid CQL expression within a referenced library, or a valid FHIR Resource Path. The Measure resource provides the definition of a quality measure. A codeable representation of the defined term. Provides a definition for the term as used within the measure. The Measure resource provides the definition of a quality measure. An identifier that is unique within the Measure allowing linkage to the equivalent item in a MeasureReport resource. Indicates the title for the group. Indicates a meaning for the group. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing groups to be correlated across measures. The human readable description of this population group. Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. The intended subjects for the measure. If this element is not provided, there is no subject context (i.e. population criteria are evaluated from the perspective of the entire system, rather than from the perspective of a particular subject). The population basis specifies the type of elements in the population. For a subject-based measure, this is boolean (because the subject and the population basis are the same, and the population criteria define yes/no values for each individual in the population). For measures that have a population basis that is different than the subject, this element specifies the type of the population basis. For example, an encounter-based measure has a subject of Patient and a population basis of Encounter, and the population criteria all return lists of Encounters. Specifies population basis requirements (i.e. what constitutes a case, or what is being counted) as a DataRequirement. If multiple basisRequirements are specified, criteria expressions may return data that satisfies ANY basisRequirement. A data element satisfies a basisRequirement if the instance `is` of the type, conforms to ALL the specified profiles, and matches ALL the codeFilters. basisRequirements SHALL specify type, MAY specify profile and codeFilter, and SHALL NOT specify dateFilter, valueFilter, limit, or sort. If basis is specified, any basisRequirement SHALL be consistent with the specified basis (i.e. the type of each basisRequirement SHALL be the same type as, or a subtype of the basis type). Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. Defines the expected units of measure for the measure score. This element SHOULD be specified as a UCUM unit. When the score is a decimal value this should be used to specify the expected minimum number of digits after the decimal point to use for the precision of the value. When a scoringUnit is also specified, this value is the expected minimum number of digits after the decimal point when the score is expressed in the units specified. If this is a composite measure, the scoring method used to combine the component measures to determine the composite score. If this is a composite measure, a component of the composite. Describes how to combine the information calculated, based on logic in each of several populations, into one summarized result. Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range). Exercise caution when using any values besides increase or decrease for improvementNotation. Narrative text to explain the improvement notation and how to interpret it. A reference to a Library resource containing the formal logic used by the measure group. A population criteria for the measure. A stratifier for the measure, specified as either a criteria expression, or a set of components that define value-based stratifier expressions. The Measure resource provides the definition of a quality measure. The measure that contains the definition of the component calculation. Specifies the id of a particular group within the measure referenced by the related artifact resource. What is the weight of the contribution of this measure to the overall score. The Measure resource provides the definition of a quality measure. An identifier that is unique within the Measure allowing linkage to the equivalent population in a MeasureReport resource. Indicates the title for the group's population. The type of population criteria. The human readable description of this population criteria. An expression that specifies the criteria for the population, typically the name of an expression in a library. A Group resource that defines this population as a set of characteristics. The id of a population element in this measure that provides the input for this population criteria. In most cases, the scoring structure of the measure implies specific relationships (e.g. the Numerator uses the Denominator as the source in a proportion scoring). In some cases, however, multiple possible choices exist and must be resolved explicitly. For example in a ratio measure with multiple initial populations, the denominator must specify which population should be used as the starting point. Specifies which method should be used to aggregate measure observation values. For most scoring types, this is implied by scoring (e.g. a proportion measure counts members of the populations). For continuous variables, however, this information must be specified to ensure correct calculation. The Measure resource provides the definition of a quality measure. An identifier that is unique within the Measure allowing linkage to the equivalent item in a MeasureReport resource. Indicates the title for the stratifier of the group. Indicates a meaning for the stratifier. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing stratifiers to be correlated across measures. The human readable description of this stratifier criteria. An expression that specifies a criteria-based stratifier for the measure. This is typically the name of an expression defined within a referenced library, and SHALL use the same basis as other population criteria for the population group. A Group resource that defines this population as a set of characteristics. A component of a value-based stratifier for the measure report, specified as either the name of a valid CQL expression defined within a referenced library or a valid FHIR Resource Path. The Measure resource provides the definition of a quality measure. An identifier that is unique within the Measure allowing linkage to the equivalent item in a MeasureReport resource. Indicates a meaning for the stratifier component. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing stratifiers to be correlated across measures. The human readable description of this stratifier criteria component. An expression that returns the value of this component of the stratifier for a member of the population. This is typically the name of an expression defined within a referenced library, but it may also be a path to a stratifier element, evaluated from the perspective of the measure subject. If this is a non-subject-based measure, the expression may be a reference to a function that takes an argument of the type of the measure basis, allowing the stratifier value to be determined for each member of the population. A Group resource that defines this population as a set of characteristics. A value set defining the set of possible values for stratum in this stratifier. If criteria and valueSet are both present, they SHALL be consistent (i.e. criteria expressions SHALL produce stratum values that are codes in the value set referenced by this element). Note that this MAY be strictly at the code level (e.g. an Age Range code that is just the string value `01Y--05Y` with the system ignored). Indicates what units, if any, stratifier values are expected to be expressed in. This element SHOULD be specified in UCUM units or calendar units. The Measure resource provides the definition of a quality measure. An identifier that is unique within the Measure allowing linkage to the equivalent item in a MeasureReport resource. Indicates a meaning for the supplemental data. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing supplemental data to be correlated across measures. An indicator of the intended usage for the supplemental data element. Supplemental data indicates the data is additional information requested to augment the measure information. Risk adjustment factor indicates the data is additional information used to calculate risk adjustment factors when applying a risk model to the measure calculation. The human readable description of this supplemental data. The criteria for the supplemental data. This is typically the name of a valid expression defined within a referenced library, but it may also be a path to a specific data element. The criteria defines the data to be returned for this element. A value set defining the set of possible values for supplemental data in this element. If criteria and valueSet are both present, they SHALL be consistent (i.e. criteria expressions SHALL produce supplemental data values that are codes in the value set referenced by this element). Note that this MAY be strictly at the code level (e.g. an Age Range code that is just the string value `01Y--05Y` with the system ignored). Indicates what units, if any, supplemental data values are expected to be expressed in. This element SHOULD be specified in UCUM units or calendar units. The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. If the element is present, it must have either a @value, an @id, or extensions A formal identifier that is used to identify this MeasureReport when it is represented in other formats or referenced in a specification, model, design or an instance. The category of measure report instance this is such as Data Exchange for Quality Measures (DEQM), Risk Adjustment, or Value-Based Performance. A reference to an OperationOutcome that contains any information, warning, and/or error messages that were generated while processing an operation such as $evaluate. The MeasureReport status. No data will be available until the MeasureReport status is complete. The type of measure report. This may be an individual report, which provides the score for the measure for an individual member of the population; a subject-listing, which returns the list of members that meet the various criteria in the measure; a summary report, which returns a population count for each of the criteria in the measure; or a data-collection, which enables the MeasureReport to be used to exchange the data-of-interest for a quality measure. Indicates whether the data submitted in a data-exchange report represents a snapshot or incremental update. A snapshot update replaces all previously submitted data for the receiver, whereas an incremental update represents only updated and/or changed data and should be applied as a differential update to the existing submitted data for the receiver. A reference to the Measure that was calculated to produce this report. Optional subject identifying the individual or individuals the report is for. The date this measure report was generated. The individual or organization that is reporting the data. A reference to the vendor who queried the data, calculated results and/or generated the report. The ‘reporting vendor’ is intended to represent the submitting entity when it is not the same as the reporting entity. This extension is used when the Receiver is interested in getting vendor information in the report. A reference to the location for which the data is being reported. The reporting period for which the report was calculated. A reference to a Parameters resource (typically represented using a contained resource) that represents any input parameters that were provided to the operation that generated the report. If the input parameter includes stratifiers, then the MeasureReport SHALL include the input parameters. The results of the calculation, one for each population group in the measure. A MeasureReport SHALL have a group element corresponding to each group element defined in the Measure being reported. A reference to a Resource that represents additional information collected for the report. If the value of the supplemental data is not a Resource (i.e. evaluating the supplementalData expression for this case in the measure results in a value that is not a FHIR Resource), it is reported as a reference to a contained Observation resource. Evaluated resources are used to capture what data was involved in the calculation of a measure. This usage is only allowed for individual reports to ensure that the size of the MeasureReport resource is bounded. The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. The group from the Measure that corresponds to this group in the MeasureReport resource. This element SHALL be populated based on the corresponding element in the Measure being reported. Indicates the title for of the group. The date the Measure Report was calculated. The meaning of the population group as defined in the measure definition. This element SHALL be populated with at least the codings in the code of the corresponding group in the Measure being reported. The human readable description of this population group. This element SHOULD be populated based on the description of the corresponding group in the Measure being reported. Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. Optional subject identifying the individual or individuals the report is for. Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. It is expected to be the same as the scoring element on the referenced Measure. Whether improvement in the measure is noted by an increase or decrease in the measure score. Exercise caution when using any values besides increase or decrease for improvementNotation. Narrative text to explain the improvement notation and how to interpret it. The populations that make up the population group, one for each type of population appropriate for the measure. Each group in the MeasureReport SHALL have populations as defined in the corresponding group of the Measure being reported. The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group. The stratification results for this measure group, calculated as defined by the stratifier element of the measure being reported. Each group in the MeasureReport SHALL have stratifiers as defined in the corresponding group of the Measure being reported. The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. The population from the Measure that corresponds to this population in the MeasureReport resource. This element SHALL be populated based on the corresponding element in the Measure being reported. Indicates the title for of the group's population. The type of the population. This element SHALL be populated with at least the codings in the code element of the corresponding population in the Measure group being reported. The human readable description of this population criteria. This element SHOULD be populated based on the description element of the corresponding population in the Measure group being reported. The number of members of the population. The number of members of the population, specified as a quantity to support identifying units, as well as to support some composite measure calculation use cases where the resulting count of the population is a decimal value. This element refers to a List of individual level MeasureReport resources, one for each subject in this population. A reference to an individual level MeasureReport resource for a member of the population. Optional Group identifying the individuals that make up the population. The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. The stratifier from the Measure that corresponds to this stratifier in the MeasureReport resource. This element SHALL be populated based on the corresponding element in the Measure being reported. Indicates the title for of the group's stratifier. The meaning of this stratifier, as defined in the measure definition. This element SHALL be populated with at least the codings in the code element of the corresponding stratifier in the Measure group being reported. The human readable description of this stratifier criteria. This element SHOULD be populated with the description element of the corresponding stratifier in the Measure group being reported. This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value. The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. The value for this stratum, expressed as a CodeableConcept. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique. A stratifier component value. The populations that make up the stratum, one for each type of population appropriate to the measure. For each stratifier, systems MAY provide population breakdowns in addition to the stratified scores. The measure score for this stratum, calculated as appropriate for the measure type and scoring method, and based on only the members of this stratum. The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. The stratifier component from the Measure that corresponds to this stratifier component in the MeasureReport resource. This element SHALL be populated based on the corresponding element in the Measure being reported. The code for the stratum component value. This element SHALL be populated with at least the codings in the code element of the corresponding component of the stratifier being reported. The human readable description of this stratifier criteria component. This element MAY be populated with the description of the corresponding component of the stratifier being reported. The stratum component value. The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. The population from the Measure that corresponds to this population in the MeasureReport resource. This element SHALL be populated with the linkId corresponding to the population being reported. The type of the population. This element SHALL be populated with at least the codings in the code element of the corresponding population being reported. The number of members of the population in this stratum. The number of members of the population in this stratum, specified as a quantity to support identifying units, as well as to support some composite measure calculation use cases where the resulting count of the population is a decimal value. This element refers to a List of individual level MeasureReport resources, one for each subject in this population in this stratum. A reference to an individual level MeasureReport resource for a member of the population. Optional Group identifying the individuals that make up the population. Incremental Snapshot If the element is present, it must have either a @value, an @id, or extensions Complete Pending Error The status of the measure report. If the element is present, it must have either a @value, an @id, or extensions Individual Subject List Summary Data Exchange The type of the measure report. If the element is present, it must have either a @value, an @id, or extensions This resource is primarily used for the identification and definition of a medication, including ingredients, for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use. This resource is primarily used for the identification and definition of a medication, including ingredients, for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use. If the element is present, it must have either a @value, an @id, or extensions Business identifier for this medication. A code (or set of codes) that specify this medication, or a textual description. 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. The name of the medication can be conveyed in the code.text even if it is different from any of the coding displayName values. A code to indicate if the medication is in active use. The company or other legal entity that has authorization, from the appropriate drug regulatory authority, to market a medicine in one or more jurisdictions. Typically abbreviated MAH.Note: The MAH may manufacture the product and may also contract the manufacturing of the product to one or more companies (organizations). Describes the form of the item. Powder; tablets; capsule. When the code does not specify the package size, this backbone element can be used to specify the overall amount of medication in the package. Identifies a particular constituent of interest in the product. Information that only applies to packages (not products). A reference to a definitional resource that provides more information about this medication. This resource is primarily used for the identification and definition of a medication, including ingredients, for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use. The number of items in the package that are represented by the code, e.g. 5 vials or 100 tablets. The amount per each item, e.g. 10 ml / vial. This resource is primarily used for the identification and definition of a medication, including ingredients, for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use. The ingredient (substance or medication) that the ingredient.strength relates to. This is represented as a concept from a code system or described in another resource (Substance or Medication). Indication of whether this ingredient affects the therapeutic action of the drug. Indication of whether this ingredient affects the therapeutic action of the drug. Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet but can also be expressed a quantity when the denominator is assumed to be 1 tablet. This resource is primarily used for the identification and definition of a medication, including ingredients, for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use. Identifier for the physical instance, typically a serial number. The assigned lot number of a batch of the specified product. When this specific instance of product will expire. Active Inactive Entered in Error If the element is present, it must have either a @value, an @id, or extensions Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner. Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner. If the element is present, it must have either a @value, an @id, or extensions Identifiers associated with this Medication Administration 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. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. A plan that is fulfilled in whole or in part by this MedicationAdministration. A larger event of which this particular event is a component or step. Will generally be set to show that the administration has been completed. For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way. A code indicating why the status of the administration changed. The type of medication administration. Identifies the medication that was 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. The person or animal or group receiving the medication. The visit, admission, or other contact between patient and health care provider during which the medication administration was performed. Additional information (for example, patient height and weight) that supports the administration of the medication. This attribute can be used to provide documentation of specific characteristics of the patient present at the time of administration. For example, if the dose says "give "x" if the heartrate exceeds "y"", then the heart rate can be included using this attribute. A specific date/time or interval of time during which the administration took place (or did not take place). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate. The date the occurrence of the MedicationAdministration was first captured in the record - potentially significantly after the occurrence of the event. An indication that the full dose was not administered. The reason or reasons why the full dose was not administered. The performer of the medication treatment. For devices this is the device that performed the administration of the medication. An IV Pump would be an example of a device that is performing the administration. Both the IV Pump and the practitioner that set the rate or bolus on the pump can be listed as performers. A code, Condition or observation that supports why the medication was administered. The original request, instruction or authority to perform the administration. The device that is to be used for the administration of the medication (for example, PCA Pump). Extra information about the medication administration that is not conveyed by the other attributes. Describes the medication dosage information details e.g. dose, rate, site, route, etc. A summary of the events of interest that have occurred, such as when the administration was verified. Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner. Distinguishes the type of involvement of the performer in the medication administration. Indicates who or what performed the medication administration. Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner. Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans. The dosage instructions should reflect the dosage of the medication that was administered. A coded specification of the anatomic site where the medication first entered the body. For example, "left arm". A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc. A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV. The amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection. 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. In Progress Not Done On Hold Completed Entered in Error Stopped Unknown If the element is present, it must have either a @value, an @id, or extensions Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order. Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order. If the element is present, it must have either a @value, an @id, or extensions Identifiers associated with this Medication Dispense 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. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. A plan that is fulfilled in whole or in part by this MedicationDispense. The procedure or medication administration that triggered the dispense. A code specifying the state of the set of dispense events. Indicates the reason why a dispense was not performed. The date (and maybe time) when the status of the dispense record changed. Indicates the type of medication dispense (for example, drug classification like ATC, where meds would be administered, legal category of the medication.). Identifies the medication supplied (or intended to be supplied). 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. A link to a resource representing the person or the group to whom the medication will be given. The encounter that establishes the context for this event. Additional information that supports the medication being dispensed. For example, there may be requirements that a specific lab test has been completed prior to dispensing or the patient's weight at the time of dispensing is documented. Indicates who or what performed the event. The principal physical location where the dispense was performed. Indicates the medication order that is being dispensed against. Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc. The amount of medication that has been (or was intended to be) dispensed. Includes unit of measure. The amount of medication expressed as a timing amount. Represents the known number of the fill over the entire lifetime of the prescription, i.e. if this is the first dispense by this pharmacy but the third fill overall, then the fillNumber will be 3. Each fill number represents one dispensation, even if that dispensation is not for the full quantity. Partial fills are not represented by decimal quantities, i.e., a partial fill of 40 tablets (full quantity is 100 tablets) adds 1 to the prior fill number, not 0.4. This means that the 'fillNumber' may sometimes be higher than the MedicationRequest.numberOfRepeatsAllowed, as the latter assumes full fills, while fillNumber does not. The date the occurrence of the MedicationDispense was first captured in the system. The time when the dispensed product was packaged and reviewed. The time the dispensed product was provided to the patient or their representative. Identification of the facility/location where the medication was/will be shipped to, as part of the dispense event. Identifies the person who picked up the medication or the location or organization where the medication was delivered. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional or a location, or organization. Extra information about the dispense that could not be conveyed in the other attributes. Indicates how the medication is to be used by the patient. Provides information about the type of adherence packaging supplied for the medication dispense. Indicates whether or not substitution was made as part of the dispense. In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why. If nothing is specified, substitution was not done. A summary of the events of interest that have occurred, such as when the dispense was verified. Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order. Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker. The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication. Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order. True if the dispenser dispensed a different drug or product from what was prescribed. A code signifying whether a different drug was dispensed from what was prescribed. Indicates the reason for the substitution (or lack of substitution) from what was prescribed. The person or organization that has primary responsibility for the substitution. Preparation In Progress Cancelled On Hold Completed Entered in Error Unfulfilled Declined Unknown A coded concept specifying the state of the dispense event. If the element is present, it must have either a @value, an @id, or extensions An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns. An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns. If the element is present, it must have either a @value, an @id, or extensions 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. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. Whenever the medication request is being issued because of another request, eg. a procedure that is being planned (ServiceRequest) and MedicationRequests are known to be needed, this element documents those requests. Reference to an order/prescription that is being replaced by this MedicationRequest. A shared identifier common to multiple independent Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time. A code specifying the current state of the order. Generally, this will be active or completed state. Captures the reason for the current state of the MedicationRequest. The date (and perhaps time) when the status was changed. Whether the request is a proposal, plan, or an original order. An arbitrary categorization or grouping of the medication request. It could be used for indicating where meds are intended to be administered, eg. in an inpatient setting or in a patient's home, or a legal category of the medication. Indicates how quickly the Medication Request should be addressed with respect to other requests. If true, indicates the provider is ordering a patient should not take the specified medication. The reason for this order can be provided in the .reason element. A MedicationRequest with .doNotPerform = true will not result in any dispense or administration. A request not to take or administer medication is a standalone request, and does not update any other medication request. When true, active orders that may exist for the same medication are expected to be canceled/ended, and new orders for the same medication are not expected. Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications. The individual or group for whom the medication has been requested. The person or organization who provided the information about this request, if the source is someone other than the requestor. The informationSource element is generally used when details of a prescription are being reported by someone who is not the requestor, e.g., I indicate that I received a prescription for a med out of my jurisdiction and the details are recorded in the system as a MedicationRequest. Normally when this element is populated, the .isRecordOfRequest element would be set to "true". The Encounter during which this [x] was created or to which the creation of this record is tightly associated. Information to support fulfilling (i.e. dispensing or administering) of the medication, for example, patient height and weight, a MedicationStatement for the patient). The date (and perhaps time) when the prescription was initially written or authored on. The individual, organization, or device that initiated the request and has responsibility for its activation. The information in this instance is a record of the Medication Request and is not request or order itself and should not be considered as such, i.e. the information should not be used for medication dispense | supply and administration. Indicates the type of performer of the administration of the medication. The specified desired performer of the medication treatment (e.g. the performer of the medication administration). For devices, this is the device that is intended to perform the administration of the medication. An IV Pump would be an example of a device that is performing the administration. Both the IV Pump and the practitioner that set the rate or bolus on the pump can be listed as performers. The intended type of device that is to be used for the administration of the medication (for example, PCA Pump). The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order. When the medication request was issued as a result of something that occurred, i.e. a lab test or a performed procedure, this documents those reasons. The description of the overall pattern of the administration of the medication to the patient. Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. Extra information about the prescription that could not be conveyed by the other attributes. The period over which the medication is to be taken. Can be specified as a duration or a range. Where there are multiple dosageInstruction lines (for example, tapering doses), this is the earliest date and the latest end date of the dosageInstructions. Specific instructions for how the medication is to be used by the patient. 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. 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. 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. An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns. Indicates the quantity or duration for the first dispense of the medication. The minimum period of time that must occur between dispenses of the medication. This indicates the validity period of a prescription (stale dating the Prescription). 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. A prescriber may explicitly say that zero refills are permitted after the initial dispense. The amount that is to be dispensed for one fill. 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. Indicates the intended performing Organization that will dispense the medication as specified by the prescriber. Provides additional information to the dispenser, for example, counselling to be provided to the patient. Provides information about the type of adherence packaging to be supplied for the medication dispense. Identification of the facility/location where the medication is expected to be delivered. An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns. The amount or quantity to provide as part of the first dispense. The length of time that the first dispense is expected to last. An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns. True if the prescriber allows a different drug to be dispensed from what was prescribed. Indicates the reason for the substitution, or why substitution must or must not be performed. Active On Hold Ended Stopped Completed Cancelled Entered in Error Draft Unknown If the element is present, it must have either a @value, an @id, or extensions Proposal Plan Order Original Order Reflex Order Filler Order Instance Order Option If the element is present, it must have either a @value, an @id, or extensions A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. The primary difference between a medicationstatement and a medicationadministration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medicationstatement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the Medication Statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information. A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. The primary difference between a medicationstatement and a medicationadministration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medicationstatement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the Medication Statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information. If the element is present, it must have either a @value, an @id, or extensions Identifiers associated with this Medication Statement 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. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. A larger event of which this particular MedicationStatement is a component or step. A code representing the status of recording the medication statement. Type of medication statement. The committee will revisit these codes, expecting to use a codesystem from [terminology.hl7.org](http://terminology.hl7.org). Identifies the medication taken (or not taken). 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. The person, animal or group who is/was taking the medication. The encounter that establishes the context for this MedicationStatement. The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.adherence element is Not Taking). The date when the Medication Statement was asserted by the information source. The individual, organization, or device that created the statement and has responsibility for its content. 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. Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement. The concept(s), Condition(s) or observation(s) that lead to the medication being taken (or not taken). Provides extra information about the Medication Statement that is not conveyed by the other attributes. Link to information that is relevant to a medication statement, for example, illicit drug use, gestational age, etc. This is normally not the actual indication for the medication being used - that indication would be represented with .reason. Indicates how the medication is/was or should be taken by the patient. Indicates whether the medication is or is not being consumed or administered. A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. The primary difference between a medicationstatement and a medicationadministration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medicationstatement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the Medication Statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information. Type of the adherence for the medication. Captures the reason for the current use or adherence of a medication. Recorded Entered in Error Draft If the element is present, it must have either a @value, an @id, or extensions A medicinal product, being a substance or combination of substances that is intended to treat, prevent or diagnose a disease, or to restore, correct or modify physiological functions by exerting a pharmacological, immunological or metabolic action. This resource is intended to define and detail such products and their properties, for uses other than direct patient care (e.g. regulatory use, or drug catalogs). A medicinal product, being a substance or combination of substances that is intended to treat, prevent or diagnose a disease, or to restore, correct or modify physiological functions by exerting a pharmacological, immunological or metabolic action. This resource is intended to define and detail such products and their properties, for uses other than direct patient care (e.g. regulatory use, or drug catalogs). If the element is present, it must have either a @value, an @id, or extensions Business identifier for this product. Could be an MPID. When in development or being regulated, products are typically referenced by official identifiers, assigned by a manufacturer or regulator, and unique to a product (which, when compared to a product instance being prescribed, is actually a product type). See also MedicinalProductDefinition.code. Regulatory type, e.g. Investigational or Authorized. If this medicine applies to human or veterinary uses. A business identifier relating to a specific version of the product, this is commonly used to support revisions to an existing product. The status within the lifecycle of this product record. A high-level status, this is not intended to duplicate details carried elsewhere such as legal status, or authorization status. The date at which the given status became applicable. General description of this product. The dose form for a single part product, or combined form of a multiple part product. This is one concept that describes all the components. It does not represent the form with components physically mixed, if that might be necessary, for which see (AdministrableProductDefinition.administrableDoseForm). The path by which the product is taken into or makes contact with the body. In some regions this is referred to as the licensed or approved route. See also AdministrableProductDefinition resource. MedicinalProductDefinition.route is the same concept as AdministrableProductDefinition.routeOfAdministration.code, and they cannot be used together. Description of indication(s) for this product, used when structured indications are not required. In cases where structured indications are required, they are captured using the ClinicalUseDefinition resource. An indication is a medical situation for which using the product is appropriate. The legal status of supply of the medicinal product as classified by the regulator. Whether the Medicinal Product is subject to additional monitoring for regulatory reasons, such as heightened reporting requirements. Whether the Medicinal Product is subject to special measures for regulatory reasons, such as a requirement to conduct post-authorization studies. If authorised for use in children, or infants, neonates etc. Allows the product to be classified by various systems, commonly WHO ATC. Marketing status of the medicinal product, in contrast to marketing authorization. This refers to the product being actually 'on the market' as opposed to being allowed to be on the market (which is an authorization). Package type for the product. See also the PackagedProductDefinition resource. Types of medicinal manufactured items and/or devices that this product consists of, such as tablets, capsule, or syringes. Used as a direct link when the item's packaging is not being recorded (see also PackagedProductDefinition.package.containedItem.item). The ingredients of this medicinal product - when not detailed in other resources. This is only needed if the ingredients are not specified by incoming references from the Ingredient resource, or indirectly via incoming AdministrableProductDefinition, PackagedProductDefinition or ManufacturedItemDefinition references. In cases where those levels of detail are not used, the ingredients may be specified directly here as codes. Any component of the drug product which is not the chemical entity defined as the drug substance, or an excipient in the drug product. This includes process-related impurities and contaminants, product-related impurities including degradation products. Additional information or supporting documentation about the medicinal product. A master file for the medicinal product (e.g. Pharmacovigilance System Master File). Drug master files (DMFs) are documents submitted to regulatory agencies to provide confidential detailed information about facilities, processes or articles used in the manufacturing, processing, packaging and storing of drug products. A product specific contact, person (in a role), or an organization. Clinical trials or studies that this product is involved in. A code that this product is known by, usually within some formal terminology, perhaps assigned by a third party (i.e. not the manufacturer or regulator). Products (types of medications) tend to be known by identifiers during development and within regulatory process. However when they are prescribed they tend to be identified by codes. The same product may be have multiple codes, applied to it by multiple organizations. The product's name, including full name and possibly coded parts. Reference to another product, e.g. for linking authorised to investigational product, or a virtual product. A manufacturing or administrative process or step associated with (or performed on) the medicinal product. Allows the key product features to be recorded, such as "sugar free", "modified release", "parallel import". A medicinal product, being a substance or combination of substances that is intended to treat, prevent or diagnose a disease, or to restore, correct or modify physiological functions by exerting a pharmacological, immunological or metabolic action. This resource is intended to define and detail such products and their properties, for uses other than direct patient care (e.g. regulatory use, or drug catalogs). Allows the contact to be classified, for example QPPV, Pharmacovigilance Enquiry Information. A product specific contact, person (in a role), or an organization. A medicinal product, being a substance or combination of substances that is intended to treat, prevent or diagnose a disease, or to restore, correct or modify physiological functions by exerting a pharmacological, immunological or metabolic action. This resource is intended to define and detail such products and their properties, for uses other than direct patient care (e.g. regulatory use, or drug catalogs). The full product name. Type of product name, such as rINN, BAN, Proprietary, Non-Proprietary. Coding words or phrases of the name. Country and jurisdiction where the name applies, and associated language. A medicinal product, being a substance or combination of substances that is intended to treat, prevent or diagnose a disease, or to restore, correct or modify physiological functions by exerting a pharmacological, immunological or metabolic action. This resource is intended to define and detail such products and their properties, for uses other than direct patient care (e.g. regulatory use, or drug catalogs). A fragment of a product name. Identifying type for this part of the name (e.g. strength part). A medicinal product, being a substance or combination of substances that is intended to treat, prevent or diagnose a disease, or to restore, correct or modify physiological functions by exerting a pharmacological, immunological or metabolic action. This resource is intended to define and detail such products and their properties, for uses other than direct patient care (e.g. regulatory use, or drug catalogs). Country code for where this name applies. Jurisdiction code for where this name applies. A jurisdiction may be a sub- or supra-national entity (e.g. a state or a geographic region). Language code for this name. A medicinal product, being a substance or combination of substances that is intended to treat, prevent or diagnose a disease, or to restore, correct or modify physiological functions by exerting a pharmacological, immunological or metabolic action. This resource is intended to define and detail such products and their properties, for uses other than direct patient care (e.g. regulatory use, or drug catalogs). Reference to another product, e.g. for linking authorised to investigational product. The type of relationship, for instance branded to generic, virtual to actual product, product to development product (investigational), parallel import version. A medicinal product, being a substance or combination of substances that is intended to treat, prevent or diagnose a disease, or to restore, correct or modify physiological functions by exerting a pharmacological, immunological or metabolic action. This resource is intended to define and detail such products and their properties, for uses other than direct patient care (e.g. regulatory use, or drug catalogs). The type of manufacturing operation e.g. manufacturing itself, re-packaging. For the authorization of this, a RegulatedAuthorization would point to the same plan or activity referenced here. Date range of applicability. The organization or establishment responsible for (or associated with) the particular process or step, examples include the manufacturer, importer, agent. Specifies whether this particular business or manufacturing process is considered proprietary or confidential. A medicinal product, being a substance or combination of substances that is intended to treat, prevent or diagnose a disease, or to restore, correct or modify physiological functions by exerting a pharmacological, immunological or metabolic action. This resource is intended to define and detail such products and their properties, for uses other than direct patient care (e.g. regulatory use, or drug catalogs). A code expressing the type of characteristic. A value for the characteristic.text. Defines the characteristics of a message that can be shared between systems, including the type of event that initiates the message, the content to be transmitted and what response(s), if any, are permitted. Defines the characteristics of a message that can be shared between systems, including the type of event that initiates the message, the content to be transmitted and what response(s), if any, are permitted. If the element is present, it must have either a @value, an @id, or extensions The business identifier that is used to reference the MessageDefinition and *is* expected to be consistent from server to server. A formal identifier that is used to identify this message definition when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the message definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the message 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the message definition. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the message definition. A MessageDefinition that is superseded by this definition. The status of this message definition. Enables tracking the life-cycle of the content. A Boolean value to indicate that this message definition is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the message definition was last significantly changed. The date must change 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 message definition changes. The name of the organization or individual responsible for the release and ongoing maintenance of the message definition. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the message definition from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate message definition instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this message definition is needed and why it has been designed as it has. A copyright statement relating to the message definition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the message definition. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). The MessageDefinition that is the basis for the contents of this resource. Identifies a protocol or workflow that this MessageDefinition represents a step in. Event code or link to the EventDefinition. The impact of the content of the message. Identifies the resource (or resources) that are being addressed by the event. For example, the Encounter for an admit message or two Account records for a merge. Declare at a message definition level whether a response is required or only upon error or success, or never. Indicates what types of messages may be sent as an application-level response to this message. Defines the characteristics of a message that can be shared between systems, including the type of event that initiates the message, the content to be transmitted and what response(s), if any, are permitted. The kind of resource that must be the focus for this message. A profile that reflects constraints for the focal resource (and potentially for related resources). Identifies the minimum number of resources of this type that must be pointed to by a message in order for it to be valid against this MessageDefinition. Identifies the maximum number of resources of this type that must be pointed to by a message in order for it to be valid against this MessageDefinition. Defines the characteristics of a message that can be shared between systems, including the type of event that initiates the message, the content to be transmitted and what response(s), if any, are permitted. A reference to the message definition that must be adhered to by this supported response. Provides a description of the circumstances in which this response should be used (as opposed to one of the alternative responses). Consequence Currency Notification If the element is present, it must have either a @value, an @id, or extensions Always Error/reject conditions only Never Successful completion only HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message. If the element is present, it must have either a @value, an @id, or extensions The header for a message exchange that is either requesting or responding to an action. The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle. The header for a message exchange that is either requesting or responding to an action. The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle. If the element is present, it must have either a @value, an @id, or extensions Code that identifies the event this message represents and connects it with its definition. Events are defined by codes, or by URIs that identify events, or by reference to EventDefinition or SubscriptionTopic resources that define the event directly. This element is intentionally unbound, and the selection of appropriate event codes is delegated to implementations and implementation guides. For codes, a good set of example codes is found in [the V2 event codes](https://terminology.hl7.org/ValueSet-v2-0003.html). The destination application which the message is intended for. The source application from which this message originated. Coded indication of the cause for the event - indicates a reason for the occurrence of the event that is a focus of this message. Information about the message that this message is a response to. Only present if this message is a response. The actual data of the message - a reference to the root/focus class of the event. This is allowed to be a Parameters resource. Permanent link to the MessageDefinition for this message. The header for a message exchange that is either requesting or responding to an action. The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle. Indicates where the message should be routed. Human-readable name for the target system. Allows data conveyed by a message to be addressed to a particular person or department when routing to a specific application isn't sufficient. The header for a message exchange that is either requesting or responding to an action. The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle. Identifies the routing target to send acknowledgements to. Human-readable name for the source system. May include configuration or other information useful in debugging. Can convey versions of multiple systems in situations where a message passes through multiple hands. An e-mail, phone, website or other contact point to use to resolve issues with message communications. Identifies the sending entity to allow the use of a trust relationship. The header for a message exchange that is either requesting or responding to an action. The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle. The Bundle.identifier of the message to which this message is a response. Code that identifies the type of response to the message - whether it was successful or not, and whether it should be resent or not. Full details of any issues found in the message. OK Transient Error Fatal Error If the element is present, it must have either a @value, an @id, or extensions A curated namespace that issues unique symbols within that namespace for the identification of concepts, people, devices, etc. Represents a "System" used within the Identifier and Coding data types. A curated namespace that issues unique symbols within that namespace for the identification of concepts, people, devices, etc. Represents a "System" used within the Identifier and Coding data types. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this naming system when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this naming system is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the naming system is stored on different servers. A formal identifier that is used to identify this naming system when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the naming system when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the naming system 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. Indicates the mechanism used to compare versions to determine which NamingSystem is more current. A natural language name identifying the naming system. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the naming system. The status of this naming system. Enables tracking the life-cycle of the content. Indicates the purpose for the naming system - what kinds of things does it make unique? A Boolean value to indicate that this naming system is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the naming system was last significantly changed. The date must change 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 naming system changes. The name of the organization or individual responsible for the release and ongoing maintenance of the naming system. Contact details to assist a user in finding and communicating with the publisher. The name of the organization that is responsible for issuing identifiers or codes for this namespace and ensuring their non-collision. Categorizes a naming system for easier search by grouping related naming systems. A free text natural language description of the naming system from a consumer's perspective. Details about what the namespace identifies including scope, granularity, version labeling, etc. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate naming system instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this naming system is needed and why it has been designed as it has. A copyright statement relating to the naming system and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the naming system. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. The period during which the NamingSystem content was or is planned to be in active use. Descriptions related to the content of the NamingSystem. Topics provide a high-level categorization as well as keywords for the NamingSystem that can be useful for filtering and searching. An individiual or organization primarily involved in the creation and maintenance of the NamingSystem. An individual or organization primarily responsible for internal coherence of the NamingSystem. An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the NamingSystem. An individual or organization asserted by the publisher to be responsible for officially endorsing the NamingSystem for use in some setting. Related artifacts such as additional documentation, justification, dependencies, bibliographic references, and predecessor and successor artifacts. If the type is `successor` or `predecessor`, the related resource must be a NamingSystem. Provides guidance on the use of the namespace, including the handling of formatting characters, use of upper vs. lower case, etc. Indicates how the system may be identified when referenced in electronic exchange. A curated namespace that issues unique symbols within that namespace for the identification of concepts, people, devices, etc. Represents a "System" used within the Identifier and Coding data types. Identifies the unique identifier scheme used for this particular identifier. The string that should be sent over the wire to identify the code system or identifier system. Indicates whether this identifier is the "preferred" identifier of this type. Notes about the past or intended usage of this identifier. Identifies the period of time over which this identifier is considered appropriate to refer to the naming system. Outside of this window, the identifier might be non-deterministic. Indicates whether this identifier ie endorsed by the official owner of the associated naming system. OID UUID URI IRI stem V2CSMNemonic Other If the element is present, it must have either a @value, an @id, or extensions Code System Identifier Root If the element is present, it must have either a @value, an @id, or extensions A record of intake by a patient. A NutritionIntake may indicate that the patient may be consuming the food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula now or has consumed it in the past. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay or through an app that tracks food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula consumed. The consumption information may come from sources such as the patient's memory, from a nutrition label, or from a clinician documenting observed intake. A record of intake by a patient. A NutritionIntake may indicate that the patient may be consuming the food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula now or has consumed it in the past. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay or through an app that tracks food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula consumed. The consumption information may come from sources such as the patient's memory, from a nutrition label, or from a clinician documenting observed intake. If the element is present, it must have either a @value, an @id, or extensions Identifiers associated with this Nutrition Intake 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. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. A plan, proposal or order that is fulfilled in whole or in part by this event. A larger event of which this particular event is a component or step. A code representing the patient or other source's judgment about the state of the intake that this assertion is about. Generally, this will be active or completed. Captures the reason for the current state of the NutritionIntake. Overall type of nutrition intake. The person or group who is/was consuming the food (i.e. solid and/or liquid). The encounter that establishes the context for this NutritionIntake. The interval of time during which it is being asserted that the patient is/was consuming the food (i.e. solid and/or liquid). The date when the Nutrition Intake was asserted by the information source. Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth. It may also indicate the source that provided the information about the consumption. The nutrition product intended for consumption and/or administration. Who or what performed the intake and how they were involved. Where the intake occurred. Allows linking the NutritionIntake to the underlying NutritionOrder, or to other information, such as AllergyIntolerance, that supports or is used to derive the NutritionIntake. A reason, Condition or observation for why the food (i.e. solid and/or liquid) is /was consumed. Provides extra information about the Nutrition Intake that is not conveyed by the other attributes. A record of intake by a patient. A NutritionIntake may indicate that the patient may be consuming the food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula now or has consumed it in the past. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay or through an app that tracks food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula consumed. The consumption information may come from sources such as the patient's memory, from a nutrition label, or from a clinician documenting observed intake. Indicates what a category of item that is intended to be consumed: e.g., food (i.e. solid and/or liquid), breastmilk, infant formula, supplements, enteral formula. Identifies the food (i.e. solid and/or liquid) product that is to be consumed. This is potentially a link to a resource representing the details of the food product or a simple attribute carrying a code that identifies the food from a known list of foods. What nutrition item was consumed. What nutrition item was not consumed. A record of intake by a patient. A NutritionIntake may indicate that the patient may be consuming the food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula now or has consumed it in the past. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay or through an app that tracks food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula consumed. The consumption information may come from sources such as the patient's memory, from a nutrition label, or from a clinician documenting observed intake. Scheduled frequency of consumption. Quantity of the specified food (i.e. solid and/or liquid). Rate of enteral feeding administration. Nutrients and/or energy contained in the intake. A record of intake by a patient. A NutritionIntake may indicate that the patient may be consuming the food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula now or has consumed it in the past. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay or through an app that tracks food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula consumed. The consumption information may come from sources such as the patient's memory, from a nutrition label, or from a clinician documenting observed intake. Type of nutrient consumed. This could be a macronutrient (protein, fat, carbohydrate), or a vitamin and mineral. Total amount of nutrient consumed. Total energy consumed in kilocalories or kilojoules. A record of intake by a patient. A NutritionIntake may indicate that the patient may be consuming the food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula now or has consumed it in the past. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay or through an app that tracks food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula consumed. The consumption information may come from sources such as the patient's memory, from a nutrition label, or from a clinician documenting observed intake. Document the reason the nutrition item was not consumed, such as refused, held, etc. The intended frequency of consumption that was not followed. Quantity of the specified food (i.e. solid and/or liquid) that was not consumed. A record of intake by a patient. A NutritionIntake may indicate that the patient may be consuming the food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula now or has consumed it in the past. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay or through an app that tracks food (i.e., solid and/or liquid), breastmilk, infant formula, supplements, enteral formula consumed. The consumption information may come from sources such as the patient's memory, from a nutrition label, or from a clinician documenting observed intake. Type of performance. Who or what performed the intake. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. If the element is present, it must have either a @value, an @id, or extensions Identifiers assigned to this order by the order sender or by the order receiver. A plan or request that is fulfilled in whole or in part by this nutrition order. A shared identifier common to all nutrition orders that were authorized more or less simultaneously by a single author, representing the composite or group identifier. The workflow status of the nutrition order/request. Indicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain. Indicates how quickly the Nutrition Order should be addressed with respect to other requests. The person or set of individuals who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding. An encounter that provides additional information about the healthcare context in which this request is made. Information to support fulfilling (i.e. dispensing or administering) of the nutrition, for example, patient height and weight). The date and time that this nutrition order was requested. The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings. The specified desired performer of the nutrition order. A link to a record of allergies or intolerances which should be included in the nutrition order. This modifier is used to convey order-specific modifiers about the type of food (i.e. solid and/or liquid) that should be given. These can be derived from patient allergies, intolerances, or preferences such as Halal, Vegan or Kosher. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings. This modifier is used to convey Order-specific modifiers that should not be given. These can be derived from patient allergies, intolerances, or preferences such as No Red Meat, No Soy or No Wheat or Gluten-Free. While it should not be necessary to repeat allergy or intolerance information captured in the referenced AllergyIntolerance resource in the excludeFoodModifier, this element may be used to convey additional specificity related to what should be eliminated from the patient’s diet for any reason. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings. This modifier is used to convey whether a food item, brought in by the patient, family, and/or caregiver, can be consumed by the patient. If set to true, indicates that the receiving system does not need to supply the food item. Diet given orally that may include texture modification, such as International Dysphagia Diet Standardisation Initiative Framework - Slightly Thick Level 1 drinks and Minced and International Dysphagia Diet Standardisation Initiative Framework - Minced and Moist Level 5 food as well as, for example, Decreased potassium diet (ie, nutrient modification), Halal diet (ie, cultural modification), and/or Low microbial diet (eg, other modification). Oral nutritional products given in order to add further nutritional value to the patient's diet. Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity. Indicates modular components to be provided in addition or mixed with the oral diet, supplement, and/or enteral feeding. Comments made about the nutrition order by the requester, performer, subject or other participants. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. The kind of diet or dietary restriction such as fiber restricted diet or diet for diabetes. Schedule information for an oral diet. Defines the quantity and the nutrient modified (for example carbohydrate, fiber or sodium) in the oral diet. Class that describes any texture modifications in addition to the oral diet type required for the patient to safely consume various types of foods (i.e. solid and/or liquid). Free text or additional instructions or information pertaining to the oral diet. The amount of energy (calories or kilojoules) that the oral diet should provide. For example, an infant formula feeding of 30 ounces of 20 kcal/ounce (67 kcal/100 mL) formula per day. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. The time period and frequency at which the diet should be given. The diet should be given for the combination of all schedules if more than one schedule is present. Indicates whether the diet is only taken when needed within a specific administration schedule. Indicates whether the diet is only taken based on a precondition for taking the diet. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. The nutrient that is being modified such as carbohydrate or sodium. The quantity of the specified nutrient to include in diet. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. Texture modifications in the addition to the oral diet type that should be made, e.g. easy to chew, chopped, ground, and pureed. The food (i.e. solid and/or liquid) type(s) (e.g. meats, all foods) that the texture modification applies to. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement. The product or brand name of the nutritional supplement such as "Acme Protein Shake". Schedule information for a supplement. The amount of the nutritional supplement to be given. Free text or additional instructions or information pertaining to the oral supplement. The amount of energy (calories or kilojoules) that the supplement should provide per specified volume, typically per ml or fluid oz. For example, a patient may required a supplement that provides 24 calories per fluid ounce. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. The time period and frequency at which the supplement should be given. The supplement should be given for the combination of all schedules if more than one schedule is present. Indicates whether the supplement is only taken when needed within a specific dosing schedule. Indicates whether the supplement is only taken based on a precondition for taking the supplement. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. The type of adult or pediatric enteral feeding such as an adult standard formula with fiber or a soy-based infant feeding. The product or brand name of the enteral feeding product such as "ACME Adult Standard Formula". The intended type of device that is to be used for the administration of the enteral formula. The amount of energy (calories or kilojoules) that the feeding should provide per specified volume, typically per mL or fluid oz. For example, an infant may require a formula that provides 24 calories per fluid ounce or an adult may require an enteral formula that provides 1.5 calorie/mL. The administration into the patient's gastrointestinal tract for purposes of providing the formula feeding, e.g. nasogastric tube, oral. Formula feeding administration instructions as structured data. This repeating structure allows for changing the administration rate or volume over time for both bolus and continuous feeding. An example of this would be an instruction to increase the rate of continuous feeding every 2 hours. The maximum total quantity of formula feeding that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours. Free text formula administration, feeding instructions or additional instructions or information. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. Schedule information for an enteral feeding. The volume of formula feeding to provide to the patient per the specified administration schedule. The rate of administration of formula feeding via a feeding pump, e.g. 60 mL per hour, according to the specified schedule. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. The time period and frequency at which the enteral feeding should be given. The enteral feeding should be given for the combination of all schedules if more than one schedule is present. Indicates whether the enteral feeding is only taken when needed within a specific dosing schedule. Indicates whether the enteral feeding is only taken based on a precondition for taking the enteral feeding. A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to an individual or group. Indicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the oral diet, supplement, and/or enteral feeding. The product or brand name of the type of modular additive to be added to the oral diet, supplement, and/or enteral feeding. The amount of additive to be given in addition or to be mixed in with the oral diet, supplement, and/or enteral feeding. The administration into the patient's gastrointestinal tract for purposes of providing the additive, e.g. nasogastric tube, oral. A food or supplement that is consumed by patients. A food or supplement that is consumed by patients. If the element is present, it must have either a @value, an @id, or extensions A code that specifies the product or a textual description if no code is available. This could be such codes as a USDA Branded Food Products Database number, a USDA Food Data Central (FDC) ID number, Universal Product Code (UPC), a Langual code, or a country specific food database code. The current state of the product. Nutrition products fall into various categories based on their composition (e.g., Fruit and Grain, Vegetables) or form (e.g., Beverages). The organisation (manufacturer, representative or legal authorization holder) or person that is responsible for nutrition product. The product's nutritional information expressed by the nutrients. The textual description of the ingredients in the product. For example, the following is a concatenated list of the ingredients for a peanut butter would read 'ROASTED PEANUTS, SUGAR, HYDROGENATED VEGETABLE OIL (COTTONSEED, SOYBEAN AND RAPESEED OIL) TO PREVENT SEPARATION, SALT'. Ingredients contained in this product. The amount of energy present in the product expressed in kilocalories or kilojoules. Specifies descriptive properties of the nutrition product. Conveys instance-level information about this product item. One or several physical, countable instances or occurrences of the product. Comments made about the product. A food or supplement that is consumed by patients. The (relevant) nutrients in the product. The amount of nutrient expressed in one or more units, either X per pack / per serving / per dose or X amount. A food or supplement that is consumed by patients. The ingredient contained in the product. The amount of ingredient that is in the product. A known or suspected allergenic and/or substance that is associated with an intolerance. A food or supplement that is consumed by patients. A code specifying which characteristic of the product is being described (for example, colour, shape). The actual characteristic value corresponding to the type. A food or supplement that is consumed by patients. The amount of items or instances that the resource considers, for instance when referring to 2 identical units together. The identifier for the physical instance, typically a serial number or manufacturer number. The name or brand for the specific product. The identification of the batch or lot of the product. The time after which the product is no longer expected to be in proper condition, or its use is not advised or not allowed. The time after which the product is no longer expected to be in proper condition, or its use is not advised or not allowed. An identifier of the donation, collection, or pooling event from which biological material in this nutrition product was derived. Active Inactive Entered in Error If the element is present, it must have either a @value, an @id, or extensions Measurements and simple assertions made about a patient, device or other subject. Measurements and simple assertions made about a patient, device or other subject. If the element is present, it must have either a @value, an @id, or extensions A unique identifier assigned to this observation. A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed. Identifies the observation(s) that triggered the performance of this observation. A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure. The status of the result value. A code that classifies the general type of observation being made. Describes what was observed. Sometimes this is called the observation "name". The patient, or group of patients, location, device, organization, procedure or practitioner this observation is about and into whose or what record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation. The actual focus of an observation when it is not the subject of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus. As another use case, a caregiver (RelatedPerson) has back strain and is unable to provide ADL support to a patient (Subject). This observation serves as an organizer or grouper for a set of (one or more) sub-observations. The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made. 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. The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified. Who was responsible for asserting the observed value as "true". The information determined as a result of making the observation, if the information has a simple value. Provides a reason why the expected value in the element Observation.value[x] is missing. A categorical assessment of an observation value. For example, high, low, normal. Other preceding or concurrent information that is critical to understand the context and significance of the observation. Comments about the observation or the results. DEPRECATED: This element is deprecated. Use bodyStructure instead. Indicates the site on the subject's body where the observation was made (i.e. the target site). Indicates the body structure on the subject's body where the observation was made (i.e. the target site). Indicates the mechanism used to perform the observation. The specimen that was used when this observation was made. A reference to the device that generates the measurements or the device settings for the device. Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two `referenceRange` elements would be used. This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group. The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image. 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. Measurements and simple assertions made about a patient, device or other subject. Reference to the triggering observation. The type of trigger. Reflex | Repeat | Re-run. Provides the reason why this observation was performed as a result of the observation(s) referenced. Measurements and simple assertions made about a patient, device or other subject. The value of the low bound of the reference range. The value of the high bound of the reference range. The value of the normal value of the reference range. Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range. 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. Multiple `appliesTo` are interpreted as an "AND" of the target populations. For example, to represent a target population of African American females, both a code of female and a code for African American would be used. 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. 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". Measurements and simple assertions made about a patient, device or other subject. Describes what was observed. Sometimes this is called the observation "code". The information determined as a result of making the observation, if the information has a simple value. Provides a reason why the expected value in the element Observation.component.value[x] is missing. A categorical assessment of an observation value. For example, high, low, normal. Guidance on how to interpret the value by comparison to a normal or recommended range. Registered Specimen-in-Process Preliminary Final Amended Corrected Appended Cancelled Entered in Error Unknown Cannot be obtained If the element is present, it must have either a @value, an @id, or extensions Reflex Repeat (per policy) Re-run (per policy) If the element is present, it must have either a @value, an @id, or extensions Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service. Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service. If the element is present, it must have either a @value, an @id, or extensions An absolute URL that is used to identify this ObservationDefinition 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 ObservationDefinition is (or will be) published. The URL SHOULD include the major version of the ObservationDefinition. For more information see Technical and Business Versions. Business identifiers assigned to this ObservationDefinition by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server. The identifier that is used to identify this version of the ObservationDefinition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the ObservationDefinition 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 are orderable. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the ObservationDefinition. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the ObservationDefinition. The current state of the ObservationDefinition. A flag to indicate that this ObservationDefinition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage. The date (and optionally time) when the ObservationDefinition was last significantly changed. The date must change 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 ObservationDefinition changes. Helps establish the "authority/credibility" of the ObservationDefinition. May also allow for contact. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the ObservationDefinition from the consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate ObservationDefinition instances. A jurisdiction in which the ObservationDefinition is intended to be used. Explains why this ObservationDefinition is needed and why it has been designed as it has. Copyright statement relating to the ObservationDefinition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the ObservationDefinition. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage. The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date. The period during which the ObservationDefinition content was or is planned to be effective. The canonical URL pointing to another FHIR-defined ObservationDefinition that is adhered to in whole or in part by this definition. The URL pointing to an externally-defined observation definition, guideline or other definition that is adhered to in whole or in part by this definition. A code that describes the intended kind of subject of Observation instances conforming to this ObservationDefinition. The type of individual/organization/device that is expected to act upon instances of this definition. A code that classifies the general type of observation. Describes what will be observed. Sometimes this is called the observation "name". The data types allowed for the value element of the instance observations conforming to this ObservationDefinition. Multiple results allowed for observations conforming to this ObservationDefinition. The body structure on the subject's body where the observation is to be made. The method or technique used to perform the observation. The kind of specimen that this type of observation is produced on. The measurement model of device or actual device used to produce observations of this type. The preferred name to be used when reporting the results of observations conforming to this ObservationDefinition. Units allowed for the valueQuantity element in the instance observations conforming to this ObservationDefinition. A set of qualified values associated with a context and a set of conditions - provides a range for quantitative and ordinal observations and a collection of value sets for qualitative observations. This ObservationDefinition defines a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group. Some observations have multiple component observations, expressed as separate code value pairs. Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service. A concept defining the context for this set of qualified values. The target population this set of qualified values applies to. The sex parameter for clinical use this set of qualified values applies to. The age range this set of qualified values applies to. The gestational age this set of qualified values applies to. Description of the criterion for which the qualified value is valid. The category of range of values for continuous or ordinal observations that match the criteria of this set of qualified values. The range of values defined for continuous or ordinal observations that match the criteria of this set of qualified values. The set of valid coded results for qualitative observations that match the criteria of this set of qualified values. The set of normal coded results for qualitative observations that match the criteria of this set of qualified values. The set of abnormal coded results for qualitative observations that match the criteria of this set of qualified values. The set of critical coded results for qualitative observations that match the criteria of this set of qualified values. The expected coded interpretation values of an observation that matches this qualified interval. For example, high, low, normal. Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service. Describes what will be observed. The data types allowed for the value element of the instance of this component observations. Units allowed for the valueQuantity element in the instance observations conforming to this ObservationDefinition. A set of qualified values associated with a context and a set of conditions - provides a range for quantitative and ordinal observations and a collection of value sets for qualitative observations. Quantity CodeableConcept string boolean integer Range Ratio SampledData time dateTime Period If the element is present, it must have either a @value, an @id, or extensions reference range critical range absolute range If the element is present, it must have either a @value, an @id, or extensions A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction). A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction). If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this operation definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this operation definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the operation definition is stored on different servers. A formal identifier that is used to identify this implementation guide when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the operation definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the operation 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the operation definition. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the operation definition. The current state of this operation definition. Whether this is an operation or a named query. A Boolean value to indicate that this operation definition is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the operation definition was last significantly changed. The date must change 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 operation definition changes. The name of the organization or individual responsible for the release and ongoing maintenance of the operation definition. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the operation definition from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate operation definition. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this operation definition is needed and why it has been designed as it has. A copyright statement relating to the operation definition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the operation definition. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). Whether the operation affects state. Side effects such as producing audit trail entries do not count as 'affecting state'. Indicates that this operation must always be handled as synchronous or asynchronous, or that the server must provide both options, and clients can choose. The label that is recommended to be used in the URL for this operation. In some cases, servers may need to use a different CapabilityStatement operation.name to differentiate between multiple SearchParameters that happen to have the same code. Additional information about how to use this operation or named query. Indicates that this operation definition is a constraining profile on the base. The types on which this operation can be executed. Indicates whether this operation or named query can be invoked at the system level (e.g. without needing to choose a resource type for the context). Indicates whether this operation or named query can be invoked at the resource type level for any given resource type level (e.g. without needing to choose a specific resource id for the context). Indicates whether this operation can be invoked on a particular instance of one of the given types. Additional validation information for the in parameters - a single profile that covers all the parameters. The profile is a constraint on the parameters resource as a whole. Additional validation information for the out parameters - a single profile that covers all the parameters. The profile is a constraint on the parameters resource. The parameters for the operation/query. Defines an appropriate combination of parameters to use when invoking this operation, to help code generators when generating overloaded parameter sets for this operation. A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction). The name of used to identify the parameter. Whether this is an input or an output parameter. If present, indicates that the parameter applies when the operation is being invoked at the specified level. The minimum number of times this parameter SHALL appear in the request or response. The maximum number of times this element is permitted to appear in the request or response. Describes the meaning or use of this parameter. The type for this parameter. Support for polymorphic types. If the parameter type is abstract, this element lists allowed sub-types for the parameter. Used when the type is "Reference" or "canonical", and identifies a profile structure or implementation Guide that applies to the target of the reference this parameter refers to. If any profiles are specified, then the content must conform to at least one of them. The URL can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition or Implementation Guide by a canonical URL. When an implementation guide is specified, the target resource SHALL conform to at least one profile defined in the implementation guide. How the parameter is understood if/when it used as search parameter. This is only used if the parameter is a string. Binds to a value set if this parameter is coded (code, Coding, CodeableConcept). Identifies other resource parameters within the operation invocation that are expected to resolve to this resource. The parts of a nested Parameter. A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction). Indicates the degree of conformance expectations associated with this binding - that is, the degree to which the provided value set must be adhered to in the instances. Points to the value set or external definition (e.g. implicit value set) that identifies the set of codes to be used. A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction). The name of the parameter or dot-separated path of parameter names pointing to the resource parameter that is expected to contain a reference to this resource. The id of the element in the referencing resource that is expected to resolve to this resource. A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction). Name of parameter to include in overload. Comments to go on overload. In Out If the element is present, it must have either a @value, an @id, or extensions Account ActivityDefinition ActorDefinition AdministrableProductDefinition AdverseEvent AllergyIntolerance Appointment AppointmentResponse ArtifactAssessment AuditEvent Basic Binary BiologicallyDerivedProduct BodyStructure Bundle CanonicalResource CapabilityStatement CarePlan CareTeam Claim ClaimResponse ClinicalUseDefinition CodeSystem Communication CommunicationRequest CompartmentDefinition Composition ConceptMap Condition Consent Contract Coverage CoverageEligibilityRequest CoverageEligibilityResponse DetectedIssue Device DeviceAlert DeviceAssociation DeviceDefinition DeviceMetric DeviceRequest DiagnosticReport DocumentReference DomainResource Encounter Endpoint EnrollmentRequest EnrollmentResponse EpisodeOfCare EventDefinition Evidence EvidenceVariable ExampleScenario ExplanationOfBenefit FamilyMemberHistory Flag Goal Group GuidanceResponse HealthcareService ImagingSelection ImagingStudy Immunization ImplementationGuide Ingredient InsurancePlan InsuranceProduct Invoice Library List Location ManufacturedItemDefinition Measure MeasureReport Medication MedicationAdministration MedicationDispense MedicationRequest MedicationStatement MedicinalProductDefinition MessageDefinition MessageHeader MetadataResource NamingSystem NutritionIntake NutritionOrder NutritionProduct Observation ObservationDefinition OperationDefinition OperationOutcome Organization OrganizationAffiliation PackagedProductDefinition Parameters Patient PaymentNotice PaymentReconciliation Person PlanDefinition Practitioner PractitionerRole Procedure Provenance Questionnaire QuestionnaireResponse RegulatedAuthorization RelatedPerson RequestOrchestration Requirements ResearchStudy ResearchSubject Resource RiskAssessment Schedule SearchParameter ServiceRequest Slot Specimen SpecimenDefinition StructureDefinition StructureMap Subscription SubscriptionStatus SubscriptionTopic Substance SubstanceDefinition Task TerminologyCapabilities ValueSet VisionPrescription BodySite CatalogEntry Conformance DataElement DeviceComponent DeviceUseRequest DeviceUseStatement DiagnosticOrder DocumentManifest EffectEvidenceSynthesis EligibilityRequest EligibilityResponse ExpansionProfile ImagingManifest ImagingObjectSelection Media MedicationOrder MedicationUsage MedicinalProduct MedicinalProductAuthorization MedicinalProductContraindication MedicinalProductIndication MedicinalProductIngredient MedicinalProductInteraction MedicinalProductManufactured MedicinalProductPackaged MedicinalProductPharmaceutical MedicinalProductUndesirableEffect Order OrderResponse ProcedureRequest ProcessRequest ProcessResponse ReferralRequest RequestGroup ResearchDefinition ResearchElementDefinition RiskEvidenceSynthesis Sequence ServiceDefinition SubstanceSpecification If the element is present, it must have either a @value, an @id, or extensions Instance Type System If the element is present, it must have either a @value, an @id, or extensions Operation Query If the element is present, it must have either a @value, an @id, or extensions Synchronous Asynchronous System If the element is present, it must have either a @value, an @id, or extensions A collection of error, warning, or information messages that result from a system action. A collection of error, warning, or information messages that result from a system action. If the element is present, it must have either a @value, an @id, or extensions An error, warning, or information message that results from a system action. A collection of error, warning, or information messages that result from a system action. Indicates whether the issue indicates a variation from successful processing. Describes the type of the issue. The system that creates an OperationOutcome SHALL choose the most applicable code from the IssueType value set, and may additional provide its own code for the error in the details element. Additional details about the error. This may be a text description of the error or a system code that identifies the error. Additional diagnostic information about the issue. This element is deprecated because it is XML specific. It is replaced by issue.expression, which is format independent, and simpler to parse. For resource issues, this will be a simple XPath limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised. For HTTP errors, will be "http." + the parameter name. A [simple subset of FHIRPath](fhirpath.html#simple) limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised. Invalid Content Structural Issue Required element missing Element value invalid Validation rule failed Security Problem Login Required Unknown User Session Expired Forbidden Information Suppressed Processing Failure Content not supported Duplicate Multiple Matches Not Found Deleted Content Too Long Invalid Code Unacceptable Extension Operation Too Costly Business Rule Violation Edit Version Conflict Limited Filter Application Transient Issue Lock Error No Store Available Exception Timeout Incomplete Results Throttled Informational Note Operation Successful If the element is present, it must have either a @value, an @id, or extensions Fatal Error Warning Information Operation Successful If the element is present, it must have either a @value, an @id, or extensions A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. If the element is present, it must have either a @value, an @id, or extensions Identifier for the organization that is used to identify the organization across multiple disparate systems. Whether the organization's record is still in active use. The kind(s) of organization that this is. A name associated with the organization. A list of alternate names that the organization is known as, or was known as in the past. Description of the organization, which helps provide additional general context on the organization to ensure that the correct organization is selected. The contact details of communication devices available relevant to the specific Organization. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites. The organization of which this organization forms a part. Technical endpoints providing access to services operated for the organization. The official certifications, accreditations, training, designations and licenses that authorize and/or otherwise endorse the provision of care by the organization. For example, an approval to provide a type of services issued by a certifying body (such as the US Joint Commission) to an organization. A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. An identifier allocated to this qualification for this organization. Coded representation of the qualification. Qualifications often take time to attain and might be tracked during this time, and completed qualifications might not always be valid. This status concept has some overlap with period and both should be considered together. Refer to the descriptions of the codes for how the period should be interpreted. If a qualification is revoked or otherwise cancelled, then the period is likely to be ignored, and might be related to when it was active. Period during which the qualification is valid. Organization that regulates and issues the qualification. Defines an affiliation/association/relationship between 2 distinct organizations, that is not a part-of relationship/sub-division relationship. Defines an affiliation/association/relationship between 2 distinct organizations, that is not a part-of relationship/sub-division relationship. If the element is present, it must have either a @value, an @id, or extensions Business identifiers that are specific to this role. Whether this organization affiliation record is in active use. The period during which the participatingOrganization is affiliated with the primary organization. Organization where the role is available (primary organization/has members). The Participating Organization provides/performs the role(s) defined by the code to the Primary Organization (e.g. providing services or is a member of). The network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined). Definition of the role the participatingOrganization plays in the association. Specific specialty of the participatingOrganization in the context of the role. The location(s) at which the role occurs. Healthcare services provided through the role. The contact details of communication devices available at the participatingOrganization relevant to this Affiliation. Technical endpoints providing access to services operated for this role. A medically related item or items, in a container or package. A medically related item or items, in a container or package. If the element is present, it must have either a @value, an @id, or extensions A unique identifier for this package as whole - not the content of the package. Unique instance identifiers assigned to a package by manufacturers, regulators, drug catalogue custodians or other organizations. A name for this package. Typically what it would be listed as in a drug formulary or catalogue, inventory etc. A high level category e.g. medicinal product, raw material, shipping/transport container, etc. The product this package model relates to, not the contents of the package (for which see package.containedItem). The status within the lifecycle of this item. A high level status, this is not intended to duplicate details carried elsewhere such as legal status, or authorization or marketing status. The date at which the given status became applicable. A total of the complete count of contained items of a particular type/form, independent of sub-packaging or organization. This can be considered as the pack size. This attribute differs from containedItem.amount in that it can give a single aggregated count of all tablet types in a pack, even when these are different manufactured items. For example a pill pack of 21 tablets plus 7 sugar tablets, can be denoted here as '28 tablets'. This attribute is repeatable so that the different item types in one pack type can be counted (e.g. a count of vials and count of syringes). Each repeat must have different units, so that it is clear what the different sets of counted items are, and it is not intended to allow different counts of similar items (e.g. not '2 tubes and 3 tubes'). Repeats are not to be used to represent different pack sizes (e.g. 20 pack vs. 50 pack) - which would be different instances of this resource. Textual description. Note that this is not the name of the package or product. The legal status of supply of the packaged item as classified by the regulator. Allows specifying that an item is on the market for sale, or that it is not available, and the dates and locations associated. Identifies if the package contains different items, such as when a drug product is supplied with another item e.g. a diluent or adjuvant. Manufacturer of this package type. When there are multiple it means these are all possible manufacturers. Additional information or supporting documentation about the packaged product. A packaging item, as a container for medically related items, possibly with other packaging items within, or a packaging component, such as bottle cap (which is not a device or a medication manufactured item). Allows the key features to be recorded, such as "hospital pack", "nurse prescribable", "calendar pack". A medically related item or items, in a container or package. The actual status of supply. Conveys in what situation this package type may be supplied for use. The place where the legal status of supply applies. When not specified, this indicates it is unknown in this context. A medically related item or items, in a container or package. A business identifier that is specific to this particular part of the packaging, often assigned by the manufacturer. Including possibly Data Carrier Identifier (a GS1 barcode). The physical type of the container of the items. Is this a part of the packaging (e.g. a cap or bottle stopper), rather than the packaging itself (e.g. a bottle or vial). The latter type are designed be a container, but the former are not. The quantity of packaging items contained at this layer of the package. This does not relate to the number of contained items but relates solely to the number of packaging items. When looking at the outermost layer it is always 1. If there are two boxes within, at the next layer it would be 2. Material type of the package item. A possible alternate material for this part of the packaging, that is allowed to be used instead of the usual material (e.g. different types of plastic for a blister sleeve). Shelf Life and storage information. Manufacturer of this packaging item. When there are multiple values each one is a potential manufacturer of this packaging item. General characteristics of this item. The item(s) within the packaging. Allows containers (and parts of containers) within containers, still as a part of a single packaged product. See also PackagedProductDefinition.packaging.containedItem.item(PackagedProductDefinition). A medically related item or items, in a container or package. A code expressing the type of characteristic. A value for the characteristic. A medically related item or items, in a container or package. The actual item(s) of medication, as manufactured, or a device (typically, but not necessarily, a co-packaged one), or other medically related item (such as food, biologicals, raw materials, medical fluids, gases etc.), as contained in the package. This also allows another whole packaged product to be included, which is solely for the case where a package of other entire packages is wanted - such as a wholesale or distribution pack (for layers within one package, use PackagedProductDefinition.packaging.packaging). The number of this type of item within this packaging or for continuous items such as liquids it is the quantity (for example 25ml). See also PackagedProductDefinition.containedItemQuantity (especially the long definition). This resource is used to pass information into and back from an operation (whether invoked directly from REST or within a messaging environment). It is not persisted or allowed to be referenced by other resources. This resource is used to pass information into and back from an operation (whether invoked directly from REST or within a messaging environment). It is not persisted or allowed to be referenced by other resources. If the element is present, it must have either a @value, an @id, or extensions A parameter passed to or received from the operation. This resource is used to pass information into and back from an operation (whether invoked directly from REST or within a messaging environment). It is not persisted or allowed to be referenced by other resources. The name of the parameter (reference to the operation definition). Conveys the content if the parameter is a data type. Conveys the content if the parameter is a whole resource. A named part of a multi-part parameter. Demographics and other administrative information about an individual or animal that is the subject of potential, past, current, or future health-related care, services, or processes. Demographics and other administrative information about an individual or animal that is the subject of potential, past, current, or future health-related care, services, or processes. If the element is present, it must have either a @value, an @id, or extensions An identifier for this patient. Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. A name associated with the individual. A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. See the [Patient Gender and Sex section](patient.html#gender) for additional information about communicating patient gender and sex. The date of birth for the individual. Indicates the date when the individual died, or, if the date is not known or cannot be estimated, a flag indicating the patient is known to be deceased. An address for the individual. This field contains a patient's most recent marital (civil) status. Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer). This count is relative to the total of live births and fetal losses, which MAY be tracked in the `patient-multipleBirthTotal` extension. The boolean option for this property can also be used to track that there are known to be multiple fetuses prior to birth. Image of the patient. A contact party (e.g. guardian, partner, friend) for the patient. A language which may be used to communicate with the patient about his or her health. Patient's nominated care provider. Organization that is the custodian of the patient record. Link to a Patient or RelatedPerson resource that concerns the same actual individual. Demographics and other administrative information about an individual or animal that is the subject of potential, past, current, or future health-related care, services, or processes. The nature of the personal relationship between the patient and the contact person. The nature of the functional role between the patient and the contact person. A name associated with the contact person. Alternate/additional names for this contact can be found in the `additionalName` property. Additional names for the contact person. A contact detail for the person, e.g. a telephone number or an email address. Address for the contact person. Alternate/additional addresses for this contact can be found in the `additionalAddress` property. Additional addresses for the contact person. Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. Organization on behalf of which the contact is acting or for which the contact is working. The period during which this contact person or organization is valid to be contacted relating to this patient. Demographics and other administrative information about an individual or animal that is the subject of potential, past, current, or future health-related care, services, or processes. The language which may be used to communicate with the individual. Indicates whether or not the patient prefers this language (over other languages he masters up a certain level). Demographics and other administrative information about an individual or animal that is the subject of potential, past, current, or future health-related care, services, or processes. Link to a Patient or RelatedPerson resource that concerns the same actual individual. The type of link between this patient resource and another patient resource. Replaced-by Vervangen door Replaces Vervangt Refer Verwijzing See also Zie ook If the element is present, it must have either a @value, an @id, or extensions This resource provides the status of the payment for goods and services rendered, and the request and response resource references. This resource provides the status of the payment for goods and services rendered, and the request and response resource references. If the element is present, it must have either a @value, an @id, or extensions A unique identifier assigned to this payment notice. The status of the resource instance. Used to indicate why the status has changed. Reference of resource for which payment is being made. Reference of response to resource for which payment is being made. The date when this resource was created. The party who reports the payment notice. A reference to the payment which is the subject of this notice. The date when the above payment action occurred. The party who will receive or has received payment that is the subject of this notification. The party who is notified of the payment status. The amount sent to the payee. A code indicating whether payment has been sent or cleared. This resource provides the details including amount of a payment and allocates the payment items being paid. This resource provides the details including amount of a payment and allocates the payment items being paid. If the element is present, it must have either a @value, an @id, or extensions A unique identifier assigned to this payment reconciliation. Code to indicate the nature of the payment such as payment, adjustment. The status of the resource instance. Used to indicate why the status has changed. The workflow or activity which gave rise to or during which the payment ocurred such as a kiosk, deposit on account, periodic payment etc. The period of time for which payments have been gathered into this bulk payment for settlement. The date when the resource was created. Payment enterer if not the actual payment issuer. The type of the source such as patient or insurance. The party who generated the payment. Original request resource reference. The practitioner who is responsible for the services rendered to the patient. The outcome of a request for a reconciliation. A human readable description of the status of the request for the reconciliation. The date of payment as indicated on the financial instrument. The location of the site or device for electronic transfers or physical location for cash payments. The means of payment such as check, card cash, or electronic funds transfer. The card brand such as debit, Visa, Amex etc. used if a card is the method of payment. A portion of the account number, often the last 4 digits, used for verification not charging purposes. The year and month (YYYY-MM) when the instrument, typically card, expires. The name of the card processor, etf processor, bank for checks. The check number, eft reference, car processor reference. An alphanumeric issued by the processor to confirm the successful issuance of payment. The amount offered by the issuer, typically applies to cash when the issuer provides an amount in bank note denominations equal to or excess of the amount actually being paid. The amount returned by the receiver which is excess to the amount payable, often referred to as 'change'. Total payment amount as indicated on the financial instrument. Issuer's unique identifier for the payment instrument. Distribution of the payment amount for a previously acknowledged payable. A code for the form to be used for printing the content. A note that describes or explains the processing in a human readable form. This resource provides the details including amount of a payment and allocates the payment items being paid. Unique identifier for the current payment item for the referenced payable. Unique identifier for the prior payment item for the referenced payable. Specific resource to which the payment/adjustment/advance applies. Identifies the claim line item, encounter or other sub-element being paid. Note payment may be partial, that is not match the then outstanding balance or amount incurred. The Encounter to which this payment applies, may be completed by the receiver, used for search. The Account to which this payment applies, may be completed by the receiver, used for search. Code to indicate the nature of the payment. The party which submitted the claim or financial transaction. A resource, such as a ClaimResponse, which contains a commitment to payment. The date from the response resource containing a commitment to pay. A reference to the individual who is responsible for inquiries regarding the response and its payment. The party which is receiving the payment. The monetary amount allocated from the total payment to the payable. The numbers associated with notes below which apply to the adjudication of this item. This resource provides the details including amount of a payment and allocates the payment items being paid. A code to indicate the business purpose of the note. A number to uniquely identify a note entry. The business purpose of the note text. The explanation or description associated with the processing. Queued Processing Complete Error Partial Processing If the element is present, it must have either a @value, an @id, or extensions Demographics and administrative information about a person independent of a specific health-related context. Demographics and administrative information about a person independent of a specific health-related context. If the element is present, it must have either a @value, an @id, or extensions Identifier for a person within a particular scope. Whether this person's record is in active use. A name associated with the person. A contact detail for the person, e.g. a telephone number or an email address. Administrative Gender. The birth date for the person. Indicates if the individual is deceased or not. One or more addresses for the person. This field contains a person's most recent marital (civil) status. An image that can be displayed as a thumbnail of the person to enhance the identification of the individual. A language which may be used to communicate with the person about his or her health. The organization that is the custodian of the person record. Link to a resource that concerns the same actual person. Demographics and administrative information about a person independent of a specific health-related context. The language which may be used to communicate with the individual. Indicates whether or not the person prefers this language (over other languages he masters up a certain level). Demographics and administrative information about a person independent of a specific health-related context. The resource to which this actual person is associated. Level of assurance that this link is associated with the target resource. Level 1 Level 2 Level 3 Level 4 If the element is present, it must have either a @value, an @id, or extensions 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this plan definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this plan definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the plan definition is stored on different servers. 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. 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. Indicates the mechanism used to compare versions to determine which is more current. 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. A short, descriptive, user-friendly title for the plan definition. An explanatory or alternate title for the plan definition giving additional information about its content. A high-level category for the plan definition that distinguishes the kinds of systems that would be interested in the plan definition. The status of this plan definition. Enables tracking the life-cycle of the content. A Boolean value to indicate that this plan definition is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. A code, group definition, or canonical reference that describes or identifies the intended subject of the plan definition. Canonical references are allowed to support the definition of protocols for drug and substance quality specifications, and is allowed to reference a MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, or PackagedProductDefinition resource. The date (and optionally time) when the plan definition was last significantly changed. The date must change 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. The name of the organization or individual responsible for the release and ongoing maintenance of the plan definition. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the plan definition from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate plan definition instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this plan definition is needed and why it has been designed as it has. A detailed description of how the plan definition is used from a clinical perspective. A copyright statement relating to the plan definition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the plan definition. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. The period during which the plan definition content was or is planned to be in active use. 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. An individiual or organization primarily involved in the creation and maintenance of the content. An individual or organization primarily responsible for internal coherence of the content. An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the content. An individual or organization asserted by the publisher to be responsible for officially endorsing the content for use in some setting. Related artifacts such as additional documentation, justification, or bibliographic references. A reference to a Library resource containing any formal logic used by the plan definition. A goal describes an expected outcome that 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, meeting the acceptance criteria for a test as specified by a quality specification, etc. Actors represent the individuals or groups involved in the execution of the defined set of activities. An action or group of actions to be taken as part of the plan. For example, in clinical care, an action would be to prescribe a particular indicated medication, or perform a particular test as appropriate. In pharmaceutical quality, an action would be the test that needs to be performed on a drug product as defined in the quality specification or the steps that are planned in a manufacturing process of a drug product or a drug substance. If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. Indicates a category the goal falls within. 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". Identifies the expected level of importance associated with reaching/sustaining the defined goal. The event after which the goal should begin being pursued. Identifies problems, conditions, issues, or concerns the goal is intended to address. 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. Indicates what should be done and within what timeframe. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. The parameter whose value is to be tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. The target value of the measure to be achieved to signify fulfillment of the goal, e.g. 150 pounds or 7.0%, or in the case of pharmaceutical quality - NMT 0.6%, Clear solution, etc. Either the high or low or both values of the range can be specified. When 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. Indicates the timeframe after the start of the goal in which the goal should be met. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. A descriptive label for the actor. A description of how the actor fits into the overall actions of the plan definition. The characteristics of the candidates that could serve as the actor. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. The type of participant in the action. The type of participant in the action. The type of participant in the action. The role the participant should play in performing the described action. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. An identifier that is unique within the PlanDefinition to allow linkage within the realized CarePlan and/or RequestOrchestration. A user-visible prefix for the action. For example a section or item numbering such as 1. or A. The textual description of the action displayed to a user. For example, when the action is a test to be performed, the title would be the title of the test such as Assay by HPLC. A brief description of the action used to provide a summary to display to the user. 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 might not be capable of interpreting it dynamically. Indicates how quickly the action should be addressed with respect to other actions. A code that provides a meaning, grouping, or classification for the action or action group. For example, a section may have a LOINC code for the section of a documentation template. In pharmaceutical quality, an action (Test) such as pH could be classified as a physical property. A description of why this action is necessary or appropriate. 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. Identifies goals that this action supports. The reference must be to a goal element defined within this plan definition. In pharmaceutical quality, a goal represents acceptance criteria (Goal) for a given action (Test), so the goalId would be the unique id of a defined goal element establishing the acceptance criteria for the action. A code, group definition, or canonical reference that describes the intended subject of the action and its children, if any. Canonical references are allowed to support the definition of protocols for drug and substance quality specifications, and is allowed to reference a MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, or PackagedProductDefinition resource. A description of when the action should be triggered. When multiple triggers are specified on an action, any triggering event invokes the action. An expression that describes applicability criteria or start/stop conditions for the action. Defines input data requirements for the action. Defines the outputs of the action, if any. A relationship to another action such as "before" or "30-60 minutes after start of". An optional value describing when the action should be performed. Identifies the facility where the action will occur; e.g. home, hospital, specific clinic, etc. Indicates who should participate in performing the action described. The type of action to perform (create, update, remove). All - meaning the applicability of each child action is evaluated independently; if a child action is applicable according to the applicability criteria, it is applied. Any - meaning that each child action is evaluated in order, and the first action that returns an applicability of true will be applied, and processing of the parent action will stop. If not specified, the default behavior of All is used. Defines the grouping behavior for the action and its children. Defines the selection behavior for the action and its children. Defines the required behavior for the action. Defines whether the action should usually be preselected. Defines whether the action can be selected multiple times. A reference to an ActivityDefinition that describes the action to be taken in detail, a Measure defining a measure to be evaluated, a MessageDefinition describing a message to be sent, a PlanDefinition that describes a series of actions to be taken, a Questionnaire that should be filled out, a SpecimenDefinition describing a specimen to be collected, an ObservationDefinition that specifies what observation should be captured, or an OperationDefinition that specifies what operation should be invoked. When the value is a uri, it is intended to be a reference to non-FHIR content that characterizes the action to be performed. This option is allowed to enable the PlanDefinition to be used to provide semi-structured representation, when the guidance is not computable, but there is still value in elaborating the overall structure with a PlanDefinition. The intended behavior when a definitionUri is realized as part of an apply is that it is copied to the resulting RequestOrchestration so that it is available to the consuming system. How that system interprets that uri is not specified. 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. 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. 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. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. The kind of condition. An expression that returns true or false, indicating whether the condition is satisfied. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. A human-readable label for the data requirement used to label data flows in BPMN or similar diagrams. Also provides a human readable label when rendering the data requirement that conveys its purpose to human readers. Defines the data that is to be provided as input to the action. Points to an existing input or output element that provides data to this input. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. A human-readable label for the data requirement used to label data flows in BPMN or similar diagrams. Also provides a human readable label when rendering the data requirement that conveys its purpose to human readers. Defines the data that results as output from the action. Points to an existing input or output element that is results as output from the action. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. The element id of the target related action. The relationship of the start of this action to the related action. The relationship of the end of this action to the related action. A duration or range of durations to apply to the relationship. For example, 30-60 minutes before. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. A reference to the id element of the actor who will participate in this action. The type of participant in the action. The type of participant in the action. The type of participant in the action. The role the participant should play in performing the described action. Indicates how the actor will be involved in the action - author, reviewer, witness, etc. 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 and non-clinical artifacts such as clinical decision support rules, order sets, protocols, and drug quality specifications. 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. The specified path SHALL be a FHIRPath resolvable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details). An expression specifying the value of the customized element. Must Could Must Unless Documented If the element is present, it must have either a @value, an @id, or extensions Before Before Start Before End Concurrent Concurrent With Start Concurrent With End After After Start After End If the element is present, it must have either a @value, an @id, or extensions Visual Group Logical Group Sentence Group If the element is present, it must have either a @value, an @id, or extensions Any All All Or None Exactly One At Most One One Or More If the element is present, it must have either a @value, an @id, or extensions Single Multiple If the element is present, it must have either a @value, an @id, or extensions Yes No If the element is present, it must have either a @value, an @id, or extensions Applicability Start Stop If the element is present, it must have either a @value, an @id, or extensions All Any If the element is present, it must have either a @value, an @id, or extensions A person who is directly or indirectly involved in the provisioning of healthcare or related services. A person who is directly or indirectly involved in the provisioning of healthcare or related services. If the element is present, it must have either a @value, an @id, or extensions An identifier that applies to this person in this role. Whether this practitioner's record is in active use. The name(s) associated with the practitioner. A contact detail for the practitioner, e.g. a telephone number or an email address. Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. The date of birth for the practitioner. Indicates if the practitioner is deceased or not. Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent. Image of the person. The official qualifications, certifications, accreditations, training, licenses (and other types of educations/skills/capabilities) that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board of licensure authorizing the practitioner to practice medicine within a certain locality. A language which may be used to communicate with the practitioner, often for correspondence/administrative purposes. The `PractitionerRole.communication` property should be used for publishing the languages that a practitioner is able to communicate with patients (on a per Organization/Role basis). A person who is directly or indirectly involved in the provisioning of healthcare or related services. An identifier that applies to this person's qualification. Coded representation of the qualification. Qualifications often take time to attain and might be tracked during this time, and completed qualifications might not always be valid. This status concept has some overlap with period and both should be considered together. Refer to the descriptions of the codes for how the period should be interpreted. If a qualification is revoked or otherwise cancelled, then the period is likely to be ignored, and m be related to when it was active. Period during which the qualification is valid. Organization that regulates and issues the qualification. A person who is directly or indirectly involved in the provisioning of healthcare or related services. The language which may be used to communicate with the individual. Indicates whether or not the person prefers this language (over other languages he masters up a certain level). A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. If the element is present, it must have either a @value, an @id, or extensions Business Identifiers that are specific to a role/location. Whether this practitioner role record is in active use. Some systems may use this property to mark non-active practitioners, such as those that are not currently employed. The period during which the person is authorized to act as a practitioner in these role(s) for the organization. Practitioner that is able to provide the defined services for the organization. The organization where this role is available. The network in which the PractitionerRole provides the role's services (if defined) at the indicated locations (if defined). Roles which this practitioner is authorized to perform for the organization. A value that describes the intersection of the practitioner, organization, and the role of the practitioner within the organization. This is not the human name of the practitioner, though the textual representation of that human name may be a part of this property. The specialty of a practitioner that describes the functional role they are practicing at a given organization or location. The location(s) at which this practitioner provides care. The list of healthcare services that this worker provides for this role's Organization/Location(s). The contact details of communication devices available relevant to the specific PractitionerRole. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites. Collection of characteristics (attributes). A language the practitioner can use in patient communication. The practitioner may know several languages (listed in practitioner.communication), however these are the languages that could be advertised in a directory for a patient to search. A collection of times the practitioner is available or performing this role at the location and/or healthcareservice. Technical endpoints providing access to services operated for the practitioner with this role. Commonly used for locating scheduling services, or identifying where to send referrals electronically. An action that is or was performed on or for a patient, practitioner, device, organization, or location. For example, this can be a physical intervention on a patient like an operation, or less invasive like long term services, counseling, or hypnotherapy. This can be a quality or safety inspection for a location, organization, or device. This can be an accreditation procedure on a practitioner for licensing. An action that is or was performed on or for a patient, practitioner, device, organization, or location. For example, this can be a physical intervention on a patient like an operation, or less invasive like long term services, counseling, or hypnotherapy. This can be a quality or safety inspection for a location, organization, or device. This can be an accreditation procedure on a practitioner for licensing. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to server. A reference to a resource that contains details of the request for this procedure. A larger event of which this particular procedure is a component or step. A code specifying the state of the procedure. Generally, this will be the in-progress or completed state. Captures the reason for the current state of the procedure. A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure"). The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy"). On whom or on what the procedure was performed. This is usually an individual human, but can also be performed on animals, groups of humans or animals, organizations or practitioners (for licensing), locations or devices (for safety inspections or regulatory authorizations). If the actual focus of the procedure is different from the subject, the focus element specifies the actual focus of the procedure. Who is the target of the procedure when it is not the subject of record only. If focus is not present, then subject is the focus. If focus is present and the subject is one of the targets of the procedure, include subject as a focus as well. If focus is present and the subject is not included in focus, it implies that the procedure was only targeted on the focus. For example, when a caregiver is given education for a patient, the caregiver would be the focus and the procedure record is associated with the subject (e.g. patient). For example, use focus when recording the target of the education, training, or counseling is the parent or relative of a patient. The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated. Estimated or actual date, date-time, period, or age when the procedure did occur or is occurring. 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. The date the occurrence of the procedure was first captured in the record regardless of Procedure.status (potentially after the occurrence of the event). Individual who recorded the record and takes responsibility for its content. Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report. Indicates who or what performed the procedure and how they were involved. The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant. The coded reason or reference why the procedure was performed. This may be a coded entity of some type, be present as text, or be a reference to one of several resources that justify the procedure. Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion. Indicates the body structure on the subject's body where the procedure was performed. The short term outcome of the procedure assessed during the procedure, at the conclusion of the procedure, during the immediate post-performance period, or at discharge. The outcome is usually expected to be within the encounter during which the procedure was performed. This could be a histology result, pathology report, surgical report, etc. 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 the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be used. CarePlan can reference the Procedure via CarePlan.addresses. Any other notes and comments about the 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. Identifies medications, devices and any other substance used as part of the procedure. Other resources from the patient record that may be relevant to the procedure. The information from these resources was either used to create the instance or is provided to help with its interpretation. This extension should not be used if more specific inline elements or extensions are available. An action that is or was performed on or for a patient, practitioner, device, organization, or location. For example, this can be a physical intervention on a patient like an operation, or less invasive like long term services, counseling, or hypnotherapy. This can be a quality or safety inspection for a location, organization, or device. This can be an accreditation procedure on a practitioner for licensing. Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopist. Indicates who or what performed the procedure. The Organization the Patient, RelatedPerson, Device, CareTeam, and HealthcareService was acting on behalf of. Time period during which the performer performed the procedure. An action that is or was performed on or for a patient, practitioner, device, organization, or location. For example, this can be a physical intervention on a patient like an operation, or less invasive like long term services, counseling, or hypnotherapy. This can be a quality or safety inspection for a location, organization, or device. This can be an accreditation procedure on a practitioner for licensing. The kind of change that happened to the device during the procedure. The device that was manipulated (changed) during the procedure. Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which MAY impact security, privacy, and trust policies. Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which MAY impact security, privacy, and trust policies. If the element is present, it must have either a @value, an @id, or extensions The Reference(s) that were generated or updated by the activity described in this resource. A provenance can point to more than one target if multiple resources were created/updated by the same activity. The period during which the activity occurred. The date and time at which the provenance information was recorded / updated, whether in the FHIR Provenance resource or in some other form that is later communicated in the FHIR Provenance. Policy or plan the activity was defined by. Typically, a single activity MAY have multiple applicable policy documents, such as patient consent, guarantor funding, etc. Where the activity occurred. The authorization (e.g., PurposeOfUse) that was used during the event being recorded. Describes why the event recorded in this provenenace occurred in textual form. An activity is something that occurs over a period of time and acts upon or with entities; it MAY include consuming, processing, transforming, modifying, relocating, using, or generating entities. A plan, proposal or order that is fulfilled in whole or in part by this provenance. The patient element is available to enable deterministic tracking of activities that involve the patient as the subject of the data used in an activity. This will typically be the encounter the event occurred, but some events MAY be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission lab tests). An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place. An entity used in this activity. A digital signature on the target Reference(s). The signer SHOULD match a Provenance.agent. The purpose of the signature is indicated. Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which MAY impact security, privacy, and trust policies. The Functional Role of the agent with respect to the activity. The structural roles of the agent indicating the agent's competency. The security role enabling the agent with respect to the activity. Indicates who or what performed in the event. The agent that delegated authority to perform the activity performed by the agent.who element. Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which MAY impact security, privacy, and trust policies. How the entity was used during the activity. Identity of the Entity used. May be a logical or physical uri and maybe absolute or relative. The entity is attributed to an agent to express the agent's responsibility for that entity, possibly along with other agents. This description can be understood as shorthand for saying that the agent was responsible for the activity which used the entity. Revision Quotation Source Instantiates Removal If the element is present, it must have either a @value, an @id, or extensions A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection. A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this questionnaire when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this questionnaire is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the questionnaire is stored on different servers. A formal identifier that is used to identify this questionnaire when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the questionnaire when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the questionnaire 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the questionnaire. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the questionnaire. The URL of a Questionnaire that this Questionnaire is based on. The current state of this questionnaire. A Boolean value to indicate that this questionnaire is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The types of subjects that can be the subject of responses created for the questionnaire. The date (and optionally time) when the questionnaire was last significantly changed. The date must change 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 questionnaire changes. The name of the organization or individual responsible for the release and ongoing maintenance of the questionnaire. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the questionnaire from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate questionnaires. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this questionnaire is needed and why it has been designed as it has. A copyright statement relating to the questionnaire and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the questionnaire. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. The period during which the questionnaire content was or is planned to be in active use. An identifier for this collection of questions in a particular terminology such as LOINC. A particular question, question grouping or display text that is part of the questionnaire. A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection. An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource. This element is a URI that refers to an [ElementDefinition](elementdefinition.html) or to an [ObservationDefinition](observationdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in [Comments](questionnaire.html#definition), below. A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers). A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire. The name of a section, the text of a question or text content for a display item. The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, Coding, etc.). A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true. Controls how multiple enableWhen values are interpreted - whether all or any must be true. Indicates if and how items that are disabled (because enableWhen evaluates to 'false') should be displayed. An indication, if true, that the item must be present in a "completed" QuestionnaireResponse. If false, the item may be skipped when answering the questionnaire. An indication, if true, that a QuestionnaireResponse for this item may include multiple answers associated with a single instance of this item (for question-type items) or multiple repetitions of the item (for group-type items). An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire. The maximum number of characters that are permitted in the answer to be considered a "valid" QuestionnaireResponse. For items that have a defined set of allowed answers (via answerOption or answerValueSet), indicates whether values *other* than those specified can be selected. A reference to a value set containing a list of values representing permitted answers for a question. One of the permitted answers for the question. One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input. Text, questions and other groups to be nested beneath a question or group. A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection. The linkId for the question whose answer (or lack of answer) governs whether this item is enabled. Specifies the criteria by which the question is enabled. A value that the referenced question is tested using the specified operator in order for the item to be enabled. If there are multiple answers, a match on any of the answers suffices. If different behavior is desired (all must match, at least 2 must match, etc.), consider using the enableWhenExpression extension. A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection. A potential answer that's allowed as the answer to this question. Indicates whether the answer value is selected when the list of possible answers is initially shown. A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection. The actual value to for an initial answer. All Any If the element is present, it must have either a @value, an @id, or extensions Exists Equals Not Equals Greater Than Less Than Greater or Equals Less or Equals If the element is present, it must have either a @value, an @id, or extensions Options only Options or 'type' Options or string If the element is present, it must have either a @value, an @id, or extensions Hidden Protected If the element is present, it must have either a @value, an @id, or extensions Group Display Boolean Decimal Integer Date Date Time Time String Text Url Coding Attachment Reference Quantity If the element is present, it must have either a @value, an @id, or extensions A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to. A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to. If the element is present, it must have either a @value, an @id, or extensions Business identifiers assigned to this questionnaire response by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server. A plan, proposal or order that is fulfilled in whole or in part by this questionnaire response. For example, a ServiceRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression. A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of. The Questionnaire that defines and organizes the questions for which answers are being provided. The current state of the questionnaire response. The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information. The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated. The date and/or time that this questionnaire response was last modified by the user - e.g. changing answers or revising status. The individual or device that received the answers to the questions in the QuestionnaireResponse and recorded them in the system. The individual or device that answered the questions about the subject. A group or question item from the original questionnaire for which answers are provided. A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to. The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource. A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item. Text that is displayed above the contents of the group or as the text of the question being answered. The respondent's answer(s) to the question. Sub-questions, sub-groups or display items nested beneath a group. A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to. The answer (or one of the answers) provided by the respondent to the question. Nested groups and/or questions found within this particular answer. In Progress Completed Amended Entered in Error Stopped If the element is present, it must have either a @value, an @id, or extensions Regulatory approval, clearance or licensing related to a regulated product, treatment, facility or activity that is cited in a guidance, regulation, rule or legislative act. An example is Market Authorization relating to a Medicinal Product. Regulatory approval, clearance or licensing related to a regulated product, treatment, facility or activity that is cited in a guidance, regulation, rule or legislative act. An example is Market Authorization relating to a Medicinal Product. If the element is present, it must have either a @value, an @id, or extensions Business identifier for the authorization, typically assigned by the authorizing body. The product type, treatment, facility or activity that is being authorized. Overall type of this authorization, for example drug marketing approval, orphan drug designation. General textual supporting information. The territory (e.g., country, jurisdiction etc.) in which the authorization has been granted. The status that is authorised e.g. approved. Intermediate states and actions can be tracked with cases and applications. The date at which the current status was assigned. The time period in which the regulatory approval, clearance or licensing is in effect. As an example, a Marketing Authorization includes the date of authorization and/or an expiration date. Condition for which the use of the regulated product applies. The intended use of the product, e.g. prevention, treatment, diagnosis. The legal or regulatory framework against which this authorization is granted, or other reasons for it. The organization that has been granted this authorization, by some authoritative body (the 'regulator'). The regulatory authority or authorizing body granting the authorization. For example, European Medicines Agency (EMA), Food and Drug Administration (FDA), Health Canada (HC), etc. Additional information or supporting documentation about the authorization. The case or regulatory procedure for granting or amending a regulated authorization. An authorization is granted in response to submissions/applications by those seeking authorization. A case is the administrative process that deals with the application(s) that relate to this and assesses them. Note: This area is subject to ongoing review and the workgroup is seeking implementer feedback on its use (see link at bottom of page). Regulatory approval, clearance or licensing related to a regulated product, treatment, facility or activity that is cited in a guidance, regulation, rule or legislative act. An example is Market Authorization relating to a Medicinal Product. Identifier by which this case can be referenced. The defining type of case. The status associated with the case. Relevant date for this case. A regulatory submission from an organization to a regulator, as part of an assessing case. Multiple applications may occur over time, with more or different information to support or modify the submission or the authorization. The applications can be considered as steps within the longer running case or procedure for this authorization process. Information about a person that is involved in a patient's health or the care for a patient, but who is not the primary target of healthcare. Information about a person that is involved in a patient's health or the care for a patient, but who is not the primary target of healthcare. If the element is present, it must have either a @value, an @id, or extensions Identifier for a person within a particular scope. Whether this related person record is in active use. The patient this person is related to. The nature of the personal relationship between the related person and the patient. The nature of the functional relationship between the patient and the related person. A name associated with the person. A contact detail for the person, e.g. a telephone number or an email address. Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. The date on which the related person was born. Address where the related person can be contacted or visited. Image of the person. The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown. A language which may be used to communicate with the related person about the patient's health. Information about a person that is involved in a patient's health or the care for a patient, but who is not the primary target of healthcare. The language which may be used to communicate with the individual. Indicates whether or not the related person prefers this language (over other languages he or she masters up a certain level). A set of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one". A set of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one". If the element is present, it must have either a @value, an @id, or extensions Allows a service to provide a unique, business identifier for the request. A canonical URL referencing a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request. A URL referencing an externally defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request. A plan, proposal or order that is fulfilled in whole or in part by this request. Completed or terminated request(s) whose function is taken by this new request. A shared identifier common to multiple independent Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time. The current state of the request. For request orchestrations, the status reflects the status of all the requests in the orchestration. Indicates the level of authority/intentionality associated with the request and where the request fits into the workflow chain. Indicates how quickly the request should be addressed with respect to other requests. A code that identifies what the overall request orchestration is. The subject for which the request orchestration was created. Describes the context of the request orchestration, if any. Indicates when the request orchestration was created. Provides a reference to the author of the request orchestration. Describes the reason for the request orchestration in coded or textual form. Goals that are intended to be achieved by following the requests in this RequestOrchestration. Provides a mechanism to communicate additional information about the response. The actions, if any, produced by the evaluation of the artifact. A set of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one". The linkId of the action from the PlanDefinition that corresponds to this action in the RequestOrchestration resource. A user-visible prefix for the action. For example a section or item numbering such as 1. or A. The title of the action displayed to a user. A short description of the action used to provide a summary to display to the user. 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 might not be capable of interpreting it dynamically. Indicates how quickly the action should be addressed with respect to other actions. A code that provides meaning for the action or action group. For example, a section may have a LOINC code for a section of a documentation template. 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. Goals that are intended to be achieved by following the requests in this action. An expression that describes applicability criteria, or start/stop conditions for the action. Defines input data requirements for the action. Defines the outputs of the action, if any. A relationship to another action such as "before" or "30-60 minutes after start of". An optional value describing when the action should be performed. Identifies the facility where the action will occur; e.g. home, hospital, specific clinic, etc. The participant that should perform or be responsible for this action. The type of action to perform (create, update, remove). All - meaning the applicability of each child action is evaluated independently; if a child action is applicable according to the applicability criteria, it is applied. Any - meaning that each child action is evaluated in order, and the first action that returns an applicability of true will be applied, and processing of the parent action will stop. If not specified, the default behavior of All is used. Defines the grouping behavior for the action and its children. Defines the selection behavior for the action and its children. Defines expectations around whether an action is required. Defines whether the action should usually be preselected. Defines whether the action can be selected multiple times. The resource that is the target of the action (e.g. CommunicationRequest). A reference to an ActivityDefinition that describes the action to be taken in detail, a Measure that specifies a measure to be evaluated, a MessageDefinition that specifies a message to be sent, a PlanDefinition that describes a series of actions to be taken, a Questionnaire that should be filled out, a SpecimenDefinition describing a specimen to be collected, an ObservationDefinition that specifies what observation should be captured, or an OperationDefinition that specifies what operation should be invoked. When the value is a uri, it is intended to be a reference to non-FHIR content that characterizes the action to be performed. This option is allowed to enable the PlanDefinition to be used to provide semi-structured representation, when the guidance is not computable, but there is still value in elaborating the overall structure with a PlanDefinition. The intended behavior when a definitionUri is realized as part of an apply is that it is copied to the resulting RequestOrchestration so that it is available to the consuming system. How that system interprets that uri is not specified. 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. 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. Sub actions. A set of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one". The kind of condition. An expression that returns true or false, indicating whether or not the condition is satisfied. A set of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one". A human-readable label for the data requirement used to label data flows in BPMN or similar diagrams. Also provides a human readable label when rendering the data requirement that conveys its purpose to human readers. Defines the data that is to be provided as input to the action. Points to an existing input or output element that provides data to this input. A set of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one". A human-readable label for the data requirement used to label data flows in BPMN or similar diagrams. Also provides a human readable label when rendering the data requirement that conveys its purpose to human readers. Defines the data that results as output from the action. Points to an existing input or output element that is results as output from the action. A set of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one". The element id of the target related action. The relationship of this action to the related action. The relationship of the end of this action to the related action. A duration or range of durations to apply to the relationship. For example, 30-60 minutes before. A set of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one". The type of participant in the action. The type of participant in the action. The type of participant in the action. The role the participant should play in performing the described action. Indicates how the actor will be involved in the action - author, reviewer, witness, etc. A reference to the actual participant. A set of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one". 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. The specified path SHALL be a FHIRPath resolvable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details). An expression specifying the value of the customized element. A set of requirements - a list of features or behaviors of designed systems that are necessary to achieve organizational or regulatory goals. A set of requirements - a list of features or behaviors of designed systems that are necessary to achieve organizational or regulatory goals. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this Requirements when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this Requirements is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the Requirements is stored on different servers. A formal identifier that is used to identify this Requirements when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the Requirements when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the Requirements 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the Requirements. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the Requirements. The status of this Requirements. Enables tracking the life-cycle of the content. A Boolean value to indicate that this Requirements is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the Requirements was published. The date must change 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 Requirements changes. The name of the organization or individual responsible for the release and ongoing maintenance of the Requirements. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the requirements. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate Requirements instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this Requirements is needed and why it has been designed as it has. A copyright statement relating to the Requirements and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the Requirements. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). Another set of Requirements that this set of Requirements builds on and updates. Points to requirements defined elsewhere that have the same force as if they were defined in this instance. A reference to another artifact that created this set of requirements. This could be a profile, etc., or external regulation, or business requirements expressed elsewhere. This URI is intended to point to a specific web page for an artifact, not a canonical URL. If pointing to HL7 specifications, it is best to point to the version-specific URL. An actor these requirements are in regard to. The actual statement of conformance requirement. A set of requirements - a list of features or behaviors of designed systems that are necessary to achieve organizational or regulatory goals. The canonical for the Requirements resource to import statements from. The key of a statement to treat as part of the set of requirements defined in this instance. A set of requirements - a list of features or behaviors of designed systems that are necessary to achieve organizational or regulatory goals. The canonical for an actor relevant to some of the requirements. A unique string used to reference the actor from specific requirements. A set of requirements - a list of features or behaviors of designed systems that are necessary to achieve organizational or regulatory goals. Key that identifies this statement (unique within this resource). A short human usable label for this statement. A short human usable label for this statement. This boolean flag is set to true of the text of the requirement is conditional on something e.g. it includes language like 'if x then y'. This conditionality flag is introduced for purposes of filtering and colour highlighting etc. The actual requirement for human consumption. Categorization might be done automatically (inferred by code) or manually by user assertion. The absence of a category may limit the ability to determine when the element should be handled, so strong consideration should be given to how systems will be able to determine category values for legacy data and how data that cannot be categorized will be handled. As well, some categories might not be mutually exclusive, so systems should prepare for multiple declared categories - even within a single category 'axis'. Indicates that this statement is refining, tightening, or establishing more context for the referenced requirement/statement. Identifies a higher-level requirement or statement which this referencing statement is a logical sub-requirement of. I.e. This statement is a necessary step to achieving the referenced requirement/statement. A reference to another artifact that satisfies this requirement. This could be a profile, extension, or an element in one of those, or a CapabilityStatement, OperationDefinition, SearchParameter, CodeSystem(/code), ValueSet, Library etc. A reference to another artifact that created this requirement. This could be a profile, etc., or external regulation, or business requirements expressed elsewhere. This URI is intended to point to a specific web page for an artifact, not a canonical URL. If pointing to HL7 specifications, it is best to point to the version-specific URL. Who asked for this statement to be a requirement. By default, it's assumed that the publisher knows who it is if it matters. A reference to the key of an actor listed in Requirements.actor that is relevant to this requirement statement. A set of requirements - a list of features or behaviors of designed systems that are necessary to achieve organizational or regulatory goals. The canonical of the Requirements instance this statement is derivedFrom. The key, either within this resource or the specified Requirements resource this statement is derivedFrom. A set of requirements - a list of features or behaviors of designed systems that are necessary to achieve organizational or regulatory goals. The canonical of the Requirements instance this statement is a part of. The key, either within this resource or the specified Requirements resource this statement is a part of. SHALL SHOULD MAY SHOULD-NOT SHALL-NOT If the element is present, it must have either a @value, an @id, or extensions A research study is a scientific investigation designed to generate health-related knowledge. This can include clinical trials involving human participants (or animals in the case of veterinary clinical trials). These studies may be related to new ways to screen, prevent, diagnose, and treat disease. Research studies may also analyze data collected from individuals in the past (retrospective studies) or future (prospective studies) to understand specific outcomes or trends in particular populations. A research study is a scientific investigation designed to generate health-related knowledge. This can include clinical trials involving human participants (or animals in the case of veterinary clinical trials). These studies may be related to new ways to screen, prevent, diagnose, and treat disease. Research studies may also analyze data collected from individuals in the past (retrospective studies) or future (prospective studies) to understand specific outcomes or trends in particular populations. If the element is present, it must have either a @value, an @id, or extensions Canonical identifier for this study resource, represented as a globally unique URI. Identifiers assigned to this research study by the sponsor or other systems. The business version for the study record. Name for this study (computer friendly). The human readable name of the research study. Additional names for the study. The set of steps expected to be performed as part of the execution of the study. A larger research study of which this particular study is a component or step. Display of the bibliographic citation of this ResearchStudy. Relationships that this ResearchStudy has with other FHIR or non-FHIR resources that already exist. The date (and optionally time) when the ResearchStudy Resource was last significantly changed. The date must change 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 ResearchStudy Resource changes. The publication state of the resource (not of the study). The type of study based upon the intent of the study activities. A classification of the intent of the study. The stage in the progression of a therapy from initial experimental use in humans in clinical trials to post-market evaluation. Codes categorizing the type of study such as investigational vs. observational, type of blinding, type of randomization, safety vs. efficacy, etc. The medication(s), food(s), therapy(ies), device(s) or other concerns or interventions that the study is seeking to gain more information about. The condition that is the focus of the study. For example, In a study to examine risk factors for Lupus, might have as an inclusion criterion "healthy volunteer", but the target condition code would be a Lupus SNOMED code. Key terms to aid in searching for or filtering the study. A country, state or other area where the study is taking place rather than its precise geographic location or address. A brief text for explaining the study. A detailed and human-readable narrative of the study. E.g., study abstract. Identifies the start date and the expected (or actual, depending on status) end date for the study. A facility in which study activities are conducted. Comments made about the study by the performer, subject or other participants. Additional grouping mechanism or categorization of a research study. Example: FDA regulated device, FDA regulated drug, MPG Paragraph 23b (a German legal requirement), IRB-exempt, etc. Implementation Note: do not use the classifier element to support existing semantics that are already supported thru explicit elements in the resource. Sponsors, collaborators, and other parties. Status of study with time for that status. A description and/or code explaining the premature termination of the study. Target or actual group of participants enrolled in study. Describes an expected event or sequence of events for one of the subjects of a study. E.g. for a living subject: exposure to drug A, wash-out, exposure to drug B, wash-out, follow-up. E.g. for a stability study: {store sample from lot A at 25 degrees for 1 month}, {store sample from lot A at 40 degrees for 1 month}. A goal that the study is aiming to achieve in terms of a scientific question to be answered by the analysis of data collected during the study. Link to one or more sets of results generated by the study. Could also link to a research registry holding the results such as ClinicalTrials.gov. A research study is a scientific investigation designed to generate health-related knowledge. This can include clinical trials involving human participants (or animals in the case of veterinary clinical trials). These studies may be related to new ways to screen, prevent, diagnose, and treat disease. Research studies may also analyze data collected from individuals in the past (retrospective studies) or future (prospective studies) to understand specific outcomes or trends in particular populations. Kind of name. The name. Used to express the specific language of the title. A research study is a scientific investigation designed to generate health-related knowledge. This can include clinical trials involving human participants (or animals in the case of veterinary clinical trials). These studies may be related to new ways to screen, prevent, diagnose, and treat disease. Research studies may also analyze data collected from individuals in the past (retrospective studies) or future (prospective studies) to understand specific outcomes or trends in particular populations. The type of relationship to the related artifact. The artifact that is related to this ResearchStudy Resource. A research study is a scientific investigation designed to generate health-related knowledge. This can include clinical trials involving human participants (or animals in the case of veterinary clinical trials). These studies may be related to new ways to screen, prevent, diagnose, and treat disease. Research studies may also analyze data collected from individuals in the past (retrospective studies) or future (prospective studies) to understand specific outcomes or trends in particular populations. Name of associated party. Type of association. Identifies the start date and the end date of the associated party in the role. A categorization other than role for the associated party. Individual or organization associated with study (use practitionerRole to specify their organisation). A research study is a scientific investigation designed to generate health-related knowledge. This can include clinical trials involving human participants (or animals in the case of veterinary clinical trials). These studies may be related to new ways to screen, prevent, diagnose, and treat disease. Research studies may also analyze data collected from individuals in the past (retrospective studies) or future (prospective studies) to understand specific outcomes or trends in particular populations. Label for status or state (e.g. recruitment status). An indication of whether or not the date is a known date when the state changed or will change. A value of true indicates a known date. A value of false indicates an estimated date. Date range. A research study is a scientific investigation designed to generate health-related knowledge. This can include clinical trials involving human participants (or animals in the case of veterinary clinical trials). These studies may be related to new ways to screen, prevent, diagnose, and treat disease. Research studies may also analyze data collected from individuals in the past (retrospective studies) or future (prospective studies) to understand specific outcomes or trends in particular populations. Estimated total number of participants to be enrolled. Actual total number of participants enrolled in study. Inclusion and exclusion criteria. The referenced Group Resource should have a membership element value of either 'definitional' or 'conceptual'. Group of participants who were enrolled in study. The referenced Group Resource should have a membership element value of 'enumerated'. Free text description of the recruitment of the study. A research study is a scientific investigation designed to generate health-related knowledge. This can include clinical trials involving human participants (or animals in the case of veterinary clinical trials). These studies may be related to new ways to screen, prevent, diagnose, and treat disease. Research studies may also analyze data collected from individuals in the past (retrospective studies) or future (prospective studies) to understand specific outcomes or trends in particular populations. Estimated total number of participants to be enrolled in the comparison group. Actual total number of participants enrolled in the comparison group. Inclusion and exclusion criteria for the comparison group as a subset of the eligibility for the overall study. The referenced Group Resource should have a membership element value of either 'definitional' or 'conceptual'. Group of participants who were enrolled in the comparison group as a subset of those enrolled in the overall study. The referenced Group Resource should have a membership element value of 'enumerated'. Description of the comparison Group. A research study is a scientific investigation designed to generate health-related knowledge. This can include clinical trials involving human participants (or animals in the case of veterinary clinical trials). These studies may be related to new ways to screen, prevent, diagnose, and treat disease. Research studies may also analyze data collected from individuals in the past (retrospective studies) or future (prospective studies) to understand specific outcomes or trends in particular populations. Unique, human-readable label for this objective of the study. The kind of study objective. Free text description of the objective of the study. This is what the study is trying to achieve rather than how it is going to achieve it (see ResearchStudy.description). An "outcome measure", "endpoint", "effect measure" or "measure of effect" is a specific measurement or observation used to quantify the effect of experimental variables on the participants in a study, or for observational studies, to describe patterns of diseases or traits or associations with exposures, risk factors or treatment. A research study is a scientific investigation designed to generate health-related knowledge. This can include clinical trials involving human participants (or animals in the case of veterinary clinical trials). These studies may be related to new ways to screen, prevent, diagnose, and treat disease. Research studies may also analyze data collected from individuals in the past (retrospective studies) or future (prospective studies) to understand specific outcomes or trends in particular populations. Label for the outcome measure. The kind of outcome measure. Description of the outcome measure. Definition of the outcome measure. Population for this estimand. Comparison group of interest. Comparison group for comparison. Statistical measure for treatment effect estimate. The planned statistical model for analysis of a single endpoint. Handling of intercurrent event. A research study is a scientific investigation designed to generate health-related knowledge. This can include clinical trials involving human participants (or animals in the case of veterinary clinical trials). These studies may be related to new ways to screen, prevent, diagnose, and treat disease. Research studies may also analyze data collected from individuals in the past (retrospective studies) or future (prospective studies) to understand specific outcomes or trends in particular populations. The event. The group that is affected by this event handling. How the data is handled. Text summary of event handling. A ResearchSubject is a participant or object which is the recipient of investigative activities in a research study. A ResearchSubject is a participant or object which is the recipient of investigative activities in a research study. If the element is present, it must have either a @value, an @id, or extensions Identifiers assigned to this research subject for a study. The publication state of the resource (not of the subject). The dates the subject began and ended their participation in the study. Reference to the study the subject is participating in. The record of the person, animal or other entity involved in the study. A duration in the lifecycle of the ResearchSubject within a ResearchStudy. A significant event in the progress of a ResearchSubject. A group to which the subject is assigned. This group assignment is used for administration or analysis. Agreement to participate in a study as well as other research agreements, e.g. to acknowledge additional risks, to agree to a protocol deviation, or to agree to more invasive validation subsidies. A ResearchSubject is a participant or object which is the recipient of investigative activities in a research study. Identifies the aspect of the subject's journey that the state refers to. The date a research subject entered the given state. The date a research subject exited or left the given state. The reason for the state change. If coded it should follow the formal subject state model. A ResearchSubject is a participant or object which is the recipient of investigative activities in a research study. A specific event in the research subject's journey through a research study. The date/time when this milestone event was completed. A rationale that provides additional clarification for the milestone that was captured or documented. An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome. An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome. If the element is present, it must have either a @value, an @id, or extensions Business identifier assigned to the risk assessment. A reference to the request that is fulfilled by this risk assessment. A reference to a resource that this risk assessment is part of, such as a Procedure. The status of the RiskAssessment, using the same statuses as an Observation. The algorithm, process or mechanism used to evaluate the risk. The type of the risk assessment performed. The patient or group the risk assessment applies to. The encounter where the assessment was performed. The date (and possibly time) the risk assessment was performed. For assessments or prognosis specific to a particular condition, indicates the condition being assessed. The provider, patient, related person, or software application that performed the assessment. The reason the risk assessment was performed. Indicates the source data considered as part of the assessment (for example, FamilyHistory, Observations, Procedures, Conditions, etc.). Describes the expected outcome for the subject. A description of the steps that might be taken to reduce the identified risk(s). Additional comments about the risk assessment. An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome. One of the potential outcomes for the patient (e.g. remission, death, a particular condition). Indicates how likely the outcome is (in the specified timeframe). Range SHOULD be expressed as a Quantity (with a unit of '%'), rather than as a decimal value to make sure the percentage semantics are clear. Indicates how likely the outcome is (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, or high). Indicates the risk for this particular subject (with their specific characteristics) divided by the risk of the population in general. (Numbers greater than 1 = higher risk than the population, numbers less than 1 = lower risk.). Indicates the period of time or age range of the subject to which the specified probability applies. Additional information explaining the basis for the prediction. A container for slots of time that may be available for booking appointments. A container for slots of time that may be available for booking appointments. If the element is present, it must have either a @value, an @id, or extensions External Ids for this item. Whether this schedule record is in active use or should not be used (such as was entered in error). A broad categorization of the service that is to be performed during this appointment. The specific service that is to be performed during this appointment. The specialty of a practitioner that would be required to perform the service requested in this appointment. Further description of the schedule as it would be presented to a consumer while searching. Slots that reference this schedule resource provide the availability details to these referenced resource(s). The period of time that the slots that reference this Schedule resource cover (even if none exist). These cover the amount of time that an organization's planning horizon; the interval for which they are currently accepting appointments. This does not define a "template" for planning outside these dates. Comments on the availability to describe any extended information. Such as custom constraints on the slots that may be associated. A search parameter that defines a named search item that can be used to search/filter on a resource. A search parameter that defines a named search item that can be used to search/filter on a resource. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this search parameter when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this search parameter is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the search parameter is stored on different servers. A formal identifier that is used to identify this search parameter when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the search parameter when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the search parameter 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the search parameter. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the search parameter. Where this search parameter is originally defined. If a derivedFrom is provided, then the details in the search parameter must be consistent with the definition from which it is defined. i.e. the parameter should have the same meaning, and (usually) the functionality should be a proper subset of the underlying search parameter. The status of this search parameter. Enables tracking the life-cycle of the content. A Boolean value to indicate that this search parameter is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the search parameter was last significantly changed. The date must change 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 search parameter changes. The name of the organization or individual responsible for the release and ongoing maintenance of the search parameter. Contact details to assist a user in finding and communicating with the publisher. And how it used. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate search parameter instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this search parameter is needed and why it has been designed as it has. A copyright statement relating to the search parameter and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the search parameter. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). The label that is recommended to be used in the URL or the parameter name in a parameters resource for this search parameter. In some cases, servers may need to use a different CapabilityStatement searchParam.name to differentiate between multiple SearchParameters that happen to have the same code. Additional label that are recommended to be used in the URL or the parameter name in a parameters resource for this search parameter. Typically used to provide backwards-compatibility for renamed search parameters and translations into localized languages. The base resource type(s) that this search parameter can be used against. The type of value that a search parameter may contain, and how the content is interpreted. A FHIRPath expression that returns a set of elements for the search parameter. How the search parameter relates to the set of elements returned by evaluating the expression query. FHIRPath expression that defines/sets a complex constraint for when this SearchParameter is applicable. Types of resource (if a resource is referenced). Whether multiple values are allowed for each time the parameter exists. Values are separated by commas, and the parameter matches if any of the values match. Whether multiple parameters are allowed - e.g. more than one parameter with the same name. The search matches if all the parameters match. Comparators supported for the search parameter. A modifier supported for the search parameter. Contains the names of any search parameters which may be chained to the containing search parameter. Chained parameters may be added to search parameters of type reference and specify that resources will only be returned if they contain a reference to a resource which matches the chained parameter value. Values for this field should be drawn from SearchParameter.code for a parameter on the target resource type. Used to define the parts of a composite search parameter. A search parameter that defines a named search item that can be used to search/filter on a resource. The definition of the search parameter that describes this part. A sub-expression that defines how to extract values for this component from the output of the main SearchParameter.expression. Equals Not Equals Greater Than Less Than Greater or Equals Less of Equal Starts After Ends Before Approximately If the element is present, it must have either a @value, an @id, or extensions Normal Phonetic Other If the element is present, it must have either a @value, an @id, or extensions Missing Exact Contains Not Text In Not In Below Above Type Identifier Of Type Code Text Text Advanced Iterate Account ActivityDefinition ActorDefinition AdministrableProductDefinition AdverseEvent AllergyIntolerance Appointment AppointmentResponse ArtifactAssessment AuditEvent Basic Binary BiologicallyDerivedProduct BodyStructure Bundle CapabilityStatement CarePlan CareTeam Claim ClaimResponse ClinicalUseDefinition CodeSystem Communication CommunicationRequest CompartmentDefinition Composition ConceptMap Condition Consent Contract Coverage CoverageEligibilityRequest CoverageEligibilityResponse DetectedIssue Device DeviceAlert DeviceAssociation DeviceDefinition DeviceMetric DeviceRequest DiagnosticReport DocumentReference Encounter Endpoint EnrollmentRequest EnrollmentResponse EpisodeOfCare EventDefinition Evidence EvidenceVariable ExampleScenario ExplanationOfBenefit FamilyMemberHistory Flag Goal Group GuidanceResponse HealthcareService ImagingSelection ImagingStudy Immunization ImplementationGuide Ingredient InsurancePlan InsuranceProduct Invoice Library List Location ManufacturedItemDefinition Measure MeasureReport Medication MedicationAdministration MedicationDispense MedicationRequest MedicationStatement MedicinalProductDefinition MessageDefinition MessageHeader NamingSystem NutritionIntake NutritionOrder NutritionProduct Observation ObservationDefinition OperationDefinition OperationOutcome Organization OrganizationAffiliation PackagedProductDefinition Parameters Patient PaymentNotice PaymentReconciliation Person PlanDefinition Practitioner PractitionerRole Procedure Provenance Questionnaire QuestionnaireResponse RegulatedAuthorization RelatedPerson RequestOrchestration Requirements ResearchStudy ResearchSubject RiskAssessment Schedule SearchParameter ServiceRequest Slot Specimen SpecimenDefinition StructureDefinition StructureMap Subscription SubscriptionStatus SubscriptionTopic Substance SubstanceDefinition Task TerminologyCapabilities ValueSet VisionPrescription BodySite CatalogEntry Conformance DataElement DeviceComponent DeviceUseRequest DeviceUseStatement DiagnosticOrder DocumentManifest EffectEvidenceSynthesis EligibilityRequest EligibilityResponse ExpansionProfile ImagingManifest ImagingObjectSelection Media MedicationOrder MedicationUsage MedicinalProduct MedicinalProductAuthorization MedicinalProductContraindication MedicinalProductIndication MedicinalProductIngredient MedicinalProductInteraction MedicinalProductManufactured MedicinalProductPackaged MedicinalProductPharmaceutical MedicinalProductUndesirableEffect Order OrderResponse ProcedureRequest ProcessRequest ProcessResponse ReferralRequest RequestGroup ResearchDefinition ResearchElementDefinition RiskEvidenceSynthesis Sequence ServiceDefinition SubstanceSpecification TestScript If the element is present, it must have either a @value, an @id, or extensions A record of a request for service such as diagnostic investigations, treatments, or operations to be performed. When the ServiceRequest is active, it represents an authorization to perform the service. A record of a request for service such as diagnostic investigations, treatments, or operations to be performed. When the ServiceRequest is active, it represents an authorization to perform the service. If the element is present, it must have either a @value, an @id, or extensions Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller. Plan/proposal/order fulfilled by this request. The request takes the place of the referenced completed or terminated request(s). A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier. The status of the order. Provides reason why the service request status is what it is. The statusReason can be used to explain why a service request is suspended, cancelled, or on hold, including administrative and clinical reasons. Whether the request is a proposal, plan, an original order or a reflex order. A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure"). Indicates how quickly the ServiceRequest should be addressed with respect to other requests. Set this to true if the record is saying that the service/procedure should NOT be performed. A code or reference that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that has been requested. Additional details and instructions about how the services are to be delivered. For example, an order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied. Questions or additional information to be gathered from a patient may be included here. An amount of service being requested. On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans). The actual focus of a service request when it is not the subject of record representing something or someone associated with the subject such as a spouse, parent, fetus, or donor. The focus of a service request could also be an existing condition, an intervention, the subject's diet, another service request on the subject, or a body structure such as tumor or implanted device. An encounter that provides additional information about the healthcare context in which this request is made. The date/time at which the requested service should occur. Indicates that the service (e.g., procedure, lab test) should be performed when needed (Boolean option). Indicates specific criteria that need to be met to perform the service (e.g., lab results or symptoms). When the request transitioned to being actionable. The individual who initiated the request and has responsibility for its activation. Desired type of performer for doing the requested service. The desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc. The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center. The reason or the indication for requesting the service (e.g., procedure, lab test). Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service. Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as 'ask at order entry questions (AOEs).' This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements. Anatomic location where the procedure should be performed. This is the target site. Any other notes and comments made about the service request. For example, internal billing notes. Instructions in terms that are understood by the patient or consumer. Key events in the history of the request. A record of a request for service such as diagnostic investigations, treatments, or operations to be performed. When the ServiceRequest is active, it represents an authorization to perform the service. Indicates the context of the order details by reference. The parameter details for the service being requested. A record of a request for service such as diagnostic investigations, treatments, or operations to be performed. When the ServiceRequest is active, it represents an authorization to perform the service. A value representing the additional detail or instructions for the order (e.g., catheter insertion, body elevation, descriptive device configuration and/or setting instructions). Indicates a value for the order detail. A record of a request for service such as diagnostic investigations, treatments, or operations to be performed. When the ServiceRequest is active, it represents an authorization to perform the service. Instructions in terms that are understood by the patient or consumer. A slot of time on a schedule that may be available for booking appointments. A slot of time on a schedule that may be available for booking appointments. If the element is present, it must have either a @value, an @id, or extensions External Ids for this item. A broad categorization of the service that is to be performed during this appointment. The type of appointments that can be booked into this slot (ideally this would be an identifiable service - which is at a location, rather than the location itself). If provided then this overrides the value provided on the Schedule resource. The specialty of a practitioner that would be required to perform the service requested in this appointment. The style of appointment or patient that may be booked in the slot (not service type). The schedule resource that this slot defines an interval of status information. busy | free | busy-unavailable | busy-tentative | entered-in-error. Date/Time that the slot is to begin. Date/Time that the slot is to conclude. This slot has already been overbooked, appointments are unlikely to be accepted for this time. Comments on the slot to describe any extended information. Such as custom constraints on the slot. Busy Free Busy (Unavailable) Busy (Tentative) Entered in error If the element is present, it must have either a @value, an @id, or extensions A sample to be used for analysis. A sample to be used for analysis. If the element is present, it must have either a @value, an @id, or extensions Identifiers used for specimen identification. These could include but are not limited to identifiers generated upon collection, accessioning, or other reasons for labeling a specimen. The availability of the specimen. The kind of material that forms the specimen. Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance, a biologically-derived product, or a device. Time when specimen is received by the testing laboratory for processing or testing. Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen. Details concerning a service request that required a specimen to be collected. This element signifies if the specimen is part of a group or pooled. The role or reason for the specimen in the testing workflow. A physical feature or landmark on a specimen, highlighted for context by the collector of the specimen (e.g. surgeon), that identifies the type of feature as well as its meaning (e.g. the red ink indicating the resection margin of the right lobe of the excised prostate tissue or wire loop at radiologically suspected tumor location). Details concerning the specimen collection. Details concerning processing and processing steps for the specimen. The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here. A mode or state of being that describes the nature of the specimen. To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen). A sample to be used for analysis. The landmark or feature being highlighted. Description of the feature of the specimen. A sample to be used for analysis. Person who collected the specimen. Time when specimen was collected from subject - the physiologically relevant time. The span of time over which the collection of a specimen occurred. The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample. A coded value specifying the technique that is used to perform the procedure. A coded value specifying the device that is used to perform the procedure. The procedure event during which the specimen was collected (e.g. the surgery leading to the collection of a pathology sample). Anatomical location from which the specimen was collected (if subject is a patient). This is the target site. This element is not used for environmental specimens. Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection. A sample to be used for analysis. Textual description of procedure. A coded value specifying the method used to process the specimen. The performer of the processing of the specimen. The device used in the processing of the specimen. Material used in the processing step. 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. A sample to be used for analysis. The device resource for the the container holding the specimen. If the container is in a holder then the referenced device will point to a parent device. The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type. Available Unavailable Unsatisfactory Entered in Error If the element is present, it must have either a @value, an @id, or extensions A kind of specimen with associated set of requirements. A kind of specimen with associated set of requirements. If the element is present, it must have either a @value, an @id, or extensions An absolute URL that is used to identify this SpecimenDefinition 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 SpecimenDefinition is (or will be) published. The URL SHOULD include the major version of the SpecimenDefinition. For more information see Technical and Business Versions. A business identifier assigned to this SpecimenDefinition. The identifier that is used to identify this version of the SpecimenDefinition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the SpecimenDefinition author and is not expected to be globally unique. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the {{title}}. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the SpecimenDefinition. The canonical URL pointing to another FHIR-defined SpecimenDefinition that is adhered to in whole or in part by this definition. The URL pointing to an externally-defined type of specimen, guideline or other definition that is adhered to in whole or in part by this definition. The current state of theSpecimenDefinition. A flag to indicate that this SpecimenDefinition is not authored for genuine usage. A code or group definition that describes the intended subject from which this kind of specimen is to be collected. For draft definitions, indicates the date of initial creation. For active definitions, represents the date of activation. For withdrawn definitions, indicates the date of withdrawal. Helps establish the "authority/credibility" of the SpecimenDefinition. May also allow for contact. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the SpecimenDefinition from the consumer's perspective. 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 of specimen definitions. A jurisdiction in which the SpecimenDefinition is intended to be used. Explains why this SpecimeDefinition is needed and why it has been designed as it has. Copyright statement relating to the SpecimenDefinition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the SpecimenDefinition. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage. The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date. The period during which the SpecimenDefinition content was or is planned to be effective. The kind of material to be collected. Preparation of the patient for specimen collection. Time aspect of specimen collection (duration or offset). The action to be performed for collecting the specimen. Specimen conditioned in a container as expected by the testing laboratory. A kind of specimen with associated set of requirements. Primary of secondary specimen. The kind of specimen conditioned for testing expected by lab. The preference for this type of conditioned specimen. The specimen's container. Requirements for delivery and special handling of this kind of conditioned specimen. The usual time that a specimen of this kind is retained after the ordered tests are completed, for the purpose of additional testing. Specimen can be used by only one test or panel if the value is "true". Criterion for rejection of the specimen in its container by the laboratory. Set of instructions for preservation/transport of the specimen at a defined temperature interval, prior the testing process. Where the specimen will be tested: e.g., lab, sector, device or any combination of these. A kind of specimen with associated set of requirements. The type of material of the container. The type of container used to contain this kind of specimen. Color of container cap. The textual description of the kind of container. The capacity (volume or other measure) of this kind of container. The minimum volume to be conditioned in the container. Substance introduced in the kind of container to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA. Special processing that should be applied to the container for this kind of specimen. A kind of specimen with associated set of requirements. Substance introduced in the kind of container to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA. A kind of specimen with associated set of requirements. It qualifies the interval of temperature, which characterizes an occurrence of handling. Conditions that are not related to temperature may be handled in the instruction element. The temperature interval for this set of handling instructions. The maximum time interval of preservation of the specimen with these conditions. Additional textual instructions for the preservation or transport of the specimen. For instance, 'Protect from light exposure'. Preferred Alternate If the element is present, it must have either a @value, an @id, or extensions A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions and constraints on resources and data types. A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions and constraints on resources and data types. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this structure definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this structure definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the structure definition is stored on different servers. A formal identifier that is used to identify this structure definition when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the structure definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the structure definition author and is not expected to be globally unique. There is no expectation that versions can be placed in a lexicographical sequence, so authors are encouraged to populate the StructureDefinition.versionAlgorithm[x] element to enable comparisons. If there is no managed version available, authors can consider using ISO date/time syntax (e.g., '2023-01-01'). Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the structure definition. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the structure definition. The status of this structure definition. Enables tracking the life-cycle of the content. A Boolean value to indicate that this structure definition is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the structure definition was last significantly changed. The date must change 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 structure definition changes. The name of the organization or individual responsible for the release and ongoing maintenance of the structure definition. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the structure definition from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate structure definition instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this structure definition is needed and why it has been designed as it has. A copyright statement relating to the structure definition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the structure definition. The short copyright declaration (e.g. (c) '2015+ xyz organization') should be sent in the copyrightLabel element without the copyright prefix (i.e., do not include '(c)' or the symbol). A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). (DEPRECATED) A set of key words or terms from external terminologies that may be used to assist with indexing and searching of templates by describing the use of this structure definition, or the content it describes. The version of the FHIR specification on which this StructureDefinition is based - this is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.6.0. for this version. An external specification that the content is mapped to. Defines the kind of structure that this definition is describing. Whether structure this definition describes is abstract or not - that is, whether the structure is not intended to be instantiated. For Resources and Data types, abstract types will never be exchanged between systems. Identifies the types of resource or data type elements to which the extension can be applied. For more guidance on using the 'context' element, see the [defining extensions page](defining-extensions.html#context). A set of rules as FHIRPath Invariants about when the extension can be used (e.g. co-occurrence variants for the extension). All the rules must be true. The type this structure describes. If the derivation kind is 'specialization' then this is the master definition for a type, and there is always one of these (a data type, an extension, a resource, including abstract ones). Otherwise the structure definition is a constraint on the stated type (and in this case, the type cannot be an abstract type). References are URLs that are relative to http://hl7.org/fhir/StructureDefinition e.g. "string" is a reference to http://hl7.org/fhir/StructureDefinition/string. Absolute URLs are only allowed in logical models, where they are required. An absolute URI that is the base structure from which this type is derived, either by specialization or constraint. How the type relates to the baseDefinition. A snapshot view is expressed in a standalone form that can be used and interpreted without considering the base StructureDefinition. A differential view is expressed relative to the base StructureDefinition - a statement of differences that it applies. A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions and constraints on resources and data types. An Internal id that is used to identify this mapping set when specific mappings are made. An absolute URI that identifies the specification that this mapping is expressed to. A name for the specification that is being mapped to. Comments about this mapping, including version notes, issues, scope limitations, and other important notes for usage. A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions and constraints on resources and data types. Defines how to interpret the expression that defines what the context of the extension is. An expression that defines where an extension can be used in resources. A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions and constraints on resources and data types. Captures constraints on each element within the resource. A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions and constraints on resources and data types. Captures constraints on each element within the resource. Primitive Data Type Complex Data Type Resource Logical If the element is present, it must have either a @value, an @id, or extensions Specialization Constraint If the element is present, it must have either a @value, an @id, or extensions FHIRPath Element ID Extension URL If the element is present, it must have either a @value, an @id, or extensions A Map of relationships between 2 structures that can be used to transform data. A Map of relationships between 2 structures that can be used to transform data. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this structure map when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this structure map is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the structure map is stored on different servers. A formal identifier that is used to identify this structure map when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the structure map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the structure map 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the structure map. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the structure map. The status of this structure map. Enables tracking the life-cycle of the content. A Boolean value to indicate that this structure map is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the structure map was last significantly changed. The date must change 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 structure map changes. The name of the organization or individual responsible for the release and ongoing maintenance of the structure map. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the structure map from a consumer's perspective. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate structure map instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this structure map is needed and why it has been designed as it has. A copyright statement relating to the structure map and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the structure map. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). A structure definition used by this map. The structure definition may describe instances that are converted, or the instances that are produced. Other maps used by this map (canonical URLs). Definition of a constant value used in the map rules. Organizes the mapping into managable chunks for human review/ease of maintenance. A Map of relationships between 2 structures that can be used to transform data. The canonical reference to the structure. How the referenced structure is used in this mapping. The name used for this type in the map. Documentation that describes how the structure is used in the mapping. A Map of relationships between 2 structures that can be used to transform data. Other maps used by this map (canonical URLs). A FHIRPath expression that is the value of this variable. A Map of relationships between 2 structures that can be used to transform data. A unique name for the group for the convenience of human readers. Another group that this group adds rules to. If this is the default rule set to apply for the source type or this combination of types. Additional supporting documentation that explains the purpose of the group and the types of mappings within it. A name assigned to an instance of data. The instance must be provided when the mapping is invoked. Transform Rule from source to target. A Map of relationships between 2 structures that can be used to transform data. Name for this instance of data. Type for this instance of data. Mode for this instance of data. Documentation for this instance of data. A Map of relationships between 2 structures that can be used to transform data. Name of the rule for internal references. Source inputs to the mapping. Content to create because of this mapping rule. Rules contained in this rule. Which other rules to apply in the context of this rule. Documentation for this instance of data. A Map of relationships between 2 structures that can be used to transform data. Type or variable this rule applies to. Specified minimum cardinality for the element. This is optional; if present, it acts an implicit check on the input content. Specified maximum cardinality for the element - a number or a "*". This is optional; if present, it acts an implicit check on the input content (* just serves as documentation; it's the default value). Specified type for the element. This works as a condition on the mapping - use for polymorphic elements. A value to use if there is no existing value in the source object. Optional field for this source. How to handle the list mode for this element. Named context for field, if a field is specified. FHIRPath expression - must be true or the rule does not apply. FHIRPath expression - must be true or the mapping engine throws an error instead of completing. A FHIRPath expression which specifies a message to put in the transform log when content matching the source rule is found. A Map of relationships between 2 structures that can be used to transform data. Variable this rule applies to. Field to create in the context. Named context for field, if desired, and a field is specified. If field is a list, how to manage the list. Internal rule reference for shared list items. How the data is copied / created. Parameters to the transform. A Map of relationships between 2 structures that can be used to transform data. Parameter value - variable or literal. A Map of relationships between 2 structures that can be used to transform data. Name of a rule or group to apply. Parameter to pass to the rule or group. Source Instance Target Instance If the element is present, it must have either a @value, an @id, or extensions First Share Last single If the element is present, it must have either a @value, an @id, or extensions create copy truncate escape cast append translate reference dateOp uuid pointer evaluate cc c qty id cp If the element is present, it must have either a @value, an @id, or extensions First All but the first Last All but the last Enforce only one If the element is present, it must have either a @value, an @id, or extensions Default for Type Combination Default for type + combination If the element is present, it must have either a @value, an @id, or extensions Source Structure Definition Queried Structure Definition Target Structure Definition Produced Structure Definition If the element is present, it must have either a @value, an @id, or extensions The subscription resource describes a particular client's request to be notified about a SubscriptionTopic. The subscription resource describes a particular client's request to be notified about a SubscriptionTopic. If the element is present, it must have either a @value, an @id, or extensions A formal identifier that is used to identify this code system when it is represented in other formats, or referenced in a specification, model, design or an instance. A natural language name identifying the subscription. The status of the subscription, which marks the server state for managing the subscription. The reference to the subscription topic to be notified about. Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting. The time for the server to turn the subscription off. Entity with authorization to communicate with the server about this Subscription, such as requesting changes (e.g., updating an endpoint URL). A description of why this subscription is defined. The filter properties to be applied to narrow the subscription topic stream. When multiple filters are applied, evaluates to true if all the conditions applicable to that resource are met; otherwise it returns false (i.e., logical AND). The type of channel to send notifications on. Channel-specific URL that describes where notifications are sent. Channel-dependent information to send as part of the notification (e.g., HTTP Headers). If present, a 'heartbeat' notification (keep-alive) is sent via this channel with an interval period equal to this elements integer value in seconds. If not present, a heartbeat notification is not sent. If present, the maximum amount of time a server will allow before failing a notification attempt. The MIME type to send the payload in - e.g., `application/fhir+xml` or `application/fhir+json`. Note that: * clients may request notifications in a specific FHIR version by using the [FHIR Version Parameter](http.html#version-parameter) - e.g., `application/fhir+json; fhirVersion=4.0`. * additional MIME types can be allowed by channels - e.g., `text/plain` and `text/html` are defined by the Email channel. How much resource content to deliver in the notification payloads. The choices are an empty payload, only the resource id, or the full resource content. If present, the maximum number of events that will be included in a notification bundle. Note that this is not a strict limit on the number of entries in a bundle, as dependent resources can be included. The subscription resource describes a particular client's request to be notified about a SubscriptionTopic. A resource listed in the `SubscriptionTopic` this `Subscription` references (`SubscriptionTopic.canFilterBy.resource`). This element can be used to differentiate filters for topics that include more than one resource type. The filter as defined in the `SubscriptionTopic.canFilterBy.filterParameter` element. Comparator applied to this filter parameter. Modifier applied to this filter parameter. The literal value or resource path as is legal in search - for example, `Patient/123` or `le1950`. An event filter to be applied to the topic - e.g., if a topic defined multiple event triggers, this can be used to specify a single one. Multiple values are or-joined, multiple codings within a value are and-joined. The subscription resource describes a particular client's request to be notified about a SubscriptionTopic. Parameter name for information passed to the channel for notifications, for example in the case of a REST hook wanting to pass through an authorization header, the name would be Authorization. Parameter value for information passed to the channel for notifications, for example in the case of a REST hook wanting to pass through an authorization header, the value would be `Bearer 0193...`. Empty Id-only Full-resource If the element is present, it must have either a @value, an @id, or extensions Requested Active Error Off Entered in Error If the element is present, it must have either a @value, an @id, or extensions Missing Exact Contains Not Text In Not In Below Above Type Identifier Of Type Code Text Text Advanced Iterate If the element is present, it must have either a @value, an @id, or extensions The SubscriptionStatus resource describes the state of a Subscription during notifications. The SubscriptionStatus resource describes the state of a Subscription during notifications. If the element is present, it must have either a @value, an @id, or extensions The status of the subscription, which marks the server state for managing the subscription. The type of event being conveyed with this notification. The total number of actual events which have been generated since the Subscription was created (inclusive of this notification) - regardless of how many have been successfully communicated. This number is NOT incremented for handshake and heartbeat notifications. Detailed information about events relevant to this subscription notification. The reference to the Subscription which generated this notification. The reference to the SubscriptionTopic for the Subscription which generated this notification. A record of errors that occurred when the server processed a notification. The SubscriptionStatus resource describes the state of a Subscription during notifications. Either the sequential number of this event in this subscription context or a relative event number for this notification. If present, one or more event codes specifying the events which triggered this notification. The actual time this event occurred on the server. The focus of this event. While this will usually be a reference to the focus resource of the event, it MAY contain a reference to a non-FHIR object. Additional context information for this event. Generally, this will contain references to related resources included with the event (e.g., the Patient relevant to an Encounter), however it MAY refer to non-FHIR objects. Queries and codes that could be included with notifications of this shape. Servers MAY include these queries if supported and desired in the workflow. Authorization context information and value (e.g., token). The SubscriptionStatus resource describes the state of a Subscription during notifications. Coded value(s) used to describe the type of information that evaluating this query will provide. Subscribers can use the values to ensure the data they request are relevant and necessary for their use. Query a subscriber can use to retrieve additional information. The exact contents of the query MAY depend on the value of the `queryType`, however this SHOULD be a query suitable for use as an HTTP GET request (either fully-qualified or partial). The SubscriptionStatus resource describes the state of a Subscription during notifications. Used by clients to determine what kind of authorization hint is being suggested by the sender. A value related to the authorization (e.g., a token). Handshake Heartbeat Event Notification Query Status Query Event If the element is present, it must have either a @value, an @id, or extensions Describes a stream of resource state changes or events and annotated with labels useful to filter projections from this topic. Describes a stream of resource state changes or events and annotated with labels useful to filter projections from this topic. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this subscription topic when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this subscription topic is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the subscription topic is stored on different servers. Business identifiers assigned to this subscription topic by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server. The identifier that is used to identify this version of the subscription topic when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the Topic 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 are orderable. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the subscription topic This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the subscription topic. For example, "admission". The canonical URL pointing to another FHIR-defined SubscriptionTopic that is adhered to in whole or in part by this SubscriptionTopic. The current state of the SubscriptionTopic. A flag to indicate that this TopSubscriptionTopicic is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage. The date (and optionally time) when the subscription topic was last significantly changed. The date must change 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 subscription topic changes. Helps establish the "authority/credibility" of the SubscriptionTopic. May also allow for contact. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the Topic from the consumer's perspective. 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 of code system definitions. A jurisdiction in which the Topic is intended to be used. Explains why this Topic is needed and why it has been designed as it has. A copyright statement relating to the SubscriptionTopic and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the SubscriptionTopic. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage. The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date. The period during which the SubscriptionTopic content was or is planned to be effective. A definition of a state change or event that triggers a notification based on the SubscriptionTopic. The criteria may be just a human readable description, or may contain a FHIRPath expression, query-based definition, or event coding. Multiple triggers are considered OR joined (e.g., an update matching ANY of the definitions will trigger a notification). Describes a stream of resource state changes or events and annotated with labels useful to filter projections from this topic. The human readable description of this trigger for the SubscriptionTopic - for example, "An Encounter enters the 'in-progress' state". URL of the key definition that is relevant to this trigger. Relative URLs are relative to the StructureDefinition root of the implemented FHIR version (e.g., http://hl7.org/fhir/StructureDefinition). For example, "Patient" maps to http://hl7.org/fhir/StructureDefinition/Patient. For more information, see <a href="elementdefinition-definitions.html#ElementDefinition.type.code">ElementDefinition.type.code</a>. The FHIR RESTful interaction which can be used to trigger a notification for the SubscriptionTopic. Multiple values are considered OR joined (e.g., CREATE or UPDATE). If not present, all supported interactions are assumed. The FHIR query based rules that the server should use to determine when to trigger a notification for this subscription topic. The FHIRPath based rules that the server should use to determine when to trigger a notification for this topic. A well-defined event which can be used to trigger notifications from the SubscriptionTopic. List of properties by which Subscriptions can be filtered. May be defined Search Parameters (e.g., Encounter.patient) or parameters defined within this SubscriptionTopic context (e.g., hub.event). List of properties to describe the shape (e.g., resources) included in notifications from this trigger. Describes a stream of resource state changes or events and annotated with labels useful to filter projections from this topic. The FHIR query based rules are applied to the previous resource state (e.g., state before an update). For `create` interactions, should the `previous` criteria count as an automatic pass or an automatic fail. If not present, the testing behavior during `create` interactions is unspecified (server discretion). The FHIR query based rules are applied to the current resource state (e.g., state after an update). For 'delete' interactions, should the 'current' query criteria count as an automatic pass or an automatic fail. If not present, the testing behavior during `delete` interactions is unspecified (server discretion). If set to `true`, both the `current` and `previous` query criteria must evaluate `true` to trigger a notification for this topic. If set to `false` or not present, a notification for this topic will be triggered if either the `current` or `previous` tests evaluate to `true`. Describes a stream of resource state changes or events and annotated with labels useful to filter projections from this topic. Description of how this filtering parameter is intended to be used. URL of the Resource that is the type used in this filter. This is the "focus" of the topic (or one of them if there are more than one). It will be the same, a generality, or a specificity of the `SubscriptionTopic.trigger.resource` if this is present. Either the canonical URL to a search parameter (like "http://hl7.org/fhir/SearchParameter/encounter-patient") or topic-defined parameter (like "hub.event") which is a label for the filter. Either the canonical URL to a search parameter (like "http://hl7.org/fhir/SearchParameter/encounter-patient") or the officially-defined URI for a shared filter concept (like "http://example.org/concepts/shared-common-event"). Comparators allowed for the filter parameter. Modifiers allowed for the filter parameter. Describes a stream of resource state changes or events and annotated with labels useful to filter projections from this topic. URL of the Data Type, Resource, or definition (e.g., logical model) that is the type used in this shape. This is the 'focus' resource of the topic (or one of them if there are more than one) and the root for this shape definition. It will be the same, a generality, or a specificity of `SubscriptionTopic.trigger.resource` when it is present. Search-style _include directives, rooted in the resource for this shape. Servers SHOULD include resources listed here, if they exist and the user is authorized to receive them. Clients SHOULD be prepared to receive these additional resources, but SHALL function properly without them. Search-style _revinclude directives, rooted in the resource for this shape. Servers SHOULD include resources listed here, if they exist and the user is authorized to receive them. Clients SHOULD be prepared to receive these additional resources, but SHALL function properly without them. Queries and codes that could be included with notifications of this shape. Servers MAY include these queries if supported and desired in the workflow. Describes a stream of resource state changes or events and annotated with labels useful to filter projections from this topic. Coded value(s) used to describe the type of information that evaluating this query will provide. Subscribers can use the values to ensure the data they request are relevant and necessary for their use. Query a subscriber can use to retrieve additional information. The exact contents of the query MAY depend on the value of the `queryType`, however this SHOULD be a query suitable for use as an HTTP GET request (either fully-qualified or partial). create update delete If the element is present, it must have either a @value, an @id, or extensions Test passes Test fails If the element is present, it must have either a @value, an @id, or extensions A homogeneous material with a definite composition. A homogeneous material with a definite composition. If the element is present, it must have either a @value, an @id, or extensions Unique identifier for the substance, often an identifier associated with the package/container of the substance instance (usually a label affixed directly). A code to indicate if the substance is actively used. A code that classifies the general type of substance. This is used for searching, sorting and display purposes. A code (or set of codes) that identify this substance. A description of the substance - its appearance, handling requirements, and other usage notes. When the substance is no longer valid to use. For some substances, a single arbitrary date is used for expiry. The amount of the substance. Active Inactive Entered in Error If the element is present, it must have either a @value, an @id, or extensions The detailed description of a substance, typically at a level beyond what is used for prescribing. The detailed description of a substance, typically at a level beyond what is used for prescribing. If the element is present, it must have either a @value, an @id, or extensions Identifier by which this substance is known. A business level edition or revision identifier. Status of substance within the catalogue e.g. active, retired. A high level categorization, e.g. polymer or nucleic acid, or food, chemical, biological, or a lower level such as the general types of polymer (linear or branch chain) or type of impurity (process related or contaminant). The applicable usage of the substance, as an example human or veterinary. The quality standard, established benchmark, to which substance complies (e.g. USP/NF, Ph. Eur, JP, BP, Company Standard). Textual description of the substance. Textual comment about the substance's catalogue or registry record. The entity that creates, makes, produces or fabricates the substance. This is a set of potential manufacturers but is not necessarily comprehensive. An entity that is the source for the substance. It may be different from the manufacturer. Supplier is synonymous to a distributor. Moiety, for structural modifications. General specifications for this substance. General specifications for this substance. The average mass of a molecule of a compound compared to 1/12 the mass of carbon 12 and calculated as the sum of the atomic weights of the constituent atoms. Structural information. Codes associated with the substance. Names applicable to this substance. A link between this substance and another, with details of the relationship. Material or taxonomic/anatomical source for the substance. The detailed description of a substance, typically at a level beyond what is used for prescribing. Role that the moiety is playing. Identifier by which this moiety substance is known. Textual name for this moiety substance. Stereochemistry type. Optical activity type. Molecular formula for this moiety of this substance, typically using the Hill system. Quantitative value for this moiety. The measurement type of the quantitative value. In capturing the actual relative amounts of substances or molecular fragments it may be necessary to indicate whether the amount refers to, for example, a mole ratio or weight ratio. The detailed description of a substance, typically at a level beyond what is used for prescribing. The method used to elucidate the characterization of the drug substance. Example: HPLC. Describes the nature of the chemical entity and explains, for instance, whether this is a base or a salt form. The description or justification in support of the interpretation of the data file. The data produced by the analytical instrument or a pictorial representation of that data. Examples: a JCAMP, JDX, or ADX file, or a chromatogram or spectrum analysis. The detailed description of a substance, typically at a level beyond what is used for prescribing. A code expressing the type of property. A value for the property. The detailed description of a substance, typically at a level beyond what is used for prescribing. The method by which the molecular weight was determined. Type of molecular weight such as exact, average (also known as. number average), weight average. Used to capture quantitative values for a variety of elements. If only limits are given, the arithmetic mean would be the average. If only a single definite value for a given element is given, it would be captured in this field. The detailed description of a substance, typically at a level beyond what is used for prescribing. Stereochemistry type. Optical activity type. An expression which states the number and type of atoms present in a molecule of a substance. Specified per moiety according to the Hill system, i.e. first C, then H, then alphabetical, each moiety separated by a dot. The molecular weight or weight range (for proteins, polymers or nucleic acids). The method used to elucidate the structure of the drug substance. Examples: X-ray, NMR, Peptide mapping, Ligand binding assay. The source of information about the structure. A depiction of the structure of the substance. The detailed description of a substance, typically at a level beyond what is used for prescribing. The kind of structural representation (e.g. full, partial). The structural representation as a text string in a standard format. The format of the representation e.g. InChI, SMILES, MOLFILE, CDX, SDF, PDB, mmCIF. The logical content type rather than the physical file format of a document. An attached file with the structural representation e.g. a molecular structure graphic of the substance, a JCAMP or AnIML file. The detailed description of a substance, typically at a level beyond what is used for prescribing. The specific code. Status of the code assignment, for example 'provisional', 'approved'. The date at which the code status was changed as part of the terminology maintenance. Any comment can be provided in this field, if necessary. Supporting literature. The detailed description of a substance, typically at a level beyond what is used for prescribing. The actual name. Name type, for example 'systematic', 'scientific, 'brand'. The status of the name, for example 'current', 'proposed'. If this is the preferred name for this substance. Human language that the name is written in. The use context of this name for example if there is a different name a drug active ingredient as opposed to a food colour additive. The jurisdiction where this name applies. A synonym of this particular name, by which the substance is also known. A translation for this name into another human language. Details of the official nature of this name. Supporting literature. The detailed description of a substance, typically at a level beyond what is used for prescribing. Which authority uses this official name. The status of the official name, for example 'draft', 'active', 'retired'. Date of the official name change. The detailed description of a substance, typically at a level beyond what is used for prescribing. A pointer to another substance, as a resource or just a representational code. For example "salt to parent", "active moiety", "starting material", "polymorph", "impurity of". For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible substance relationships. A numeric factor for the relationship, for instance to express that the salt of a substance has some percentage of the active substance in relation to some other. For use when the numeric has an uncertain range. An operator for the amount, for example "average", "approximately", "less than". Supporting literature. The detailed description of a substance, typically at a level beyond what is used for prescribing. A classification that provides the origin of the raw material. Example: cat hair would be an Animal source type. The genus of an organism, typically referring to the Latin epithet of the genus element of the plant/animal scientific name. The species of an organism, typically referring to the Latin epithet of the species of the plant/animal. An anatomical origin of the source material within an organism. The country or countries where the material is harvested. A task to be performed as a part of a workflow and the related informations like inputs, outputs and execution progress. While very simple workflows can be implemented with [[[Request]]] alone, most workflows would require a Task (explicit or contained) as a means to track the execution progress (i.e. inputs, outputs, status). Please refer to [Fulfillment/Execution](request.html#fulfillment). A task to be performed as a part of a workflow and the related informations like inputs, outputs and execution progress. While very simple workflows can be implemented with [[[Request]]] alone, most workflows would require a Task (explicit or contained) as a means to track the execution progress (i.e. inputs, outputs, status). Please refer to [Fulfillment/Execution](request.html#fulfillment). If the element is present, it must have either a @value, an @id, or extensions The business identifier for this task. BasedOn refers to a higher-level authorization that triggered the creation of the task. It references a "request" resource such as a ServiceRequest, MedicationRequest, CarePlan, etc. which is distinct from the "request" resource the task is seeking to fulfill. This latter resource is referenced by focus. For example, based on a CarePlan (= basedOn), a task is created to fulfill a ServiceRequest ( = focus ) to collect a specimen from a patient. A shared identifier common to multiple independent Task and Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time. Task that this particular task is part of. The current status of the task. An explanation as to why this task is held, failed, was refused, etc. Contains business-specific nuances of the business state. Indicates the "level" of actionability associated with the Task, i.e. this a proposed task, a planned task, an actionable task, etc. Indicates how quickly the Task should be addressed with respect to other requests. If true indicates that the Task is asking for the specified action to *not* occur. A name or code (or both) briefly describing what the task involves. A free-text description of what is to be performed. The request being fulfilled or the resource being manipulated (changed, suspended, etc.) by this task. The entity who benefits from the performance of the service specified in the task (e.g., the patient). The healthcare event (e.g. a patient and healthcare provider interaction) during which this task was created. Indicates the start and/or end of the period of time when completion of the task is desired to take place. Identifies the time action was first taken against the task (start) and/or the time final action was taken against the task prior to marking it as completed (end). The date and time this task was created. The date and time of last modification to this task. The creator of the task. The kind of participant or specific participant that should perform the task. Party responsible for managing task execution. The entity who performed the requested task. Principal physical location where this task is performed. A description, code, or reference indicating why this task needs to be performed. Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant to the Task. Free-text information about the task during its lifecycle. Links to Provenance records for past versions of this Task that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the task. If the Task.focus is a request resource and the task is seeking fulfillment (i.e. is asking for the request to be actioned), this element identifies any limitations on what parts of the referenced request should be actioned. Additional information that may be needed in the execution of the task. Outputs produced by the Task. A task to be performed as a part of a workflow and the related informations like inputs, outputs and execution progress. While very simple workflows can be implemented with [[[Request]]] alone, most workflows would require a Task (explicit or contained) as a means to track the execution progress (i.e. inputs, outputs, status). Please refer to [Fulfillment/Execution](request.html#fulfillment). What task is acting on. A task to be performed as a part of a workflow and the related informations like inputs, outputs and execution progress. While very simple workflows can be implemented with [[[Request]]] alone, most workflows would require a Task (explicit or contained) as a means to track the execution progress (i.e. inputs, outputs, status). Please refer to [Fulfillment/Execution](request.html#fulfillment). A code or description of the performer of the task. The actor or entity who performed the task. A task to be performed as a part of a workflow and the related informations like inputs, outputs and execution progress. While very simple workflows can be implemented with [[[Request]]] alone, most workflows would require a Task (explicit or contained) as a means to track the execution progress (i.e. inputs, outputs, status). Please refer to [Fulfillment/Execution](request.html#fulfillment). Indicates the number of times the requested action should occur. The time-period for which fulfillment is sought. This must fall within the overall time period authorized in the referenced request. E.g. ServiceRequest.occurance[x]. For requests directed at multiple potential recipients or targets, this is used to specify the individual or entity from whom fulfillment is being sought. A task to be performed as a part of a workflow and the related informations like inputs, outputs and execution progress. While very simple workflows can be implemented with [[[Request]]] alone, most workflows would require a Task (explicit or contained) as a means to track the execution progress (i.e. inputs, outputs, status). Please refer to [Fulfillment/Execution](request.html#fulfillment). A code or description to distinguish between inputs. The value of the input parameter as a basic type. A task to be performed as a part of a workflow and the related informations like inputs, outputs and execution progress. While very simple workflows can be implemented with [[[Request]]] alone, most workflows would require a Task (explicit or contained) as a means to track the execution progress (i.e. inputs, outputs, status). Please refer to [Fulfillment/Execution](request.html#fulfillment). A code or description to distinguish between outputs. The value of the Output parameter as a basic type. Draft Requested Received Accepted Rejected Ready Cancelled In Progress On Hold Failed Completed Entered in Error If the element is present, it must have either a @value, an @id, or extensions Unknown Proposal Plan Order Original Order Reflex Order Filler Order Instance Order Option If the element is present, it must have either a @value, an @id, or extensions A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this terminology capabilities when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this terminology capabilities is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the terminology capabilities is stored on different servers. A formal identifier that is used to identify this terminology capabilities when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the terminology capabilities when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the terminology capabilities 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. Indicates the mechanism used to compare versions to determine which is more current. A natural language name identifying the terminology capabilities. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the terminology capabilities. The status of this terminology capabilities. Enables tracking the life-cycle of the content. A Boolean value to indicate that this terminology capabilities is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the terminology capabilities was last significantly changed. The date must change 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 terminology capabilities changes. The name of the organization or individual responsible for the release and ongoing maintenance of the terminology capabilities. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the terminology capabilities from a consumer's perspective. Typically, this is used when the capability statement describes a desired rather than an actual solution, for example as a formal expression of requirements as part of an RFP. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate terminology capabilities instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. Explanation of why this terminology capabilities is needed and why it has been designed as it has. A copyright statement relating to the terminology capabilities and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the terminology capabilities. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). The way that this statement is intended to be used, to describe an actual running instance of software, a particular product (kind, not instance of software) or a class of implementation (e.g. a desired purchase). Software that is covered by this terminology capability statement. It is used when the statement describes the capabilities of a particular software version, independent of an installation. Identifies a specific implementation instance that is described by the terminology capability statement - i.e. a particular installation, rather than the capabilities of a software program. Whether the server supports lockedDate. Identifies a code system that is supported by the server. If there is a no code system URL, then this declares the general assumptions a client can make about support for any CodeSystem resource. Information about how the system supports CodeSystem supplements. Information about the [ValueSet/$expand](valueset-operation-expand.html) operation. The degree to which the server supports the code search parameter on ValueSet, if it is supported. Information about the [ValueSet/$validate-code](valueset-operation-validate-code.html) operation. Information about the [ConceptMap/$translate](conceptmap-operation-translate.html) operation. A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Name the software is known by. The version identifier for the software covered by this statement. A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Information about the specific installation that this terminology capability statement relates to. An absolute base URL for the implementation. A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Canonical identifier for the code system, represented as a URI. This cannot have a version in the canonical URL. Canonical identifier for a supported supplement to this code system. Supplements listed here supplement all versions of the code system. This reference SHOULD be version specific. For the code system, a list of versions that are supported by the server. The extent of the content of the code system (the concepts and codes it defines) are represented in this resource instance. True if subsumption is supported for this version of the code system. A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. For version-less code systems, there should be a single version with no identifier. If this is the default version for this code system. Canonical identifier for a supported supplement to this code system. Supplements listed here supplement this specific version of the code system (and by implication, not all of the supported versions). This reference SHOULD be version specific. If the compositional grammar defined by the code system is supported. Language Displays supported. Filter Properties supported. Properties supported for $lookup. A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Code of the property supported. Operations supported for the property. A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Codes that describes how the server implements global language packs - that is, supplements that contain only designations for a single language that are marked as intended by the extension http://hl7.org/fhir/StructureDefinition/codesystem-globalLangPack for use with all value sets and codesystem without explicit reference. A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Whether the server can return nested value sets. Whether the server supports paging on expansion. True if requests for incomplete expansions are allowed. Supported expansion parameter. Documentation about text searching works. A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Name of the supported expansion parameter. Description of support for parameter. A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Whether translations are validated. A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation. Whether the client must identify the map. In Compose In Expansion In Compose Or Expansion If the element is present, it must have either a @value, an @id, or extensions Not Supported Language Packs Supported by request Global Language Packs Supported If the element is present, it must have either a @value, an @id, or extensions A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). If the element is present, it must have either a @value, an @id, or extensions An absolute URI that is used to identify this value set when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this value set is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the value set is stored on different servers. A formal identifier that is used to identify this value set when it is represented in other formats, or referenced in a specification, model, design or an instance. The identifier that is used to identify this version of the value set when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the value set 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. Indicates the mechanism used to compare versions to determine which ValueSet is more current. A natural language name identifying the value set. This name should be usable as an identifier for the module by machine processing applications such as code generation. A short, descriptive, user-friendly title for the value set. The status of this value set. Enables tracking the life-cycle of the content. The status of the value set applies to the value set definition (ValueSet.compose) and the associated ValueSet metadata. Expansions do not have a state. A Boolean value to indicate that this value set is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage. The date (and optionally time) when the value set metadata or content logical definition (.compose) was created or revised. The name of the organization or individual responsible for the release and ongoing maintenance of the value set. Contact details to assist a user in finding and communicating with the publisher. A free text natural language description of the value set from a consumer's perspective. The textual description specifies the span of meanings for concepts to be included within the Value Set Expansion, and also may specify the intended use and limitations of the Value Set. The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate value set instances. A legal or geographic region in which the authority that maintains the resource is operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use. If this is set to 'true', then no new versions of the content logical definition can be created. Note: Other metadata might still change. Explanation of why this value set is needed and why it has been designed as it has. A copyright statement relating to the value set and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the value set. A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved'). 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 on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. The period during which the ValueSet content was or is planned to be in active use. Descriptions related to the content of the ValueSet. Topics provide a high-level categorization as well as keywords for the ValueSet that can be useful for filtering and searching. An individiual or organization primarily involved in the creation and maintenance of the ValueSet. An individual or organization primarily responsible for internal coherence of the ValueSet. An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the ValueSet. An individual or organization asserted by the publisher to be responsible for officially endorsing the ValueSet for use in some setting. Related artifacts such as additional documentation, justification, dependencies, bibliographic references, and predecessor and successor artifacts. A set of criteria that define the contents of the value set by including or excluding codes selected from the specified code system(s) that the value set draws from. This is also known as the Content Logical Definition (CLD). A value set can also be "expanded", where the value set is turned into a simple collection of enumerated codes. This element holds the expansion, if it has been performed. A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). The Locked Date is the effective date that is used to determine the version of all referenced Code Systems and Value Set Definitions included in the compose that are not already tied to a specific version. Whether inactive codes - codes that are not approved for current use - are in the value set. If inactive = true, inactive codes are to be included in the expansion, if inactive = false, the inactive codes will not be included in the expansion. If absent, the behavior is determined by the implementation, or by the applicable $expand parameters (but generally, inactive codes would be expected to be included). Include one or more codes from a code system or other value set(s). Exclude one or more codes from the value set based on code system filters and/or other value sets. A property to return in the expansion, if the client doesn't ask for any particular properties. May be either a code from the code system definition (convenient) or a the formal URI that refers to the property. The special value '*' means all properties known to the server. A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). An absolute URI which is the code system from which the selected codes come from. The version of the code system that the codes are selected from, or the special version '*' for all versions. Specifies a concept to be included or excluded. Select concepts by specifying a matching criterion based on the properties (including relationships) defined by the system, or on filters defined by the system. If multiple filters are specified within the include, they SHALL all be true. Selects the concepts found in this value set (based on its value set definition). This is an absolute URI that is a reference to ValueSet.url. If multiple value sets are specified this includes the intersection of the contents of all of the referenced value sets. A copyright statement for the specific code system asserted by the containing ValueSet.compose.include element's system value (if the associated ValueSet.compose.include.version element is not present); or the code system and version combination (if the associated ValueSet.compose.include.version element is present). A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). Specifies a code for the concept to be included or excluded. The text to display to the user for this concept in the context of this valueset. If no display is provided, then applications using the value set use the display specified for the code by the system. Additional representations for this concept when used in this value set - other languages, aliases, specialized purposes, used for particular purposes, etc. A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). The language this designation is defined for. A code that represents types of uses of designations. Additional codes that detail how this designation would be used, if there is more than one use. The text value for this designation. A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). A code that identifies a property or a filter defined in the code system. The kind of operation to perform as a part of the filter criteria. ValueSet.compose.include.filter.value is represented as a string, and the string value must be [as described](valueset.html#filter-values). A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). An identifier that uniquely identifies this expansion of the valueset, based on a unique combination of the provided parameters, the system default parameters, and the underlying system code system versions etc. Systems may re-use the same identifier as long as those factors remain the same, and the expansion is the same, but are not required to do so. This is a business identifier. As per paging Search results, the next URLs are opaque to the client, have no dictated structure, and only the server understands them. The time at which the expansion was produced by the expanding system. The total number of concepts in the expansion. If the number of concept nodes in this resource is less than the stated number, then the server can return more using the offset parameter. If paging is being used, the offset at which this resource starts. I.e. this resource is a partial view into the expansion. If paging is not being used, this element SHALL NOT be present. A parameter that controlled the expansion process. These parameters may be used by users of expanded value sets to check whether the expansion is suitable for a particular purpose, or to pick the correct expansion. A property defines an additional slot through which additional information can be provided about a concept. The codes that are contained in the value set expansion. A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). Name of the input parameter to the $expand operation; may be a server-assigned name for additional default or other server-supplied parameters used to control the expansion process. The value of the parameter. A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). A code that is used to identify the property. The code is used in ValueSet.expansion.contains.property.code. Reference to the formal meaning of the property. One possible source of meaning is the [Concept Properties](codesystem-concept-properties.html) code system. A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). An absolute URI which is the code system in which the code for this item in the expansion is defined. If true, this entry is included in the expansion for navigational purposes, and the user cannot select the code directly as a proper value. If the concept is inactive in the code system that defines it. Inactive codes are those that are no longer to be used, but are maintained by the code system for understanding legacy data. It might not be known or specified whether a concept is inactive (and it may depend on the context of use). The version of the code system from this code was taken. 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. The code for this item in the expansion hierarchy. If this code is missing the entry in the hierarchy is a place holder (abstract) and does not represent a valid code in the value set. The recommended display for this item in the expansion. Additional representations for this item - other languages, aliases, specialized purposes, used for particular purposes, etc. These are relevant when the conditions of the expansion do not fix to a single correct representation. A property value for this concept. Other codes and entries contained under this entry in the hierarchy. A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). A code that is a reference to ValueSet.expansion.property.code. The value of this property. A subproperty value for this concept. A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html). A code that is a reference to ValueSet.expansion.property.code. The value of this subproperty. An authorization for the provision of glasses and/or contact lenses to a patient. An authorization for the provision of glasses and/or contact lenses to a patient. If the element is present, it must have either a @value, an @id, or extensions A unique identifier assigned to this vision prescription. Plan/proposal/order/request fulfilled by this prescription. A shared identifier common to all Vision Prescriptions that were authorized more or less simultaneously by a single author, representing the composite or group identifier. The status of the resource instance. Indicates how quickly the vision prescription should be addressed with respect to other requests. The date this resource was created. A resource reference to the person to whom the vision prescription applies. A reference to a resource that identifies the particular occurrence of contact between patient and health care provider during which the prescription was issued. The date (and perhaps time) when the prescription was written. The healthcare professional responsible for authorizing the prescription. Contain the details of the individual lens specifications and serves as the authorization for the fullfillment by certified professionals. An authorization for the provision of glasses and/or contact lenses to a patient. Identifies the type of vision correction product which is required for the patient. The eye for which the lens specification applies. Lens power measured in dioptres (0.25 units). Power adjustment for astigmatism measured in dioptres (0.25 units). Adjustment for astigmatism measured in integer degrees. Allows for adjustment on two axis. Power adjustment for multifocal lenses measured in dioptres (0.25 units). Contact lens power measured in dioptres (0.25 units). Back curvature measured in millimetres. Contact lens diameter measured in millimetres. The recommended maximum wear period for the lens. Special color or pattern. Brand recommendations or restrictions. Notes for special requirements such as coatings and lens materials. An authorization for the provision of glasses and/or contact lenses to a patient. Amount of prism to compensate for eye alignment in fractional units. The relative base, or reference lens edge, for the prism. Up Down In Out If the element is present, it must have either a @value, an @id, or extensions Right Eye Left Eye If the element is present, it must have either a @value, an @id, or extensions