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5.9 Resource ImplementationGuide - Content

FHIR Infrastructure icon Work GroupMaturity Level: 4 Trial UseSecurity Category: Anonymous Compartments: No defined compartments

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.

An implementation guide (IG) is a set of rules about how FHIR resources are used (or should be used) to solve a particular problem, with associated documentation to support and clarify the usage. Classically, FHIR implementation guides are published on the web after they are generated using the FHIR Implementation Guide Publisher icon.

The ImplementationGuide resource is a single resource that defines the logical content of the IG, along with the important entry pages into the publication, so that the logical package that the IG represents, so that the contents are computable.

In particular, validators are able to use the ImplementationGuide resource to validate content against the implementation guide as a whole. The significant conformance expectation introduced by the ImplementationGuide resource is the idea of Default Profiles. Implementations may conform to multiple implementation guides at once, but this requires that the implementation guides are compatible (see below).

Implementation Guides contain two different types of resource references:

  • Contents: A set of logical statements which implementations must conform to. These are almost always conformance resources
  • Examples: Examples that illustrate the intent of the profiles defined in the implementation guide. These can be any kind of resource

An application's Capability Statement may identify one or more implementation guides that an application conforms to.

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImplementationGuide TUDomainResourceA set of rules about how FHIR is used
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
+ Rule: If a resource has a fhirVersion, it must be one of the versions defined for the Implementation Guide

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
Interfaces Implemented: CanonicalResource
... url ΣC1..1uriCanonical identifier for this implementation guide, represented as a URI (globally unique)
+ Warning: URL should not contain | or # - these characters make processing canonical references problematic
... identifier Σ0..*IdentifierAdditional identifier for the implementation guide (business identifier)

... version Σ0..1stringBusiness version of the implementation guide
.... versionAlgorithmStringstring
.... versionAlgorithmCodingCoding
... name ΣC1..1stringName for this implementation guide (computer friendly)
... title ΣT0..1stringName for this implementation guide (human friendly)
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (Required)
... experimental Σ0..1booleanFor testing purposes, not real usage
... date Σ0..1dateTimeDate last changed
... publisher ΣT0..1stringName of the publisher/steward (organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher

... description T0..1markdownNatural language description of the implementation guide
... useContext Σ0..*UsageContextThe context that the content is intended to support

... jurisdiction ΣXD0..*CodeableConceptIntended jurisdiction for implementation guide (if applicable)
Binding: Jurisdiction ValueSet (Extensible)

... purpose T0..1markdownWhy this implementation guide is defined
... copyright T0..1markdownUse and/or publishing restrictions
... copyrightLabel T0..1stringCopyright holder and year(s)
... packageId Σ1..1idNPM Package name for IG
... license Σ0..1codeSPDX license code for this IG (or not-open-source)
Binding: S P D X License (Required)
... fhirVersion ΣC1..*codeFHIR Version(s) this Implementation Guide targets
Binding: FHIRVersion (Required)

... dependsOn Σ0..*BackboneElementAnother Implementation guide this depends on

.... uri Σ1..1canonical(ImplementationGuide)Identity of the IG that this depends on
.... packageId Σ0..1idNPM Package name for IG this depends on
.... version Σ0..1stringVersion of the IG
.... reason 0..1markdownWhy dependency exists
... global Σ0..*BackboneElementProfiles that apply globally

.... type Σ1..1codeType this profile applies to
Binding: Resource Types (Required)
.... profile Σ1..1canonical(StructureDefinition)Profile that all resources must conform to
... definition C0..1BackboneElementInformation needed to build the IG
+ Rule: If a resource has a groupingId, it must refer to a grouping defined in the Implementation Guide
.... grouping C0..*BackboneElementGrouping used to present related resources in the IG

..... name T1..1stringDescriptive name for the package
..... description T0..1markdownHuman readable text describing the package
.... resource C0..*BackboneElementResource in the implementation guide

..... reference 1..1Reference(Any)Location of the resource
..... fhirVersion C0..*codeVersions this applies to (if different to IG)
Binding: FHIRVersion (Required)

..... name T0..1stringHuman readable name for the resource
..... description T0..1markdownReason why included in guide
..... isExample 0..1booleanIs this an example
..... profile 0..*canonical(StructureDefinition)Profile(s) this is an example of

..... groupingId C0..1idGrouping this is part of
.... page C0..1BackboneElementPage/Section in the Guide
+ Rule: Source must be absent if 'generated' is generated
..... source[x] TC0..1Source for page
...... sourceUrlurl
...... sourceStringstring
...... sourceMarkdownmarkdown
..... name 1..1urlName of the page when published
..... title T1..1stringShort title shown for navigational assistance
..... generation C1..1codehtml | markdown | xml | generated
Binding: Guide Page Generation (Required)
..... page 0..*see pageNested Pages / Sections

.... parameter 0..*BackboneElementDefines how IG is built by tools

..... code 1..1CodingCode that identifies parameter
Binding: Guide Parameter Code (Extensible)
..... value 1..1stringValue for named type
.... template 0..*BackboneElementA template for building resources

..... code 1..1codeType of template specified
..... source 1..1stringThe source location for the template
..... scope 0..1stringThe scope in which the template applies
... manifest 0..1BackboneElementInformation about an assembled IG
.... rendering Σ0..1urlLocation of rendered implementation guide
.... resource Σ1..*BackboneElementResource in the implementation guide

..... reference Σ1..1Reference(Any)Location of the resource
..... isExample 0..1booleanIs this an example
..... profile 0..*canonical(StructureDefinition)Profile(s) this is an example of

..... relativePath 0..1urlRelative path for page in IG
.... page 0..*BackboneElementHTML page within the parent IG

..... name 1..1stringHTML page name
..... title 0..1stringTitle of the page, for references
..... anchor 0..*stringAnchor available on the page

.... image 0..*stringImage within the IG

.... other 0..*stringAdditional linkable file in IG


doco Documentation for this format icon

See the Extensions for this resource

UML Diagram (Legend)

ImplementationGuide (DomainResource) +CanonicalResourceAn 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 serversurl : uri [1..1]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 instanceidentifier : Identifier [0..*]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 sequenceversion : string [0..1]Indicates the mechanism used to compare versions to determine which is more currentversionAlgorithm[x] : DataType [0..1] « string|Coding; null (Strength=Extensible) VersionAlgorithm+ »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 generationname : string [1..1] « This element has or is affected by some invariantsC »A short, descriptive, user-friendly title for the implementation guidetitle : string [0..1]The status of this implementation guide. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « null (Strength=Required)PublicationStatus! »A Boolean value to indicate that this implementation guide is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usageexperimental : boolean [0..1]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 changesdate : dateTime [0..1]The name of the organization or individual responsible for the release and ongoing maintenance of the implementation guidepublisher : string [0..1]Contact details to assist a user in finding and communicating with the publishercontact : ContactDetail [0..*]A free text natural language description of the implementation guide from a consumer's perspectivedescription : markdown [0..1]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 instancesuseContext : UsageContext [0..*]A legal or geographic region in which the implementation guide is intended to be usedjurisdiction : CodeableConcept [0..*] « null (Strength=Extensible)JurisdictionValueSet+ »Explanation of why this implementation guide is needed and why it has been designed as it haspurpose : markdown [0..1]A copyright statement relating to the implementation guide and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the implementation guidecopyright : markdown [0..1]A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are resctricted. (e.g. 'All rights reserved', 'Some rights reserved')copyrightLabel : string [0..1]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 carepackageId : id [1..1]The license that applies to this Implementation Guide, using an SPDX license code, or 'not-open-source'license : code [0..1] « null (Strength=Required)SPDXLicense! »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 versionfhirVersion : code [1..*] « null (Strength=Required)FHIRVersion! » « This element has or is affected by some invariantsC »DependsOnA canonical reference to the Implementation guide for the dependencyuri : canonical [1..1] « ImplementationGuide »The NPM package name for the Implementation Guide that this IG depends onpackageId : id [0..1]The version of the IG that is depended on, when the correct version is required to understand the IG correctlyversion : string [0..1]A description explaining the nature of the dependency on the listed IGreason : markdown [0..1]GlobalThe type of resource that all instances must conform totype : code [1..1] « null (Strength=Required)ResourceType! »A reference to the profile that all instances must conform toprofile : canonical [1..1] « StructureDefinition »DefinitionGroupingThe human-readable title to display for the package of resources when rendering the implementation guidename : string [1..1]Human readable text describing the packagedescription : markdown [0..1]ResourceWhere this resource is foundreference : Reference [1..1] « Any »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.fhirVersionfhirVersion : code [0..*] « null (Strength=Required)FHIRVersion! » « This element has or is affected by some invariantsC »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)name : string [0..1]A description of the reason that a resource has been included in the implementation guidedescription : markdown [0..1]If true, indicates the resource is an example instanceisExample : boolean [0..1]If present, indicates profile(s) the instance is valid againstprofile : canonical [0..*] « StructureDefinition »Reference to the id of the grouping this resource appears ingroupingId : id [0..1] « This element has or is affected by some invariantsC »PageIndicates the URL or the actual content to provide for the pagesource[x] : PrimitiveType [0..1] « url|string|markdown » « This element has or is affected by some invariantsC »The url by which the page should be known when publishedname : url [1..1]A short title used to represent this page in navigational structures such as table of contents, bread crumbs, etctitle : string [1..1]A code that indicates how the page is generatedgeneration : code [1..1] « null (Strength=Required)GuidePageGeneration! » « This element has or is affected by some invariantsC »ParameterA tool-specific code that defines the parametercode : Coding [1..1] « null (Strength=Extensible)GuideParameterCode+ »Value for named typevalue : string [1..1]TemplateType of template specifiedcode : code [1..1]The source location for the templatesource : string [1..1]The scope in which the template appliesscope : string [0..1]ManifestA pointer to official web page, PDF or other rendering of the implementation guiderendering : url [0..1]Indicates a relative path to an image that exists within the IGimage : string [0..*]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 IGother : string [0..*]ManifestResourceWhere this resource is foundreference : Reference [1..1] « Any »If true, indicates the resource is an example instanceisExample : boolean [0..1]If present, indicates profile(s) the instance is valid againstprofile : canonical [0..*] « StructureDefinition »The relative path for primary page for this resource within the IGrelativePath : url [0..1]ManifestPageRelative path to the pagename : string [1..1]Label for the page intended for human displaytitle : string [0..1]The name of an anchor available on the pageanchor : string [0..*]Another implementation guide that this implementation depends on. Typically, an implementation guide uses value sets, profiles etc.defined in other implementation guidesdependsOn[0..*]A set of profiles that all resources covered by this implementation guide must conform toglobal[0..*]A logical group of resources. Logical groups can be used when building pagesgrouping[0..*]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 resourceresource[0..*]Nested Pages/Sections under this pagepage[0..*]A page / section in the implementation guide. The root page is the implementation guide home pagepage[0..1]A set of parameters that defines how the implementation guide is built. The parameters are defined by the relevant tools that build the implementation guidesparameter[0..*]A template for building resourcestemplate[0..*]The information needed by an IG publisher tool to publish the whole implementation guidedefinition[0..1]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 resourceresource[1..*]Information about a page within the IGpage[0..*]Information about an assembled implementation guide, created by the publication toolingmanifest[0..1]

XML Template

<ImplementationGuide xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <url value="[uri]"/><!-- 1..1 Canonical identifier for this implementation guide, represented as a URI (globally unique) -->
 <identifier><!-- 0..* Identifier Additional identifier for the implementation guide (business identifier) --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of the implementation guide -->
 <versionAlgorithm[x]><!-- 0..1 string|Coding How to compare versions --></versionAlgorithm[x]>
 <name value="[string]"/><!-- I 1..1 Name for this implementation guide (computer friendly) -->
 <title value="[string]"/><!-- 0..1 Name for this implementation guide (human friendly) -->
 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <experimental value="[boolean]"/><!-- 0..1 For testing purposes, not real usage -->
 <date value="[dateTime]"/><!-- 0..1 Date last changed -->
 <publisher value="[string]"/><!-- 0..1 Name of the publisher/steward (organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- 0..1 Natural language description of the implementation guide -->
 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>
 <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for implementation guide (if applicable) --></jurisdiction>
 <purpose value="[markdown]"/><!-- 0..1 Why this implementation guide is defined -->
 <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions -->
 <copyrightLabel value="[string]"/><!-- 0..1 Copyright holder and year(s) -->
 <packageId value="[id]"/><!-- 1..1 NPM Package name for IG -->
 <license value="[code]"/><!-- 0..1 SPDX license code for this IG (or not-open-source) -->
 <fhirVersion value="[code]"/><!-- I 1..* FHIR Version(s) this Implementation Guide targets -->
 <dependsOn>  <!-- 0..* Another Implementation guide this depends on -->
  <uri><!-- 1..1 canonical(ImplementationGuide) Identity of the IG that this depends on --></uri>
  <packageId value="[id]"/><!-- 0..1 NPM Package name for IG this depends on -->
  <version value="[string]"/><!-- 0..1 Version of the IG -->
  <reason value="[markdown]"/><!-- 0..1 Why dependency exists -->
 </dependsOn>
 <global>  <!-- 0..* Profiles that apply globally -->
  <type value="[code]"/><!-- 1..1 Type this profile applies to -->
  <profile><!-- 1..1 canonical(StructureDefinition) Profile that all resources must conform to --></profile>
 </global>
 <definition>  <!-- I 0..1 Information needed to build the IG -->
  <grouping>  <!-- I 0..* Grouping used to present related resources in the IG -->
   <name value="[string]"/><!-- 1..1 Descriptive name for the package -->
   <description value="[markdown]"/><!-- 0..1 Human readable text describing the package -->
  </grouping>
  <resource>  <!-- I 0..* Resource in the implementation guide -->
   <reference><!-- 1..1 Reference(Any) Location of the resource --></reference>
   <fhirVersion value="[code]"/><!-- I 0..* Versions this applies to (if different to IG) -->
   <name value="[string]"/><!-- 0..1 Human readable name for the resource -->
   <description value="[markdown]"/><!-- 0..1 Reason why included in guide -->
   <isExample value="[boolean]"/><!-- 0..1 Is this an example -->
   <profile><!-- 0..* canonical(StructureDefinition) Profile(s) this is an example of --></profile>
   <groupingId value="[id]"/><!-- I 0..1 Grouping this is part of -->
  </resource>
  <page>  <!-- 0..1 Page/Section in the Guide -->
   <source[x]><!-- I 0..1 url|string|markdown Source for page --></source[x]>
   <name value="[url]"/><!-- 1..1 Name of the page when published -->
   <title value="[string]"/><!-- 1..1 Short title shown for navigational assistance -->
   <generation value="[code]"/><!-- I 1..1 html | markdown | xml | generated -->
   <page><!-- 0..* Content as for ImplementationGuide.definition.page Nested Pages / Sections --></page>
  </page>
  <parameter>  <!-- 0..* Defines how IG is built by tools -->
   <code><!-- 1..1 Coding Code that identifies parameter --></code>
   <value value="[string]"/><!-- 1..1 Value for named type -->
  </parameter>
  <template>  <!-- 0..* A template for building resources -->
   <code value="[code]"/><!-- 1..1 Type of template specified -->
   <source value="[string]"/><!-- 1..1 The source location for the template -->
   <scope value="[string]"/><!-- 0..1 The scope in which the template applies -->
  </template>
 </definition>
 <manifest>  <!-- 0..1 Information about an assembled IG -->
  <rendering value="[url]"/><!-- 0..1 Location of rendered implementation guide -->
  <resource>  <!-- 1..* Resource in the implementation guide -->
   <reference><!-- 1..1 Reference(Any) Location of the resource --></reference>
   <isExample value="[boolean]"/><!-- 0..1 Is this an example -->
   <profile><!-- 0..* canonical(StructureDefinition) Profile(s) this is an example of --></profile>
   <relativePath value="[url]"/><!-- 0..1 Relative path for page in IG -->
  </resource>
  <page>  <!-- 0..* HTML page within the parent IG -->
   <name value="[string]"/><!-- 1..1 HTML page name -->
   <title value="[string]"/><!-- 0..1 Title of the page, for references -->
   <anchor value="[string]"/><!-- 0..* Anchor available on the page -->
  </page>
  <image value="[string]"/><!-- 0..* Image within the IG -->
  <other value="[string]"/><!-- 0..* Additional linkable file in IG -->
 </manifest>
</ImplementationGuide>

JSON Template

{doco
  "resourceType" : "ImplementationGuide",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "url" : "<uri>", // R!  Canonical identifier for this implementation guide, represented as a URI (globally unique)
  "identifier" : [{ Identifier }], // Additional identifier for the implementation guide (business identifier)
  "version" : "<string>", // Business version of the implementation guide
  // versionAlgorithm[x]: How to compare versions. One of these 2:
  "versionAlgorithmString" : "<string>",
  "versionAlgorithmCoding" : { Coding },
  "name" : "<string>", // I R!  Name for this implementation guide (computer friendly)
  "title" : "<string>", // Name for this implementation guide (human friendly)
  "status" : "<code>", // R!  draft | active | retired | unknown
  "experimental" : <boolean>, // For testing purposes, not real usage
  "date" : "<dateTime>", // Date last changed
  "publisher" : "<string>", // Name of the publisher/steward (organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher
  "description" : "<markdown>", // Natural language description of the implementation guide
  "useContext" : [{ UsageContext }], // The context that the content is intended to support
  "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for implementation guide (if applicable)
  "purpose" : "<markdown>", // Why this implementation guide is defined
  "copyright" : "<markdown>", // Use and/or publishing restrictions
  "copyrightLabel" : "<string>", // Copyright holder and year(s)
  "packageId" : "<id>", // R!  NPM Package name for IG
  "license" : "<code>", // SPDX license code for this IG (or not-open-source)
  "fhirVersion" : ["<code>"], // I R!  FHIR Version(s) this Implementation Guide targets
  "dependsOn" : [{ // Another Implementation guide this depends on
    "uri" : "<canonical(ImplementationGuide)>", // R!  Identity of the IG that this depends on
    "packageId" : "<id>", // NPM Package name for IG this depends on
    "version" : "<string>", // Version of the IG
    "reason" : "<markdown>" // Why dependency exists
  }],
  "global" : [{ // Profiles that apply globally
    "type" : "<code>", // R!  Type this profile applies to
    "profile" : "<canonical(StructureDefinition)>" // R!  Profile that all resources must conform to
  }],
  "definition" : { // I Information needed to build the IG
    "grouping" : [{ // I Grouping used to present related resources in the IG
      "name" : "<string>", // R!  Descriptive name for the package
      "description" : "<markdown>" // Human readable text describing the package
    }],
    "resource" : [{ // I Resource in the implementation guide
      "reference" : { Reference(Any) }, // R!  Location of the resource
      "fhirVersion" : ["<code>"], // I Versions this applies to (if different to IG)
      "name" : "<string>", // Human readable name for the resource
      "description" : "<markdown>", // Reason why included in guide
      "isExample" : <boolean>, // Is this an example
      "profile" : ["<canonical(StructureDefinition)>"], // Profile(s) this is an example of
      "groupingId" : "<id>" // I Grouping this is part of
    }],
    "page" : { // Page/Section in the Guide
      // source[x]: Source for page. One of these 3:
      "sourceUrl" : "<url>",
      "sourceString" : "<string>",
      "sourceMarkdown" : "<markdown>",
      "name" : "<url>", // R!  Name of the page when published
      "title" : "<string>", // R!  Short title shown for navigational assistance
      "generation" : "<code>", // I R!  html | markdown | xml | generated
      "page" : [{ Content as for ImplementationGuide.definition.page }] // Nested Pages / Sections
    },
    "parameter" : [{ // Defines how IG is built by tools
      "code" : { Coding }, // R!  Code that identifies parameter
      "value" : "<string>" // R!  Value for named type
    }],
    "template" : [{ // A template for building resources
      "code" : "<code>", // R!  Type of template specified
      "source" : "<string>", // R!  The source location for the template
      "scope" : "<string>" // The scope in which the template applies
    }]
  },
  "manifest" : { // Information about an assembled IG
    "rendering" : "<url>", // Location of rendered implementation guide
    "resource" : [{ // R!  Resource in the implementation guide
      "reference" : { Reference(Any) }, // R!  Location of the resource
      "isExample" : <boolean>, // Is this an example
      "profile" : ["<canonical(StructureDefinition)>"], // Profile(s) this is an example of
      "relativePath" : "<url>" // Relative path for page in IG
    }],
    "page" : [{ // HTML page within the parent IG
      "name" : "<string>", // R!  HTML page name
      "title" : "<string>", // Title of the page, for references
      "anchor" : ["<string>"] // Anchor available on the page
    }],
    "image" : ["<string>"], // Image within the IG
    "other" : ["<string>"] // Additional linkable file in IG
  }
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:ImplementationGuide;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:url [ uri ] ; # 1..1 Canonical identifier for this implementation guide, represented as a URI (globally unique)
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Additional identifier for the implementation guide (business identifier)
  fhir:version [ string ] ; # 0..1 Business version of the implementation guide
  # versionAlgorithm[x] : 0..1 How to compare versions. One of these 2
    fhir:versionAlgorithm [  a fhir:string ; string ]
    fhir:versionAlgorithm [  a fhir:Coding ; Coding ]
  fhir:name [ string ] ; # 1..1 I Name for this implementation guide (computer friendly)
  fhir:title [ string ] ; # 0..1 Name for this implementation guide (human friendly)
  fhir:status [ code ] ; # 1..1 draft | active | retired | unknown
  fhir:experimental [ boolean ] ; # 0..1 For testing purposes, not real usage
  fhir:date [ dateTime ] ; # 0..1 Date last changed
  fhir:publisher [ string ] ; # 0..1 Name of the publisher/steward (organization or individual)
  fhir:contact  ( [ ContactDetail ] ... ) ; # 0..* Contact details for the publisher
  fhir:description [ markdown ] ; # 0..1 Natural language description of the implementation guide
  fhir:useContext  ( [ UsageContext ] ... ) ; # 0..* The context that the content is intended to support
  fhir:jurisdiction  ( [ CodeableConcept ] ... ) ; # 0..* Intended jurisdiction for implementation guide (if applicable)
  fhir:purpose [ markdown ] ; # 0..1 Why this implementation guide is defined
  fhir:copyright [ markdown ] ; # 0..1 Use and/or publishing restrictions
  fhir:copyrightLabel [ string ] ; # 0..1 Copyright holder and year(s)
  fhir:packageId [ id ] ; # 1..1 NPM Package name for IG
  fhir:license [ code ] ; # 0..1 SPDX license code for this IG (or not-open-source)
  fhir:fhirVersion  ( [ code ] ... ) ; # 1..* I FHIR Version(s) this Implementation Guide targets
  fhir:dependsOn ( [ # 0..* Another Implementation guide this depends on
    fhir:uri [ canonical(ImplementationGuide) ] ; # 1..1 Identity of the IG that this depends on
    fhir:packageId [ id ] ; # 0..1 NPM Package name for IG this depends on
    fhir:version [ string ] ; # 0..1 Version of the IG
    fhir:reason [ markdown ] ; # 0..1 Why dependency exists
  ] ... ) ;
  fhir:global ( [ # 0..* Profiles that apply globally
    fhir:type [ code ] ; # 1..1 Type this profile applies to
    fhir:profile [ canonical(StructureDefinition) ] ; # 1..1 Profile that all resources must conform to
  ] ... ) ;
  fhir:definition [ # 0..1 I Information needed to build the IG
    fhir:grouping ( [ # 0..* I Grouping used to present related resources in the IG
      fhir:name [ string ] ; # 1..1 Descriptive name for the package
      fhir:description [ markdown ] ; # 0..1 Human readable text describing the package
    ] ... ) ;
    fhir:resource ( [ # 0..* I Resource in the implementation guide
      fhir:reference [ Reference(Any) ] ; # 1..1 Location of the resource
      fhir:fhirVersion  ( [ code ] ... ) ; # 0..* I Versions this applies to (if different to IG)
      fhir:name [ string ] ; # 0..1 Human readable name for the resource
      fhir:description [ markdown ] ; # 0..1 Reason why included in guide
      fhir:isExample [ boolean ] ; # 0..1 Is this an example
      fhir:profile  ( [ canonical(StructureDefinition) ] ... ) ; # 0..* Profile(s) this is an example of
      fhir:groupingId [ id ] ; # 0..1 I Grouping this is part of
    ] ... ) ;
    fhir:page [ # 0..1 Page/Section in the Guide
      # source[x] : 0..1 I Source for page. One of these 3
        fhir:source [  a fhir:url ; url ]
        fhir:source [  a fhir:string ; string ]
        fhir:source [  a fhir:markdown ; markdown ]
      fhir:name [ url ] ; # 1..1 Name of the page when published
      fhir:title [ string ] ; # 1..1 Short title shown for navigational assistance
      fhir:generation [ code ] ; # 1..1 I html | markdown | xml | generated
      fhir:page  ( [ See ImplementationGuide.definition.page ] ... ) ; # 0..* Nested Pages / Sections
    ] ;
    fhir:parameter ( [ # 0..* Defines how IG is built by tools
      fhir:code [ Coding ] ; # 1..1 Code that identifies parameter
      fhir:value [ string ] ; # 1..1 Value for named type
    ] ... ) ;
    fhir:template ( [ # 0..* A template for building resources
      fhir:code [ code ] ; # 1..1 Type of template specified
      fhir:source [ string ] ; # 1..1 The source location for the template
      fhir:scope [ string ] ; # 0..1 The scope in which the template applies
    ] ... ) ;
  ] ;
  fhir:manifest [ # 0..1 Information about an assembled IG
    fhir:rendering [ url ] ; # 0..1 Location of rendered implementation guide
    fhir:resource ( [ # 1..* Resource in the implementation guide
      fhir:reference [ Reference(Any) ] ; # 1..1 Location of the resource
      fhir:isExample [ boolean ] ; # 0..1 Is this an example
      fhir:profile  ( [ canonical(StructureDefinition) ] ... ) ; # 0..* Profile(s) this is an example of
      fhir:relativePath [ url ] ; # 0..1 Relative path for page in IG
    ] ... ) ;
    fhir:page ( [ # 0..* HTML page within the parent IG
      fhir:name [ string ] ; # 1..1 HTML page name
      fhir:title [ string ] ; # 0..1 Title of the page, for references
      fhir:anchor  ( [ string ] ... ) ; # 0..* Anchor available on the page
    ] ... ) ;
    fhir:image  ( [ string ] ... ) ; # 0..* Image within the IG
    fhir:other  ( [ string ] ... ) ; # 0..* Additional linkable file in IG
  ] ;
]

Changes from R4 and R4B

ImplementationGuide
ImplementationGuide.identifier
  • Added Element
ImplementationGuide.versionAlgorithm[x]
  • Added Element
ImplementationGuide.purpose
  • Added Element
ImplementationGuide.copyrightLabel
  • Added Element
ImplementationGuide.fhirVersion
  • Add codes 0.0, 0.4, 0.5, 1.0, 1.1, 1.4, 1.6, 1.8, 3.0, 3.0.2, 3.3, 3.5, 4.0, 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-cibuild
ImplementationGuide.dependsOn.reason
  • Added Element
ImplementationGuide.global.type
  • Remove codes CatalogEntry, DeviceUseStatement, DocumentManifest, DomainResource, EffectEvidenceSynthesis, Media, MedicinalProduct, MedicinalProductAuthorization, MedicinalProductContraindication, MedicinalProductIndication, MedicinalProductIngredient, MedicinalProductInteraction, MedicinalProductManufactured, MedicinalProductPackaged, MedicinalProductPharmaceutical, MedicinalProductUndesirableEffect, RequestGroup, ResearchDefinition, ResearchElementDefinition, Resource, RiskEvidenceSynthesis, SubstanceSpecification
  • Add codes ActorDefinition, AdministrableProductDefinition, ArtifactAssessment, BiologicallyDerivedProductDispense, Citation, ClinicalUseDefinition, ConditionDefinition, DeviceAssociation, DeviceDispense, DeviceUsage, EncounterHistory, EvidenceReport, FormularyItem, GenomicStudy, ImagingSelection, Ingredient, InsuranceProduct, InventoryItem, InventoryReport, ManufacturedItemDefinition, MedicinalProductDefinition, NutritionIntake, NutritionProduct, PackagedProductDefinition, Permission, RegulatedAuthorization, RequestOrchestration, Requirements, SubscriptionStatus, SubscriptionTopic, SubstanceDefinition, TestPlan, Transport
ImplementationGuide.definition.grouping.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource
  • Min Cardinality changed from 1 to 0
ImplementationGuide.definition.resource.fhirVersion
  • Add codes 0.0, 0.4, 0.5, 1.0, 1.1, 1.4, 1.6, 1.8, 3.0, 3.0.2, 3.3, 3.5, 4.0, 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-cibuild
ImplementationGuide.definition.resource.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource.isExample
  • Added Element
ImplementationGuide.definition.resource.profile
  • Added Element
ImplementationGuide.definition.page.source[x]
  • Added Element
ImplementationGuide.definition.page.name
  • Renamed from name[x] to name
  • Remove Type Reference(Binary)
ImplementationGuide.definition.parameter.code
  • Type changed from code to Coding
  • Change binding strength from required to extensible
ImplementationGuide.manifest.resource.isExample
  • Added Element
ImplementationGuide.manifest.resource.profile
  • Added Element
ImplementationGuide.definition.resource.example[x]
  • Deleted
ImplementationGuide.manifest.resource.example[x]
  • Deleted

Changes from R4 and R4B

ImplementationGuide
ImplementationGuide.identifier
  • Added Element
ImplementationGuide.versionAlgorithm[x]
  • Added Element
ImplementationGuide.purpose
  • Added Element
ImplementationGuide.copyrightLabel
  • Added Element
ImplementationGuide.fhirVersion
  • Add codes 0.0, 0.4, 0.5, 1.0, 1.1, 1.4, 1.6, 1.8, 3.0, 3.0.2, 3.3, 3.5, 4.0, 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-cibuild
ImplementationGuide.dependsOn.reason
  • Added Element
ImplementationGuide.global.type
  • Remove codes CatalogEntry, DeviceUseStatement, DocumentManifest, DomainResource, EffectEvidenceSynthesis, Media, MedicinalProduct, MedicinalProductAuthorization, MedicinalProductContraindication, MedicinalProductIndication, MedicinalProductIngredient, MedicinalProductInteraction, MedicinalProductManufactured, MedicinalProductPackaged, MedicinalProductPharmaceutical, MedicinalProductUndesirableEffect, RequestGroup, ResearchDefinition, ResearchElementDefinition, Resource, RiskEvidenceSynthesis, SubstanceSpecification
  • Add codes ActorDefinition, AdministrableProductDefinition, ArtifactAssessment, BiologicallyDerivedProductDispense, Citation, ClinicalUseDefinition, ConditionDefinition, DeviceAssociation, DeviceDispense, DeviceUsage, EncounterHistory, EvidenceReport, FormularyItem, GenomicStudy, ImagingSelection, Ingredient, InsuranceProduct, InventoryItem, InventoryReport, ManufacturedItemDefinition, MedicinalProductDefinition, NutritionIntake, NutritionProduct, PackagedProductDefinition, Permission, RegulatedAuthorization, RequestOrchestration, Requirements, SubscriptionStatus, SubscriptionTopic, SubstanceDefinition, TestPlan, Transport
ImplementationGuide.definition.grouping.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource
  • Min Cardinality changed from 1 to 0
ImplementationGuide.definition.resource.fhirVersion
  • Add codes 0.0, 0.4, 0.5, 1.0, 1.1, 1.4, 1.6, 1.8, 3.0, 3.0.2, 3.3, 3.5, 4.0, 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-cibuild
ImplementationGuide.definition.resource.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource.isExample
  • Added Element
ImplementationGuide.definition.resource.profile
  • Added Element
ImplementationGuide.definition.page.source[x]
  • Added Element
ImplementationGuide.definition.page.name
  • Renamed from name[x] to name
  • Remove Type Reference(Binary)
ImplementationGuide.definition.parameter.code
  • Type changed from code to Coding
  • Change binding strength from required to extensible
ImplementationGuide.manifest.resource.isExample
  • Added Element
ImplementationGuide.manifest.resource.profile
  • Added Element
ImplementationGuide.definition.resource.example[x]
  • Deleted
ImplementationGuide.manifest.resource.example[x]
  • Deleted

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

See R4 <--> R5 Conversion Maps (status = See Conversions Summary.)

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImplementationGuide TUDomainResourceA set of rules about how FHIR is used
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
+ Rule: If a resource has a fhirVersion, it must be one of the versions defined for the Implementation Guide

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
Interfaces Implemented: CanonicalResource
... url ΣC1..1uriCanonical identifier for this implementation guide, represented as a URI (globally unique)
+ Warning: URL should not contain | or # - these characters make processing canonical references problematic
... identifier Σ0..*IdentifierAdditional identifier for the implementation guide (business identifier)

... version Σ0..1stringBusiness version of the implementation guide
.... versionAlgorithmStringstring
.... versionAlgorithmCodingCoding
... name ΣC1..1stringName for this implementation guide (computer friendly)
... title ΣT0..1stringName for this implementation guide (human friendly)
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (Required)
... experimental Σ0..1booleanFor testing purposes, not real usage
... date Σ0..1dateTimeDate last changed
... publisher ΣT0..1stringName of the publisher/steward (organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher

... description T0..1markdownNatural language description of the implementation guide
... useContext Σ0..*UsageContextThe context that the content is intended to support

... jurisdiction ΣXD0..*CodeableConceptIntended jurisdiction for implementation guide (if applicable)
Binding: Jurisdiction ValueSet (Extensible)

... purpose T0..1markdownWhy this implementation guide is defined
... copyright T0..1markdownUse and/or publishing restrictions
... copyrightLabel T0..1stringCopyright holder and year(s)
... packageId Σ1..1idNPM Package name for IG
... license Σ0..1codeSPDX license code for this IG (or not-open-source)
Binding: S P D X License (Required)
... fhirVersion ΣC1..*codeFHIR Version(s) this Implementation Guide targets
Binding: FHIRVersion (Required)

... dependsOn Σ0..*BackboneElementAnother Implementation guide this depends on

.... uri Σ1..1canonical(ImplementationGuide)Identity of the IG that this depends on
.... packageId Σ0..1idNPM Package name for IG this depends on
.... version Σ0..1stringVersion of the IG
.... reason 0..1markdownWhy dependency exists
... global Σ0..*BackboneElementProfiles that apply globally

.... type Σ1..1codeType this profile applies to
Binding: Resource Types (Required)
.... profile Σ1..1canonical(StructureDefinition)Profile that all resources must conform to
... definition C0..1BackboneElementInformation needed to build the IG
+ Rule: If a resource has a groupingId, it must refer to a grouping defined in the Implementation Guide
.... grouping C0..*BackboneElementGrouping used to present related resources in the IG

..... name T1..1stringDescriptive name for the package
..... description T0..1markdownHuman readable text describing the package
.... resource C0..*BackboneElementResource in the implementation guide

..... reference 1..1Reference(Any)Location of the resource
..... fhirVersion C0..*codeVersions this applies to (if different to IG)
Binding: FHIRVersion (Required)

..... name T0..1stringHuman readable name for the resource
..... description T0..1markdownReason why included in guide
..... isExample 0..1booleanIs this an example
..... profile 0..*canonical(StructureDefinition)Profile(s) this is an example of

..... groupingId C0..1idGrouping this is part of
.... page C0..1BackboneElementPage/Section in the Guide
+ Rule: Source must be absent if 'generated' is generated
..... source[x] TC0..1Source for page
...... sourceUrlurl
...... sourceStringstring
...... sourceMarkdownmarkdown
..... name 1..1urlName of the page when published
..... title T1..1stringShort title shown for navigational assistance
..... generation C1..1codehtml | markdown | xml | generated
Binding: Guide Page Generation (Required)
..... page 0..*see pageNested Pages / Sections

.... parameter 0..*BackboneElementDefines how IG is built by tools

..... code 1..1CodingCode that identifies parameter
Binding: Guide Parameter Code (Extensible)
..... value 1..1stringValue for named type
.... template 0..*BackboneElementA template for building resources

..... code 1..1codeType of template specified
..... source 1..1stringThe source location for the template
..... scope 0..1stringThe scope in which the template applies
... manifest 0..1BackboneElementInformation about an assembled IG
.... rendering Σ0..1urlLocation of rendered implementation guide
.... resource Σ1..*BackboneElementResource in the implementation guide

..... reference Σ1..1Reference(Any)Location of the resource
..... isExample 0..1booleanIs this an example
..... profile 0..*canonical(StructureDefinition)Profile(s) this is an example of

..... relativePath 0..1urlRelative path for page in IG
.... page 0..*BackboneElementHTML page within the parent IG

..... name 1..1stringHTML page name
..... title 0..1stringTitle of the page, for references
..... anchor 0..*stringAnchor available on the page

.... image 0..*stringImage within the IG

.... other 0..*stringAdditional linkable file in IG


doco Documentation for this format icon

See the Extensions for this resource

UML Diagram (Legend)

ImplementationGuide (DomainResource) +CanonicalResourceAn 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 serversurl : uri [1..1]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 instanceidentifier : Identifier [0..*]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 sequenceversion : string [0..1]Indicates the mechanism used to compare versions to determine which is more currentversionAlgorithm[x] : DataType [0..1] « string|Coding; null (Strength=Extensible) VersionAlgorithm+ »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 generationname : string [1..1] « This element has or is affected by some invariantsC »A short, descriptive, user-friendly title for the implementation guidetitle : string [0..1]The status of this implementation guide. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « null (Strength=Required)PublicationStatus! »A Boolean value to indicate that this implementation guide is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usageexperimental : boolean [0..1]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 changesdate : dateTime [0..1]The name of the organization or individual responsible for the release and ongoing maintenance of the implementation guidepublisher : string [0..1]Contact details to assist a user in finding and communicating with the publishercontact : ContactDetail [0..*]A free text natural language description of the implementation guide from a consumer's perspectivedescription : markdown [0..1]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 instancesuseContext : UsageContext [0..*]A legal or geographic region in which the implementation guide is intended to be usedjurisdiction : CodeableConcept [0..*] « null (Strength=Extensible)JurisdictionValueSet+ »Explanation of why this implementation guide is needed and why it has been designed as it haspurpose : markdown [0..1]A copyright statement relating to the implementation guide and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the implementation guidecopyright : markdown [0..1]A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are resctricted. (e.g. 'All rights reserved', 'Some rights reserved')copyrightLabel : string [0..1]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 carepackageId : id [1..1]The license that applies to this Implementation Guide, using an SPDX license code, or 'not-open-source'license : code [0..1] « null (Strength=Required)SPDXLicense! »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 versionfhirVersion : code [1..*] « null (Strength=Required)FHIRVersion! » « This element has or is affected by some invariantsC »DependsOnA canonical reference to the Implementation guide for the dependencyuri : canonical [1..1] « ImplementationGuide »The NPM package name for the Implementation Guide that this IG depends onpackageId : id [0..1]The version of the IG that is depended on, when the correct version is required to understand the IG correctlyversion : string [0..1]A description explaining the nature of the dependency on the listed IGreason : markdown [0..1]GlobalThe type of resource that all instances must conform totype : code [1..1] « null (Strength=Required)ResourceType! »A reference to the profile that all instances must conform toprofile : canonical [1..1] « StructureDefinition »DefinitionGroupingThe human-readable title to display for the package of resources when rendering the implementation guidename : string [1..1]Human readable text describing the packagedescription : markdown [0..1]ResourceWhere this resource is foundreference : Reference [1..1] « Any »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.fhirVersionfhirVersion : code [0..*] « null (Strength=Required)FHIRVersion! » « This element has or is affected by some invariantsC »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)name : string [0..1]A description of the reason that a resource has been included in the implementation guidedescription : markdown [0..1]If true, indicates the resource is an example instanceisExample : boolean [0..1]If present, indicates profile(s) the instance is valid againstprofile : canonical [0..*] « StructureDefinition »Reference to the id of the grouping this resource appears ingroupingId : id [0..1] « This element has or is affected by some invariantsC »PageIndicates the URL or the actual content to provide for the pagesource[x] : PrimitiveType [0..1] « url|string|markdown » « This element has or is affected by some invariantsC »The url by which the page should be known when publishedname : url [1..1]A short title used to represent this page in navigational structures such as table of contents, bread crumbs, etctitle : string [1..1]A code that indicates how the page is generatedgeneration : code [1..1] « null (Strength=Required)GuidePageGeneration! » « This element has or is affected by some invariantsC »ParameterA tool-specific code that defines the parametercode : Coding [1..1] « null (Strength=Extensible)GuideParameterCode+ »Value for named typevalue : string [1..1]TemplateType of template specifiedcode : code [1..1]The source location for the templatesource : string [1..1]The scope in which the template appliesscope : string [0..1]ManifestA pointer to official web page, PDF or other rendering of the implementation guiderendering : url [0..1]Indicates a relative path to an image that exists within the IGimage : string [0..*]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 IGother : string [0..*]ManifestResourceWhere this resource is foundreference : Reference [1..1] « Any »If true, indicates the resource is an example instanceisExample : boolean [0..1]If present, indicates profile(s) the instance is valid againstprofile : canonical [0..*] « StructureDefinition »The relative path for primary page for this resource within the IGrelativePath : url [0..1]ManifestPageRelative path to the pagename : string [1..1]Label for the page intended for human displaytitle : string [0..1]The name of an anchor available on the pageanchor : string [0..*]Another implementation guide that this implementation depends on. Typically, an implementation guide uses value sets, profiles etc.defined in other implementation guidesdependsOn[0..*]A set of profiles that all resources covered by this implementation guide must conform toglobal[0..*]A logical group of resources. Logical groups can be used when building pagesgrouping[0..*]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 resourceresource[0..*]Nested Pages/Sections under this pagepage[0..*]A page / section in the implementation guide. The root page is the implementation guide home pagepage[0..1]A set of parameters that defines how the implementation guide is built. The parameters are defined by the relevant tools that build the implementation guidesparameter[0..*]A template for building resourcestemplate[0..*]The information needed by an IG publisher tool to publish the whole implementation guidedefinition[0..1]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 resourceresource[1..*]Information about a page within the IGpage[0..*]Information about an assembled implementation guide, created by the publication toolingmanifest[0..1]

XML Template

<ImplementationGuide xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <url value="[uri]"/><!-- 1..1 Canonical identifier for this implementation guide, represented as a URI (globally unique) -->
 <identifier><!-- 0..* Identifier Additional identifier for the implementation guide (business identifier) --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of the implementation guide -->
 <versionAlgorithm[x]><!-- 0..1 string|Coding How to compare versions --></versionAlgorithm[x]>
 <name value="[string]"/><!-- I 1..1 Name for this implementation guide (computer friendly) -->
 <title value="[string]"/><!-- 0..1 Name for this implementation guide (human friendly) -->
 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <experimental value="[boolean]"/><!-- 0..1 For testing purposes, not real usage -->
 <date value="[dateTime]"/><!-- 0..1 Date last changed -->
 <publisher value="[string]"/><!-- 0..1 Name of the publisher/steward (organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- 0..1 Natural language description of the implementation guide -->
 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>
 <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for implementation guide (if applicable) --></jurisdiction>
 <purpose value="[markdown]"/><!-- 0..1 Why this implementation guide is defined -->
 <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions -->
 <copyrightLabel value="[string]"/><!-- 0..1 Copyright holder and year(s) -->
 <packageId value="[id]"/><!-- 1..1 NPM Package name for IG -->
 <license value="[code]"/><!-- 0..1 SPDX license code for this IG (or not-open-source) -->
 <fhirVersion value="[code]"/><!-- I 1..* FHIR Version(s) this Implementation Guide targets -->
 <dependsOn>  <!-- 0..* Another Implementation guide this depends on -->
  <uri><!-- 1..1 canonical(ImplementationGuide) Identity of the IG that this depends on --></uri>
  <packageId value="[id]"/><!-- 0..1 NPM Package name for IG this depends on -->
  <version value="[string]"/><!-- 0..1 Version of the IG -->
  <reason value="[markdown]"/><!-- 0..1 Why dependency exists -->
 </dependsOn>
 <global>  <!-- 0..* Profiles that apply globally -->
  <type value="[code]"/><!-- 1..1 Type this profile applies to -->
  <profile><!-- 1..1 canonical(StructureDefinition) Profile that all resources must conform to --></profile>
 </global>
 <definition>  <!-- I 0..1 Information needed to build the IG -->
  <grouping>  <!-- I 0..* Grouping used to present related resources in the IG -->
   <name value="[string]"/><!-- 1..1 Descriptive name for the package -->
   <description value="[markdown]"/><!-- 0..1 Human readable text describing the package -->
  </grouping>
  <resource>  <!-- I 0..* Resource in the implementation guide -->
   <reference><!-- 1..1 Reference(Any) Location of the resource --></reference>
   <fhirVersion value="[code]"/><!-- I 0..* Versions this applies to (if different to IG) -->
   <name value="[string]"/><!-- 0..1 Human readable name for the resource -->
   <description value="[markdown]"/><!-- 0..1 Reason why included in guide -->
   <isExample value="[boolean]"/><!-- 0..1 Is this an example -->
   <profile><!-- 0..* canonical(StructureDefinition) Profile(s) this is an example of --></profile>
   <groupingId value="[id]"/><!-- I 0..1 Grouping this is part of -->
  </resource>
  <page>  <!-- 0..1 Page/Section in the Guide -->
   <source[x]><!-- I 0..1 url|string|markdown Source for page --></source[x]>
   <name value="[url]"/><!-- 1..1 Name of the page when published -->
   <title value="[string]"/><!-- 1..1 Short title shown for navigational assistance -->
   <generation value="[code]"/><!-- I 1..1 html | markdown | xml | generated -->
   <page><!-- 0..* Content as for ImplementationGuide.definition.page Nested Pages / Sections --></page>
  </page>
  <parameter>  <!-- 0..* Defines how IG is built by tools -->
   <code><!-- 1..1 Coding Code that identifies parameter --></code>
   <value value="[string]"/><!-- 1..1 Value for named type -->
  </parameter>
  <template>  <!-- 0..* A template for building resources -->
   <code value="[code]"/><!-- 1..1 Type of template specified -->
   <source value="[string]"/><!-- 1..1 The source location for the template -->
   <scope value="[string]"/><!-- 0..1 The scope in which the template applies -->
  </template>
 </definition>
 <manifest>  <!-- 0..1 Information about an assembled IG -->
  <rendering value="[url]"/><!-- 0..1 Location of rendered implementation guide -->
  <resource>  <!-- 1..* Resource in the implementation guide -->
   <reference><!-- 1..1 Reference(Any) Location of the resource --></reference>
   <isExample value="[boolean]"/><!-- 0..1 Is this an example -->
   <profile><!-- 0..* canonical(StructureDefinition) Profile(s) this is an example of --></profile>
   <relativePath value="[url]"/><!-- 0..1 Relative path for page in IG -->
  </resource>
  <page>  <!-- 0..* HTML page within the parent IG -->
   <name value="[string]"/><!-- 1..1 HTML page name -->
   <title value="[string]"/><!-- 0..1 Title of the page, for references -->
   <anchor value="[string]"/><!-- 0..* Anchor available on the page -->
  </page>
  <image value="[string]"/><!-- 0..* Image within the IG -->
  <other value="[string]"/><!-- 0..* Additional linkable file in IG -->
 </manifest>
</ImplementationGuide>

JSON Template

{doco
  "resourceType" : "ImplementationGuide",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "url" : "<uri>", // R!  Canonical identifier for this implementation guide, represented as a URI (globally unique)
  "identifier" : [{ Identifier }], // Additional identifier for the implementation guide (business identifier)
  "version" : "<string>", // Business version of the implementation guide
  // versionAlgorithm[x]: How to compare versions. One of these 2:
  "versionAlgorithmString" : "<string>",
  "versionAlgorithmCoding" : { Coding },
  "name" : "<string>", // I R!  Name for this implementation guide (computer friendly)
  "title" : "<string>", // Name for this implementation guide (human friendly)
  "status" : "<code>", // R!  draft | active | retired | unknown
  "experimental" : <boolean>, // For testing purposes, not real usage
  "date" : "<dateTime>", // Date last changed
  "publisher" : "<string>", // Name of the publisher/steward (organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher
  "description" : "<markdown>", // Natural language description of the implementation guide
  "useContext" : [{ UsageContext }], // The context that the content is intended to support
  "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for implementation guide (if applicable)
  "purpose" : "<markdown>", // Why this implementation guide is defined
  "copyright" : "<markdown>", // Use and/or publishing restrictions
  "copyrightLabel" : "<string>", // Copyright holder and year(s)
  "packageId" : "<id>", // R!  NPM Package name for IG
  "license" : "<code>", // SPDX license code for this IG (or not-open-source)
  "fhirVersion" : ["<code>"], // I R!  FHIR Version(s) this Implementation Guide targets
  "dependsOn" : [{ // Another Implementation guide this depends on
    "uri" : "<canonical(ImplementationGuide)>", // R!  Identity of the IG that this depends on
    "packageId" : "<id>", // NPM Package name for IG this depends on
    "version" : "<string>", // Version of the IG
    "reason" : "<markdown>" // Why dependency exists
  }],
  "global" : [{ // Profiles that apply globally
    "type" : "<code>", // R!  Type this profile applies to
    "profile" : "<canonical(StructureDefinition)>" // R!  Profile that all resources must conform to
  }],
  "definition" : { // I Information needed to build the IG
    "grouping" : [{ // I Grouping used to present related resources in the IG
      "name" : "<string>", // R!  Descriptive name for the package
      "description" : "<markdown>" // Human readable text describing the package
    }],
    "resource" : [{ // I Resource in the implementation guide
      "reference" : { Reference(Any) }, // R!  Location of the resource
      "fhirVersion" : ["<code>"], // I Versions this applies to (if different to IG)
      "name" : "<string>", // Human readable name for the resource
      "description" : "<markdown>", // Reason why included in guide
      "isExample" : <boolean>, // Is this an example
      "profile" : ["<canonical(StructureDefinition)>"], // Profile(s) this is an example of
      "groupingId" : "<id>" // I Grouping this is part of
    }],
    "page" : { // Page/Section in the Guide
      // source[x]: Source for page. One of these 3:
      "sourceUrl" : "<url>",
      "sourceString" : "<string>",
      "sourceMarkdown" : "<markdown>",
      "name" : "<url>", // R!  Name of the page when published
      "title" : "<string>", // R!  Short title shown for navigational assistance
      "generation" : "<code>", // I R!  html | markdown | xml | generated
      "page" : [{ Content as for ImplementationGuide.definition.page }] // Nested Pages / Sections
    },
    "parameter" : [{ // Defines how IG is built by tools
      "code" : { Coding }, // R!  Code that identifies parameter
      "value" : "<string>" // R!  Value for named type
    }],
    "template" : [{ // A template for building resources
      "code" : "<code>", // R!  Type of template specified
      "source" : "<string>", // R!  The source location for the template
      "scope" : "<string>" // The scope in which the template applies
    }]
  },
  "manifest" : { // Information about an assembled IG
    "rendering" : "<url>", // Location of rendered implementation guide
    "resource" : [{ // R!  Resource in the implementation guide
      "reference" : { Reference(Any) }, // R!  Location of the resource
      "isExample" : <boolean>, // Is this an example
      "profile" : ["<canonical(StructureDefinition)>"], // Profile(s) this is an example of
      "relativePath" : "<url>" // Relative path for page in IG
    }],
    "page" : [{ // HTML page within the parent IG
      "name" : "<string>", // R!  HTML page name
      "title" : "<string>", // Title of the page, for references
      "anchor" : ["<string>"] // Anchor available on the page
    }],
    "image" : ["<string>"], // Image within the IG
    "other" : ["<string>"] // Additional linkable file in IG
  }
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:ImplementationGuide;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:url [ uri ] ; # 1..1 Canonical identifier for this implementation guide, represented as a URI (globally unique)
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Additional identifier for the implementation guide (business identifier)
  fhir:version [ string ] ; # 0..1 Business version of the implementation guide
  # versionAlgorithm[x] : 0..1 How to compare versions. One of these 2
    fhir:versionAlgorithm [  a fhir:string ; string ]
    fhir:versionAlgorithm [  a fhir:Coding ; Coding ]
  fhir:name [ string ] ; # 1..1 I Name for this implementation guide (computer friendly)
  fhir:title [ string ] ; # 0..1 Name for this implementation guide (human friendly)
  fhir:status [ code ] ; # 1..1 draft | active | retired | unknown
  fhir:experimental [ boolean ] ; # 0..1 For testing purposes, not real usage
  fhir:date [ dateTime ] ; # 0..1 Date last changed
  fhir:publisher [ string ] ; # 0..1 Name of the publisher/steward (organization or individual)
  fhir:contact  ( [ ContactDetail ] ... ) ; # 0..* Contact details for the publisher
  fhir:description [ markdown ] ; # 0..1 Natural language description of the implementation guide
  fhir:useContext  ( [ UsageContext ] ... ) ; # 0..* The context that the content is intended to support
  fhir:jurisdiction  ( [ CodeableConcept ] ... ) ; # 0..* Intended jurisdiction for implementation guide (if applicable)
  fhir:purpose [ markdown ] ; # 0..1 Why this implementation guide is defined
  fhir:copyright [ markdown ] ; # 0..1 Use and/or publishing restrictions
  fhir:copyrightLabel [ string ] ; # 0..1 Copyright holder and year(s)
  fhir:packageId [ id ] ; # 1..1 NPM Package name for IG
  fhir:license [ code ] ; # 0..1 SPDX license code for this IG (or not-open-source)
  fhir:fhirVersion  ( [ code ] ... ) ; # 1..* I FHIR Version(s) this Implementation Guide targets
  fhir:dependsOn ( [ # 0..* Another Implementation guide this depends on
    fhir:uri [ canonical(ImplementationGuide) ] ; # 1..1 Identity of the IG that this depends on
    fhir:packageId [ id ] ; # 0..1 NPM Package name for IG this depends on
    fhir:version [ string ] ; # 0..1 Version of the IG
    fhir:reason [ markdown ] ; # 0..1 Why dependency exists
  ] ... ) ;
  fhir:global ( [ # 0..* Profiles that apply globally
    fhir:type [ code ] ; # 1..1 Type this profile applies to
    fhir:profile [ canonical(StructureDefinition) ] ; # 1..1 Profile that all resources must conform to
  ] ... ) ;
  fhir:definition [ # 0..1 I Information needed to build the IG
    fhir:grouping ( [ # 0..* I Grouping used to present related resources in the IG
      fhir:name [ string ] ; # 1..1 Descriptive name for the package
      fhir:description [ markdown ] ; # 0..1 Human readable text describing the package
    ] ... ) ;
    fhir:resource ( [ # 0..* I Resource in the implementation guide
      fhir:reference [ Reference(Any) ] ; # 1..1 Location of the resource
      fhir:fhirVersion  ( [ code ] ... ) ; # 0..* I Versions this applies to (if different to IG)
      fhir:name [ string ] ; # 0..1 Human readable name for the resource
      fhir:description [ markdown ] ; # 0..1 Reason why included in guide
      fhir:isExample [ boolean ] ; # 0..1 Is this an example
      fhir:profile  ( [ canonical(StructureDefinition) ] ... ) ; # 0..* Profile(s) this is an example of
      fhir:groupingId [ id ] ; # 0..1 I Grouping this is part of
    ] ... ) ;
    fhir:page [ # 0..1 Page/Section in the Guide
      # source[x] : 0..1 I Source for page. One of these 3
        fhir:source [  a fhir:url ; url ]
        fhir:source [  a fhir:string ; string ]
        fhir:source [  a fhir:markdown ; markdown ]
      fhir:name [ url ] ; # 1..1 Name of the page when published
      fhir:title [ string ] ; # 1..1 Short title shown for navigational assistance
      fhir:generation [ code ] ; # 1..1 I html | markdown | xml | generated
      fhir:page  ( [ See ImplementationGuide.definition.page ] ... ) ; # 0..* Nested Pages / Sections
    ] ;
    fhir:parameter ( [ # 0..* Defines how IG is built by tools
      fhir:code [ Coding ] ; # 1..1 Code that identifies parameter
      fhir:value [ string ] ; # 1..1 Value for named type
    ] ... ) ;
    fhir:template ( [ # 0..* A template for building resources
      fhir:code [ code ] ; # 1..1 Type of template specified
      fhir:source [ string ] ; # 1..1 The source location for the template
      fhir:scope [ string ] ; # 0..1 The scope in which the template applies
    ] ... ) ;
  ] ;
  fhir:manifest [ # 0..1 Information about an assembled IG
    fhir:rendering [ url ] ; # 0..1 Location of rendered implementation guide
    fhir:resource ( [ # 1..* Resource in the implementation guide
      fhir:reference [ Reference(Any) ] ; # 1..1 Location of the resource
      fhir:isExample [ boolean ] ; # 0..1 Is this an example
      fhir:profile  ( [ canonical(StructureDefinition) ] ... ) ; # 0..* Profile(s) this is an example of
      fhir:relativePath [ url ] ; # 0..1 Relative path for page in IG
    ] ... ) ;
    fhir:page ( [ # 0..* HTML page within the parent IG
      fhir:name [ string ] ; # 1..1 HTML page name
      fhir:title [ string ] ; # 0..1 Title of the page, for references
      fhir:anchor  ( [ string ] ... ) ; # 0..* Anchor available on the page
    ] ... ) ;
    fhir:image  ( [ string ] ... ) ; # 0..* Image within the IG
    fhir:other  ( [ string ] ... ) ; # 0..* Additional linkable file in IG
  ] ;
]

Changes from R4 and R4B

ImplementationGuide
ImplementationGuide.identifier
  • Added Element
ImplementationGuide.versionAlgorithm[x]
  • Added Element
ImplementationGuide.purpose
  • Added Element
ImplementationGuide.copyrightLabel
  • Added Element
ImplementationGuide.fhirVersion
  • Add codes 0.0, 0.4, 0.5, 1.0, 1.1, 1.4, 1.6, 1.8, 3.0, 3.0.2, 3.3, 3.5, 4.0, 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-cibuild
ImplementationGuide.dependsOn.reason
  • Added Element
ImplementationGuide.global.type
  • Remove codes CatalogEntry, DeviceUseStatement, DocumentManifest, DomainResource, EffectEvidenceSynthesis, Media, MedicinalProduct, MedicinalProductAuthorization, MedicinalProductContraindication, MedicinalProductIndication, MedicinalProductIngredient, MedicinalProductInteraction, MedicinalProductManufactured, MedicinalProductPackaged, MedicinalProductPharmaceutical, MedicinalProductUndesirableEffect, RequestGroup, ResearchDefinition, ResearchElementDefinition, Resource, RiskEvidenceSynthesis, SubstanceSpecification
  • Add codes ActorDefinition, AdministrableProductDefinition, ArtifactAssessment, BiologicallyDerivedProductDispense, Citation, ClinicalUseDefinition, ConditionDefinition, DeviceAssociation, DeviceDispense, DeviceUsage, EncounterHistory, EvidenceReport, FormularyItem, GenomicStudy, ImagingSelection, Ingredient, InsuranceProduct, InventoryItem, InventoryReport, ManufacturedItemDefinition, MedicinalProductDefinition, NutritionIntake, NutritionProduct, PackagedProductDefinition, Permission, RegulatedAuthorization, RequestOrchestration, Requirements, SubscriptionStatus, SubscriptionTopic, SubstanceDefinition, TestPlan, Transport
ImplementationGuide.definition.grouping.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource
  • Min Cardinality changed from 1 to 0
ImplementationGuide.definition.resource.fhirVersion
  • Add codes 0.0, 0.4, 0.5, 1.0, 1.1, 1.4, 1.6, 1.8, 3.0, 3.0.2, 3.3, 3.5, 4.0, 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-cibuild
ImplementationGuide.definition.resource.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource.isExample
  • Added Element
ImplementationGuide.definition.resource.profile
  • Added Element
ImplementationGuide.definition.page.source[x]
  • Added Element
ImplementationGuide.definition.page.name
  • Renamed from name[x] to name
  • Remove Type Reference(Binary)
ImplementationGuide.definition.parameter.code
  • Type changed from code to Coding
  • Change binding strength from required to extensible
ImplementationGuide.manifest.resource.isExample
  • Added Element
ImplementationGuide.manifest.resource.profile
  • Added Element
ImplementationGuide.definition.resource.example[x]
  • Deleted
ImplementationGuide.manifest.resource.example[x]
  • Deleted

Changes from R4 and R4B

ImplementationGuide
ImplementationGuide.identifier
  • Added Element
ImplementationGuide.versionAlgorithm[x]
  • Added Element
ImplementationGuide.purpose
  • Added Element
ImplementationGuide.copyrightLabel
  • Added Element
ImplementationGuide.fhirVersion
  • Add codes 0.0, 0.4, 0.5, 1.0, 1.1, 1.4, 1.6, 1.8, 3.0, 3.0.2, 3.3, 3.5, 4.0, 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-cibuild
ImplementationGuide.dependsOn.reason
  • Added Element
ImplementationGuide.global.type
  • Remove codes CatalogEntry, DeviceUseStatement, DocumentManifest, DomainResource, EffectEvidenceSynthesis, Media, MedicinalProduct, MedicinalProductAuthorization, MedicinalProductContraindication, MedicinalProductIndication, MedicinalProductIngredient, MedicinalProductInteraction, MedicinalProductManufactured, MedicinalProductPackaged, MedicinalProductPharmaceutical, MedicinalProductUndesirableEffect, RequestGroup, ResearchDefinition, ResearchElementDefinition, Resource, RiskEvidenceSynthesis, SubstanceSpecification
  • Add codes ActorDefinition, AdministrableProductDefinition, ArtifactAssessment, BiologicallyDerivedProductDispense, Citation, ClinicalUseDefinition, ConditionDefinition, DeviceAssociation, DeviceDispense, DeviceUsage, EncounterHistory, EvidenceReport, FormularyItem, GenomicStudy, ImagingSelection, Ingredient, InsuranceProduct, InventoryItem, InventoryReport, ManufacturedItemDefinition, MedicinalProductDefinition, NutritionIntake, NutritionProduct, PackagedProductDefinition, Permission, RegulatedAuthorization, RequestOrchestration, Requirements, SubscriptionStatus, SubscriptionTopic, SubstanceDefinition, TestPlan, Transport
ImplementationGuide.definition.grouping.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource
  • Min Cardinality changed from 1 to 0
ImplementationGuide.definition.resource.fhirVersion
  • Add codes 0.0, 0.4, 0.5, 1.0, 1.1, 1.4, 1.6, 1.8, 3.0, 3.0.2, 3.3, 3.5, 4.0, 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-cibuild
ImplementationGuide.definition.resource.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource.isExample
  • Added Element
ImplementationGuide.definition.resource.profile
  • Added Element
ImplementationGuide.definition.page.source[x]
  • Added Element
ImplementationGuide.definition.page.name
  • Renamed from name[x] to name
  • Remove Type Reference(Binary)
ImplementationGuide.definition.parameter.code
  • Type changed from code to Coding
  • Change binding strength from required to extensible
ImplementationGuide.manifest.resource.isExample
  • Added Element
ImplementationGuide.manifest.resource.profile
  • Added Element
ImplementationGuide.definition.resource.example[x]
  • Deleted
ImplementationGuide.manifest.resource.example[x]
  • Deleted

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

See R4 <--> R5 Conversion Maps (status = See Conversions Summary.)

 

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) , the spreadsheet version & the dependency analysis

PathValueSetTypeDocumentation
ImplementationGuide.versionAlgorithm[x] VersionAlgorithm Extensible

Indicates the mechanism used to compare versions to determine which is more current.

ImplementationGuide.status PublicationStatus Required

The lifecycle status of an artifact.

ImplementationGuide.jurisdiction JurisdictionValueSet Extensible

This value set defines a base set of codes for country, country subdivision and region for indicating where a resource is intended to be used.

Note: The codes for countries and country subdivisions are taken from ISO 3166 icon while the codes for "supra-national" regions are from UN Standard country or area codes for statistical use (M49) icon.

ImplementationGuide.license SPDXLicense Required

The license that applies to an Implementation Guide (using an SPDX license Identifiers, or 'not-open-source'). The binding is required but new SPDX license Identifiers are allowed to be used (https://spdx.org/licenses/).

ImplementationGuide.fhirVersion FHIRVersion Required

All published FHIR Versions.

ImplementationGuide.global.type ResourceType Required

Concrete FHIR Resource Types

ImplementationGuide.definition.resource.fhirVersion FHIRVersion Required

All published FHIR Versions.

ImplementationGuide.definition.page.generation GuidePageGeneration Required

A code that indicates how the page is generated.

ImplementationGuide.definition.parameter.code GuideParameterCode Extensible

Codes used to define implementation guide parameters

UniqueKeyLevelLocationDescriptionExpression
img cnl-0Warning (base)Name should be usable as an identifier for the module by machine processing applications such as code generationname.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')
img cnl-1Warning ImplementationGuide.urlURL should not contain | or # - these characters make processing canonical references problematicexists() implies matches('^[^|# ]+$')
img ig-1Rule ImplementationGuide.definitionIf a resource has a groupingId, it must refer to a grouping defined in the Implementation Guideresource.groupingId.all(%context.grouping.id contains $this)
img ig-2Rule (base)If a resource has a fhirVersion, it must be one of the versions defined for the Implementation Guidedefinition.resource.fhirVersion.all(%context.fhirVersion contains $this)
img ig-3Rule ImplementationGuide.definition.pageSource must be absent if 'generated' is generatedgeneration='generated' implies source.empty()

Implementation Guides are published through the FHIR Package distribution system. For further details, see the FHIR NPM Packages.

Implementation Guides can be produced using any tooling that produces a human readable output and a package that includes an ImplementationGuide along with all the supporting resources it refers to, and their dependencies. Note that dependencies included in other packages that the Implementation guide identifies as dependencies are not included in the package.

See Confluence icon for a list of tools that can assist with authoring implementation guides. HL7 publishes a Guidance Implementation Guide icon that provides specific guidance on best practices around IG creation as well as information about some of the tooling extensions and capabilities relevant to creation and publication of implementation guides. Note that this documentation mixes general documentation about the design of implementation guides with tooling specific advice based on one particular tool.

Implementation Guides are packages of both computer processible content (resources) and human readable documentation (html). The resources typically specify some combination of:

Note that any kinds of resources can be included; these are just the common uses.

In addition, in the human readable portions, implementation guides often:

  • Describe security arrangements in place for the relevent data exchanges, along with consent and access control requirements
  • Detail additional rules about the user of the narrative in the resources
  • Specify other conformance expectations that aren't testable directly
  • Outline the business arrangements and expectations under which the data is exchanged

Most implementation guides target a single version - that is, they describe how to use a particular version, and all the profiles, value sets and examples they contain etc. are valid for that particular version.

In other cases, however, implementation of an implementation guide is not confined to a single version. Typically, the requirement to support multiple versions arises as implementation matures and different implementation communities are stuck at different versions by regulation or market dynamics. Applications may be stuck at different versions of the specification. See Managing Multiple Versions for further information about cross-version support.

For this reason, implementation guides might describe how to use multiple different versions of FHIR for the same purpose. The different versions might have different profiles, extensions, and examples, while sharing common value set definitions, for example. For some reasons, profiles and examples could be common across all versions. And an implementation guide will generally have a lot of common narrative describing the problem, security approaches, and other deployment information irrespective of specific FHIR versions.

An implementation guide specifies which versions of FHIR it describes in the ImplementationGuide.fhirVersion property:

  "fhirVersion" : ["4.0", "5.0"],

This specifies that the implementation guide applies to both Release 4 icon and Release 5 icon. Note that the patch version (".1" for Release 3) is omitted, since the patch releases never make changes that make any difference to Implementation Guides.

Note that it is possible to have an Implementation Guide that declares support for one version and imports an Implementation Guide that declares support for a different version. It is up to the importing IG ad/or the tooling that supports Implementation Guides to determine whether it's safe and/or appropriate to reference the different resources from the new IG, and what to make of this.

As yet, there is no experience with multi-version implementation guides and current publication tooling does not support creation of such IGs. As we work to evolve the tools to provide such support, additional guidance on how such guides should be created, what types of content can safely be shared across versions, and how such sharing should occur will be forthcoming.

 

An implementation guide can define default profiles using ImplementationGuide.global- these are profiles that apply to any resource that does not otherwise have an explicit profile assigned by the implementation guide. Default profiles are always references to profiles (StructureDefinition resources) that are also contained in the resources. By defining default profiles, an implementation guide can save itself from exhaustively defining profiles on every resource type just to profile every reference to a particular resource type.

Note that a resource can conform to the default profile by conforming to any profile derived from it.

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionExpressionIn Common
contexttokenA use context assigned to the implementation guide(ImplementationGuide.useContext.value.ofType(CodeableConcept))30 Resources
context-quantityquantityA quantity- or range-valued use context assigned to the implementation guide(ImplementationGuide.useContext.value.ofType(Quantity)) | (ImplementationGuide.useContext.value.ofType(Range))30 Resources
context-typetokenA type of use context assigned to the implementation guideImplementationGuide.useContext.code30 Resources
context-type-quantitycompositeA use context type and quantity- or range-based value assigned to the implementation guideOn ImplementationGuide.useContext:
  context-type: code
  context-quantity: value.ofType(Quantity) | value.ofType(Range)
30 Resources
context-type-valuecompositeA use context type and value assigned to the implementation guideOn ImplementationGuide.useContext:
  context-type: code
  context: value.ofType(CodeableConcept)
30 Resources
datedateThe implementation guide publication dateImplementationGuide.date30 Resources
depends-onreferenceIdentity of the IG that this depends onImplementationGuide.dependsOn.uri
descriptionstringThe description of the implementation guideImplementationGuide.description28 Resources
experimentaltokenFor testing purposes, not real usageImplementationGuide.experimental
globalreferenceProfile that all resources must conform toImplementationGuide.global.profile
identifier NtokenExternal identifier for the implementation guideImplementationGuide.identifier36 Resources
jurisdictiontokenIntended jurisdiction for the implementation guideImplementationGuide.jurisdiction26 Resources
namestringComputationally friendly name of the implementation guideImplementationGuide.name27 Resources
publisherstringName of the publisher of the implementation guideImplementationGuide.publisher30 Resources
resourcereferenceLocation of the resourceImplementationGuide.definition.resource.reference
statustokenThe current status of the implementation guideImplementationGuide.status36 Resources
titlestringThe human-friendly name of the implementation guideImplementationGuide.title27 Resources
urluriThe uri that identifies the implementation guideImplementationGuide.url35 Resources
versiontokenThe business version of the implementation guideImplementationGuide.version31 Resources