AT APS CapabilityStatement (Server)
- Implementation Guide Version: 0.2.0
- FHIR Version: 4.0.1
- Supported Formats:
application/fhir+xml, xml, application/fhir+json, json - Published on: 2025-04-28 13:30:00+0100
- Published by: ELGA GmbH
Note to Implementers: FHIR Capabilities
Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.
FHIR RESTful Capabilities
Mode: server
Capabilities by Resource/Profile
Summary
The summary table lists the resources that are part of this configuration, and for each resource it lists:
- The relevant profiles (if any)
- The interactions supported by each resource (Read, Search, Update, and Create, are always shown, while VRead, Patch, Delete, History on Instance, or History on Type are only present if at least one of the resources has support for them.
- The required, recommended, and some optional search parameters (if any).
- The linked resources enabled for
_include - The other resources enabled for
_revinclude - The operations on the resource (if any)
Resource Conformance: SHALL Bundle
Profile Conformance
SHALL
Reference Policy
Resource Conformance: SHALL Composition
Profile Conformance
SHALL
Reference Policy
Resource Conformance: SHALL Patient
Profile Conformance
SHALL
Reference Policy
Extended Operations| Conformance | Operation | Documentation |
|---|
| SHOULD | $summary | Operation zum Abrufen einer APS für eine Patient-Ressource. Diese Operation gibt ein APS Document Bundle als Antwort auf einen GET-Request zurück. \n |
Resource Conformance: SHOULD AllergyIntolerance
Resource Conformance: SHOULD Condition
Resource Conformance: SHOULD MedicationRequest
DocumentationSome systems may only support AT APS MedicationRequest or AT APS MedicationStatement.
\n
Resource Conformance: SHOULD MedicationStatement
DocumentationSome systems may only support AT APS MedicationRequest or AT APS MedicationStatement.
\n
Resource Conformance: MAY CarePlan
Resource Conformance: MAY ClinicalImpression
Resource Conformance: MAY Consent
Resource Conformance: MAY Device
Resource Conformance: MAY DeviceUseStatement
Resource Conformance: MAY DocumentReference
Extended Operations| Conformance | Operation | Documentation |
|---|
| MAY | $docref | |
Resource Conformance: MAY Flag
Resource Conformance: MAY ImagingStudy
Resource Conformance: MAY Immunization
Resource Conformance: MAY Medication
Resource Conformance: MAY MedicationAdministration
Resource Conformance: MAY MedicationDispense
Resource Conformance: MAY Observation
Resource Conformance: MAY Organization
Resource Conformance: MAY Practitioner
Resource Conformance: MAY PractitionerRole
Resource Conformance: MAY Procedure
Resource Conformance: MAY Specimen
"},"url":"https://fhir.hl7.at/elga/aps/r4/CapabilityStatement/at-aps-capabilitystatement-server","version":"0.2.0","name":"AtApsCapabilityStatementServer","title":"AT APS CapabilityStatement (Server)","status":"active","experimental":false,"date":"2025-04-28T13:30:00+01:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Dieser Abschnitt beschreibt die erwarteten Fähigkeiten eines FHIR®-Servers, der die Austrian Patient Summary (APS) unterstützt. Die Liste gibt relevante FHIR®-Profile und -Operationen für diesen Zweck wieder.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"kind":"requirements","fhirVersion":"4.0.1","format":["application/fhir+xml","xml","application/fhir+json","json"],"rest":[{"mode":"server","resource":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"type":"Bundle","profile":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-bundle"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"type":"Composition","profile":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHALL"}],"type":"Patient","profile":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","operation":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"name":"summary","definition":"http://hl7.org/fhir/uv/ips/OperationDefinition/summary","documentation":"Operation zum Abrufen einer APS für eine Patient-Ressource. Diese Operation gibt ein APS Document Bundle als Antwort auf einen GET-Request zurück."}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"type":"AllergyIntolerance","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"type":"Condition","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"type":"MedicationRequest","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationrequest"],"documentation":"Some systems may only support AT APS MedicationRequest or AT APS MedicationStatement."},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"SHOULD"}],"type":"MedicationStatement","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationstatement"],"documentation":"Some systems may only support AT APS MedicationRequest or AT APS MedicationStatement."},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"CarePlan"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"ClinicalImpression"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"Consent"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"Device","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-device"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"DeviceUseStatement","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-deviceusestatement"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"DocumentReference","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-diagnosticreport"],"operation":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"name":"docref","definition":"http://hl7.org/fhir/uv/ipa/OperationDefinition/docref"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"Flag","supportedProfile":["http://hl7.org/fhir/uv/ips/StructureDefinition/Flag-alert-uv-ips"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"ImagingStudy","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-imagingstudy"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"Immunization","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-immunization"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"Medication","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medication"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"MedicationAdministration"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"MedicationDispense"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"Observation","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyedd","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyoutcome","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancystatus","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationalcoholuse","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationtobaccouse","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultsradiology","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationvitalsigns"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"Organization","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"Practitioner","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"PractitionerRole","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"Procedure","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"RelatedPerson"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation","valueCode":"MAY"}],"type":"Specimen","supportedProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-specimen"]}]}]} package/example/Device-at-aps-example-device-01.json 0100644 0000000 0000000 00000003031 15112310066 021204 0 ustar 00 0000000 0000000 {"resourceType":"Device","id":"at-aps-example-device-01","meta":{"profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-device"]},"text":{"status":"generated","div":"
DeviceNames
| - | Name | Type |
| * | Best Health Device | Model name |
type: Gerät
Versions
patient: Maria Musterfrau
"},"deviceName":[{"name":"Best Health Device","type":"model-name"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"49062001","display":"Gerät"}]},"version":[{"value":"1"}],"patient":{"reference":"Patient/at-aps-example-patient-01","display":"Maria Musterfrau"}} package/example/Device-at-aps-example-device-02-software.json 0100644 0000000 0000000 00000003550 15112310066 023043 0 ustar 00 0000000 0000000 {"resourceType":"Device","id":"at-aps-example-device-02-software","meta":{"profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-device"]},"text":{"status":"generated","div":"
deviceName
name: Best Health Software Application
type: Model name
deviceName
name: Good Health System
type: Manufacturer name
type: Software
Versions
patient: Maria Musterfrau
parent: Best Health Device
"},"deviceName":[{"name":"Best Health Software Application","type":"model-name"},{"name":"Good Health System","type":"manufacturer-name"}],"type":{"coding":[{"system":"http://snomed.info/sct","code":"706687001","display":"Software"}]},"version":[{"value":"1.0.5"}],"patient":{"reference":"Patient/at-aps-example-patient-01","display":"Maria Musterfrau"},"parent":{"reference":"Device/at-aps-example-device-01","display":"Best Health Device"}} package/example/Immunization-at-aps-example-immunization-01-unknown.json 0100644 0000000 0000000 00000003640 15112310066 025457 0 ustar 00 0000000 0000000 {"resourceType":"Immunization","id":"at-aps-example-immunization-01-unknown","meta":{"profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-immunization"]},"language":"de-AT","text":{"status":"generated","div":"
status: Completed
vaccineCode: Unbekannte Immunisierungen
patient: Maria Musterfrau
occurrence: 1998-06-04 00:00:00+0200
ProtocolApplieds
| - | TargetDisease | DoseNumber[x] |
| * | Masern-Mumps Impfstoffkombination | unknown |
"},"status":"completed","vaccineCode":{"coding":[{"system":"http://snomed.info/sct","code":"787482006","display":"Unbekannte Immunisierungen"}]},"patient":{"reference":"Patient/at-aps-example-patient-01","display":"Maria Musterfrau"},"occurrenceDateTime":"1998-06-04T00:00:00+02:00","protocolApplied":[{"targetDisease":[{"coding":[{"system":"http://snomed.info/sct","code":"836499004","display":"Masern-Mumps Impfstoffkombination"}]}],"doseNumberString":"unknown"}]} package/example/Immunization-at-aps-example-immunization-01.json 0100644 0000000 0000000 00000011475 15112310066 023767 0 ustar 00 0000000 0000000 {"resourceType":"Immunization","id":"at-aps-example-immunization-01","meta":{"profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-immunization"]},"text":{"status":"extensions","div":"
"},"contained":[{"resourceType":"ServiceRequest","id":"ExampleServiceRequest01","status":"active","intent":"order","code":{"coding":[{"system":"http://snomed.info/sct","code":"390865008"}]},"subject":{"reference":"Patient/at-aps-example-patient-01","display":"Max Mustermann"},"occurrenceDateTime":"2021-10-01","note":[{"text":"Patient hat Angst vor Spritzen."}]}],"extension":[{"url":"http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn","valueReference":{"reference":"#ExampleServiceRequest01"}}],"status":"completed","vaccineCode":{"coding":[{"system":"https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe","code":"2457324","display":"BOOSTRIX POLIO FSPR 0,5ML"}],"text":"Diphtherie-Pertussis-Poliomyelitis-Tetanus"},"patient":{"reference":"Patient/at-aps-example-patient-01","display":"Max Mustermann"},"occurrenceDateTime":"2021-10-01","route":{"coding":[{"system":"https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung","code":"IM","display":"Intramuskulär"}]},"performer":[{"actor":{"reference":"Practitioner/at-aps-example-practitioner-01","display":"Dr. Hanna Hausärztin"}}],"protocolApplied":[{"targetDisease":[{"coding":[{"system":"https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget","code":"397430003","display":"Diphtheria"}]},{"coding":[{"system":"https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget","code":"27836007","display":"Pertussis"}]},{"coding":[{"system":"https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget","code":"398102009","display":"Poliomyelitis"}]},{"coding":[{"system":"https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget","code":"76902006","display":"Tetanus"}]}],"doseNumberPositiveInt":1}]} package/example/Observation-at-aps-example-observation-01-exercise.json 0100644 0000000 0000000 00000002747 15112310066 025216 0 ustar 00 0000000 0000000 {"resourceType":"Observation","id":"at-aps-example-observation-01-exercise","text":{"status":"generated","div":"
status: Final
code: An wie vielen Tagen pro Woche haben Sie in den letzten 30 Tagen mäßige bis anstrengende körperliche Aktivitäten ausgeübt?
subject: Maria Musterfrau
effective: 2024-12-02
performer: Maria Musterfrau
value: 3 Tage pro Woche (Details: UCUM coded/wk = 'd/wk')
"},"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"89555-7","display":"An wie vielen Tagen pro Woche haben Sie in den letzten 30 Tagen mäßige bis anstrengende körperliche Aktivitäten ausgeübt?"}]},"subject":{"reference":"Patient/at-aps-example-patient-01","display":"Maria Musterfrau"},"effectiveDateTime":"2024-12-02","performer":[{"reference":"Patient/at-aps-example-patient-01","display":"Maria Musterfrau"}],"valueQuantity":{"value":3,"unit":"Tage pro Woche","system":"http://unitsofmeasure.org","code":"d/wk"}} package/example/Observation-at-aps-example-observationalcoholuse-01.json 0100644 0000000 0000000 00000003353 15112310066 025462 0 ustar 00 0000000 0000000 {"resourceType":"Observation","id":"at-aps-example-observationalcoholuse-01","meta":{"profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationalcoholuse"]},"text":{"status":"generated","div":"
status: Final
code: Alkoholische Getränke pro Tag
subject: Maria Musterfrau
effective: 2024-09-20
performer: Maria Musterfrau
value: 2 Weingläser pro Tag (Details: UCUM code/d = '/d')
"},"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"74013-4","display":"Alkoholische Getränke pro Tag"}]},"subject":{"reference":"Patient/at-aps-example-patient-01","display":"Maria Musterfrau"},"effectiveDateTime":"2024-09-20","performer":[{"reference":"Patient/at-aps-example-patient-01","display":"Maria Musterfrau"}],"valueQuantity":{"value":2,"unit":"Weingläser pro Tag","system":"http://unitsofmeasure.org","code":"/d"}} package/example/Observation-at-aps-example-observationtobaccouse-01.json 0100644 0000000 0000000 00000003311 15112310066 025445 0 ustar 00 0000000 0000000 {"resourceType":"Observation","id":"at-aps-example-observationtobaccouse-01","meta":{"profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationtobaccouse"]},"text":{"status":"generated","div":"
"},"status":"final","code":{"coding":[{"system":"http://loinc.org","code":"72166-2","display":"Raucherstatus"}]},"subject":{"reference":"Patient/at-aps-example-patient-01","display":"Maria Musterfrau"},"effectiveDateTime":"2019-07-15","performer":[{"reference":"Patient/at-aps-example-patient-01","display":"Maria Musterfrau"}],"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"8517006","display":"Ehemalig rauchende Person"}]}} package/Parameters-AtApsExpansionParametersSCT.json 0100644 0000000 0000000 00000000307 15112310066 021462 0 ustar 00 0000000 0000000 {"resourceType":"Parameters","id":"AtApsExpansionParametersSCT","parameter":[{"name":"system-version","valueUri":"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}]} package/example/Patient-at-aps-example-patient-01.json 0100644 0000000 0000000 00000003656 15112310066 021633 0 ustar 00 0000000 0000000 {"resourceType":"Patient","id":"at-aps-example-patient-01","meta":{"profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]},"text":{"status":"generated","div":"
Maria Musterfrau Female, DoB: 1998-04-17 ( Social Security number: 0000121150)
| Other Id: | Patient internal identifier/0001 |
| Contact Detail | Am Schulweg 5 Hainfeld 3100 AUT (home) |
"},"identifier":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"SS","display":"Social Security number"}]},"system":"urn:oid:1.2.40.0.10.1.4.3.1","value":"0000121150","assigner":{"display":"Dachverband der österreichischen Sozialversicherungsträger"}},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"PI","display":"Patient internal identifier"}]},"system":"urn:oid:1.2.3.4.5","value":"0001","assigner":{"display":"Ein GDA in Österreich"}}],"name":[{"family":"Musterfrau","given":["Maria"]}],"gender":"female","birthDate":"1998-04-17","address":[{"use":"home","line":["Am Schulweg 5"],"city":"Hainfeld","postalCode":"3100","country":"AUT"}]} package/example/Practitioner-at-aps-example-practitioner-01.json 0100644 0000000 0000000 00000003673 15112310066 023730 0 ustar 00 0000000 0000000 {"resourceType":"Practitioner","id":"at-aps-example-practitioner-01","meta":{"profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner"]},"text":{"status":"generated","div":"
"},"identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:1.2.40.0.10.99.1.2.3.4","assigner":{"display":"Bundesministerium für Gesundheit"}}],"name":[{"family":"Hausärztin","given":["Hanna"],"prefix":["Dr."]}]} package/example/Procedure-at-aps-example-procedure-01.json 0100644 0000000 0000000 00000003600 15112310066 022470 0 ustar 00 0000000 0000000 {"resourceType":"Procedure","id":"at-aps-example-procedure-01","meta":{"profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure"]},"text":{"status":"generated","div":"
status: Completed
category: Chirurgische Prozedur
code: Vorherige Ballonangioplastie bei mittlerer LAD-Stenose mit STENT-Implantation
subject: Maria Musterfrau
performed: ?? --> (ongoing)
"},"status":"completed","category":{"coding":[{"system":"http://snomed.info/sct","code":"387713003","display":"Chirurgische Prozedur"}]},"code":{"coding":[{"system":"http://snomed.info/sct","code":"36969009","display":"Einsetzen eines Stents in Koronararterie"},{"system":"http://snomed.info/sct","code":"233258006","display":"Durchleuchtungsgeführte Angioplastie einer Arterie mit Kontrastmittel"}],"text":"Vorherige Ballonangioplastie bei mittlerer LAD-Stenose mit STENT-Implantation"},"subject":{"reference":"Patient/at-aps-example-patient-01","display":"Maria Musterfrau"},"performedPeriod":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/data-absent-reason","valueCode":"unknown"}]}} package/StructureDefinition-at-aps-allergyintolerance.json 0100644 0000000 0000000 00000214723 15112310066 023154 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-allergyintolerance","text":{"status":"extensions","div":"
"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance","version":"0.2.0","name":"AtApsAllergyIntolerance","title":"AT APS AllergyIntolerance","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die AllergyIntolerance-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"AllergyIntolerance","baseDefinition":"http://hl7.org/fhir/StructureDefinition/AllergyIntolerance","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"AllergyIntolerance","path":"AllergyIntolerance","short":"AT APS AllergyIntolerance","definition":"Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.","comment":"Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.","alias":["Allergy","Intolerance","Adverse Reaction"],"min":0,"max":"*","base":{"path":"AllergyIntolerance","min":0,"max":"*"},"constraint":[{"key":"ait-1","severity":"error","human":"AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.","expression":"verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()","xpath":"f:verificationStatus/f:coding/f:code/@value='entered-in-error' or exists(f:clinicalStatus)","source":"http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"},{"key":"ait-2","severity":"error","human":"AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error","expression":"verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()","xpath":"not(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(f:clinicalStatus))","source":"http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"},{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"AllergyIntolerance.id","path":"AllergyIntolerance.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"AllergyIntolerance.meta","path":"AllergyIntolerance.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"AllergyIntolerance.implicitRules","path":"AllergyIntolerance.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"AllergyIntolerance.language","path":"AllergyIntolerance.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"AllergyIntolerance.text","path":"AllergyIntolerance.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"AllergyIntolerance.contained","path":"AllergyIntolerance.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"AllergyIntolerance.extension","path":"AllergyIntolerance.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"AllergyIntolerance.modifierExtension","path":"AllergyIntolerance.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"AllergyIntolerance.identifier","path":"AllergyIntolerance.identifier","short":"External ids for this item","definition":"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.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.","requirements":"Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"AllergyIntolerance.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"IAM-7"},{"identity":"rim","map":"id"}]},{"id":"AllergyIntolerance.clinicalStatus","path":"AllergyIntolerance.clinicalStatus","short":"active | inactive | resolved","definition":"The clinical status of the allergy or intolerance.","comment":"Refer to [discussion](http://hl7.org/fhir/R4/extensibility.html#Special-Case) if clincalStatus is missing data.\nThe data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.","min":0,"max":"1","base":{"path":"AllergyIntolerance.clinicalStatus","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["ait-1","ait-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AllergyIntoleranceClinicalStatus"}],"strength":"required","description":"The clinical status of the allergy or intolerance.","valueSet":"http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"}]},{"id":"AllergyIntolerance.verificationStatus","path":"AllergyIntolerance.verificationStatus","short":"unconfirmed | confirmed | refuted | entered-in-error","definition":"Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).","comment":"The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.","min":0,"max":"1","base":{"path":"AllergyIntolerance.verificationStatus","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["ait-1","ait-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AllergyIntoleranceVerificationStatus"}],"strength":"required","description":"Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.","valueSet":"http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"}]},{"id":"AllergyIntolerance.type","path":"AllergyIntolerance.type","short":"allergy | intolerance - Underlying mechanism (if known)","definition":"Identification of the underlying physiological mechanism for the reaction risk.","comment":"Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term \"allergy\" is used rather generically and may overlap with the use of \"intolerance\" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.","alias":["Category","Class"],"min":0,"max":"1","base":{"path":"AllergyIntolerance.type","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AllergyIntoleranceType"}],"strength":"required","description":"Identification of the underlying physiological mechanism for a Reaction Risk.","valueSet":"http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"IAM-9"},{"identity":"rim","map":"code"}]},{"id":"AllergyIntolerance.category","path":"AllergyIntolerance.category","short":"food | medication | environment | biologic","definition":"Category of the identified substance.","comment":"This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation. When searching on category, consider the implications of AllergyIntolerance resources without a category. For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned. Refer to [search](http://hl7.org/fhir/R4/search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category. Additionally, category should be used with caution because category can be subjective based on the sender.","alias":["Category","Type","Reaction Type","Class"],"min":0,"max":"*","base":{"path":"AllergyIntolerance.category","min":0,"max":"*"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AllergyIntoleranceCategory"}],"strength":"required","description":"Category of an identified substance associated with allergies or intolerances.","valueSet":"http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"AL1-2"},{"identity":"rim","map":"value < IntoleranceValue (Agent)"}]},{"id":"AllergyIntolerance.criticality","path":"AllergyIntolerance.criticality","short":"low | high | unable-to-assess","definition":"Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.","comment":"The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere). Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity. Existing systems that are capturing both condition criticality and reaction severity may use the term \"severity\" to represent both. Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.","alias":["Severity","Seriousness","Contra-indication","Risk"],"min":0,"max":"1","base":{"path":"AllergyIntolerance.criticality","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AllergyIntoleranceCriticality"}],"strength":"required","description":"Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.","valueSet":"http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.grade"},{"identity":"v2","map":"AL1-4"},{"identity":"rim","map":"inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"}]},{"id":"AllergyIntolerance.code","path":"AllergyIntolerance.code","short":"Code that identifies the allergy or intolerance","definition":"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.","comment":"It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.\r\rWhen a substance or product code is specified for the 'code' element, the \"default\" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product. In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the \"Causative agent\" relationship.\r\rThe 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements. This extension provides the capability to make \"no known allergy\" (or \"no risk of adverse reaction\") statements regarding any coded substance/product (including cases when a pre-coordinated \"no allergy to x\" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.","alias":["Code"],"min":0,"max":"1","base":{"path":"AllergyIntolerance.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-allergyorintoleranceagent"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"AL1-3 / IAM-3"},{"identity":"rim","map":"substance/product:\r\r.participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rnegated/excluded substance/product:\r\r.participation[typeCode=CAGNT, negationInd=true].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rpositive or negated/excluded condition/situation:\r\rObservation.code=ASSERTION; Observation.value"}]},{"id":"AllergyIntolerance.patient","path":"AllergyIntolerance.patient","short":"Who the sensitivity is for","definition":"The patient who has the allergy or intolerance.","alias":["Patient"],"min":1,"max":"1","base":{"path":"AllergyIntolerance.patient","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"(PID-3)"},{"identity":"rim","map":".participation[typeCode=SBJ].role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"AllergyIntolerance.encounter","path":"AllergyIntolerance.encounter","short":"Encounter when the allergy or intolerance was asserted","definition":"The encounter when the allergy or intolerance was asserted.","min":0,"max":"1","base":{"path":"AllergyIntolerance.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.context"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"AllergyIntolerance.onset[x]","path":"AllergyIntolerance.onset[x]","short":"When allergy or intolerance was identified","definition":"Estimated or actual date, date-time, or age when allergy or intolerance was identified.","min":0,"max":"1","base":{"path":"AllergyIntolerance.onset[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Age"},{"code":"Period"},{"code":"Range"},{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.init"},{"identity":"rim","map":"effectiveTime.low"}]},{"id":"AllergyIntolerance.recordedDate","path":"AllergyIntolerance.recordedDate","short":"Date first version of the resource instance was recorded","definition":"The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date.","min":0,"max":"1","base":{"path":"AllergyIntolerance.recordedDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"IAM-13"},{"identity":"rim","map":".participation[typeCode=AUT].time"}]},{"id":"AllergyIntolerance.recorder","path":"AllergyIntolerance.recorder","short":"Who recorded the sensitivity","definition":"Individual who recorded the record and takes responsibility for its content.","alias":["Author"],"min":0,"max":"1","base":{"path":"AllergyIntolerance.recorder","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"}]},{"id":"AllergyIntolerance.asserter","path":"AllergyIntolerance.asserter","short":"Source of the information about the allergy","definition":"The source of the information about the allergy that is recorded.","comment":"The recorder takes responsibility for the content, but can reference the source from where they got it.","alias":["Source","Informant"],"min":0,"max":"1","base":{"path":"AllergyIntolerance.asserter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"v2","map":"IAM-14 (if patient) / IAM-18 (if practitioner)"},{"identity":"rim","map":".participation[typeCode=INF].role"}]},{"id":"AllergyIntolerance.lastOccurrence","path":"AllergyIntolerance.lastOccurrence","short":"Date(/time) of last known occurrence of a reaction","definition":"Represents the date and/or time of the last known occurrence of a reaction event.","comment":"This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.","min":0,"max":"1","base":{"path":"AllergyIntolerance.lastOccurrence","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)].effectiveTime"}]},{"id":"AllergyIntolerance.note","path":"AllergyIntolerance.note","short":"Additional text not captured in other fields","definition":"Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.","comment":"For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and AllergyIntolerance.event.notes.","min":0,"max":"*","base":{"path":"AllergyIntolerance.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"AllergyIntolerance.reaction","path":"AllergyIntolerance.reaction","short":"Adverse Reaction Events linked to exposure to substance","definition":"Details about each adverse reaction event linked to exposure to the identified substance.","min":0,"max":"*","base":{"path":"AllergyIntolerance.reaction","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)]"}]},{"id":"AllergyIntolerance.reaction.id","path":"AllergyIntolerance.reaction.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"AllergyIntolerance.reaction.extension","path":"AllergyIntolerance.reaction.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"AllergyIntolerance.reaction.modifierExtension","path":"AllergyIntolerance.reaction.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"AllergyIntolerance.reaction.substance","path":"AllergyIntolerance.reaction.substance","short":"Specific substance or pharmaceutical product considered to be responsible for event","definition":"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.","comment":"Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible. The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, \"penicillins\"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, \"amoxycillin\"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.","min":0,"max":"1","base":{"path":"AllergyIntolerance.reaction.substance","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SubstanceCode"}],"strength":"example","description":"Codes defining the type of the substance (including pharmaceutical products).","valueSet":"http://hl7.org/fhir/ValueSet/substance-code|4.0.1"},"mapping":[{"identity":"rim","map":"outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].participation[typeCode=CSM].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]"}]},{"id":"AllergyIntolerance.reaction.manifestation","path":"AllergyIntolerance.reaction.manifestation","short":"Clinical symptoms/signs associated with the Event","definition":"Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.","comment":"Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines. Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.","alias":["Symptoms","Signs"],"min":1,"max":"*","base":{"path":"AllergyIntolerance.reaction.manifestation","min":1,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-allergyreaction"},"mapping":[{"identity":"v2","map":"AL1-5"},{"identity":"rim","map":"code"}]},{"id":"AllergyIntolerance.reaction.description","path":"AllergyIntolerance.reaction.description","short":"Description of the event as a whole","definition":"Text description about the reaction as a whole, including details of the manifestation if required.","comment":"Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.","alias":["Narrative","Text"],"min":0,"max":"1","base":{"path":"AllergyIntolerance.reaction.description","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"text"}]},{"id":"AllergyIntolerance.reaction.onset","path":"AllergyIntolerance.reaction.onset","short":"Date(/time) when manifestations showed","definition":"Record of the date and/or time of the onset of the Reaction.","min":0,"max":"1","base":{"path":"AllergyIntolerance.reaction.onset","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"AL1-6"},{"identity":"rim","map":"effectiveTime.low"}]},{"id":"AllergyIntolerance.reaction.severity","path":"AllergyIntolerance.reaction.severity","short":"mild | moderate | severe (of event as a whole)","definition":"Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.","comment":"It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.","min":0,"max":"1","base":{"path":"AllergyIntolerance.reaction.severity","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AllergyIntoleranceSeverity"}],"strength":"required","description":"Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.","valueSet":"http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1"},"mapping":[{"identity":"rim","map":"inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"}]},{"id":"AllergyIntolerance.reaction.exposureRoute","path":"AllergyIntolerance.reaction.exposureRoute","short":"How the subject was exposed to the substance","definition":"Identification of the route by which the subject was exposed to the substance.","comment":"Coding of the route of exposure with a terminology should be used wherever possible.","min":0,"max":"1","base":{"path":"AllergyIntolerance.reaction.exposureRoute","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RouteOfAdministration"}],"strength":"example","description":"A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.","valueSet":"http://hl7.org/fhir/ValueSet/route-codes|4.0.1"},"mapping":[{"identity":"rim","map":"outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].routeCode"}]},{"id":"AllergyIntolerance.reaction.note","path":"AllergyIntolerance.reaction.note","short":"Text about event not captured in other fields","definition":"Additional text about the adverse reaction event not captured in other fields.","comment":"Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.","min":0,"max":"*","base":{"path":"AllergyIntolerance.reaction.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]}]},"differential":{"element":[{"id":"AllergyIntolerance","path":"AllergyIntolerance","short":"AT APS AllergyIntolerance"},{"id":"AllergyIntolerance.code","path":"AllergyIntolerance.code","binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-allergyorintoleranceagent"}},{"id":"AllergyIntolerance.patient","path":"AllergyIntolerance.patient","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]},{"id":"AllergyIntolerance.reaction.manifestation","path":"AllergyIntolerance.reaction.manifestation","binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-allergyreaction"}}]}} package/StructureDefinition-at-aps-bundle.json 0100644 0000000 0000000 00005062061 15112310067 020544 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-bundle","text":{"status":"extensions","div":"
"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-bundle","version":"0.2.0","name":"AtApsBundle","title":"AT APS Bundle","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Bundle-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"cda","uri":"http://hl7.org/v3/cda","name":"CDA (R2)"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"Bundle","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Bundle","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Bundle","path":"Bundle","short":"AT APS Bundle","definition":"A container for a collection of resources.","min":0,"max":"*","base":{"path":"Bundle","min":0,"max":"*"},"constraint":[{"key":"bdl-1","severity":"error","human":"total only when a search or history","expression":"total.empty() or (type = 'searchset') or (type = 'history')","xpath":"not(f:total) or (f:type/@value = 'searchset') or (f:type/@value = 'history')","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-2","severity":"error","human":"entry.search only when a search","expression":"entry.search.empty() or (type = 'searchset')","xpath":"not(f:entry/f:search) or (f:type/@value = 'searchset')","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-3","severity":"error","human":"entry.request mandatory for batch/transaction/history, otherwise prohibited","expression":"entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))","xpath":"not(f:entry/f:request) or (f:type/@value = 'batch') or (f:type/@value = 'transaction') or (f:type/@value = 'history')","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-4","severity":"error","human":"entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited","expression":"entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))","xpath":"not(f:entry/f:response) or (f:type/@value = 'batch-response') or (f:type/@value = 'transaction-response') or (f:type/@value = 'history')","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-7","severity":"error","human":"FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)","expression":"(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()","xpath":"(f:type/@value = 'history') or (count(for $entry in f:entry[f:resource] return $entry[count(parent::f:Bundle/f:entry[f:fullUrl/@value=$entry/f:fullUrl/@value and ((not(f:resource/*/f:meta/f:versionId/@value) and not($entry/f:resource/*/f:meta/f:versionId/@value)) or f:resource/*/f:meta/f:versionId/@value=$entry/f:resource/*/f:meta/f:versionId/@value)])!=1])=0)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-9","severity":"error","human":"A document must have an identifier with a system and a value","expression":"type = 'document' implies (identifier.system.exists() and identifier.value.exists())","xpath":"not(f:type/@value = 'document') or exists(f:identifier/f:system) or exists(f:identifier/f:value)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-10","severity":"error","human":"A document must have a date","expression":"type = 'document' implies (timestamp.hasValue())","xpath":"not(f:type/@value = 'document') or exists(f:timestamp/@value)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-11","severity":"error","human":"A document must have a Composition as the first resource","expression":"type = 'document' implies entry.first().resource.is(Composition)","xpath":"not(f:type/@value='document') or f:entry[1]/f:resource/f:Composition","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-12","severity":"error","human":"A message must have a MessageHeader as the first resource","expression":"type = 'message' implies entry.first().resource.is(MessageHeader)","xpath":"not(f:type/@value='message') or f:entry[1]/f:resource/f:MessageHeader","source":"http://hl7.org/fhir/StructureDefinition/Bundle"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"N/A"},{"identity":"rim","map":"N/A"},{"identity":"cda","map":"ClinicalDocument, if bundle.type = document"}]},{"id":"Bundle.id","path":"Bundle.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Bundle.meta","path":"Bundle.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.implicitRules","path":"Bundle.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Bundle.language","path":"Bundle.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Bundle.identifier","path":"Bundle.identifier","short":"Persistent identifier for the bundle","definition":"A persistent identifier for the bundle that won't change as a bundle is copied from server to server.","comment":"Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents the .identifier SHALL be populated such that the .identifier is globally unique.","min":0,"max":"1","base":{"path":"Bundle.identifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"cda","map":"ClinicalDocument.id"}]},{"id":"Bundle.type","path":"Bundle.type","short":"document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection","definition":"Indicates the purpose of this bundle - how it is intended to be used.","comment":"It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.","min":1,"max":"1","base":{"path":"Bundle.type","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BundleType"}],"strength":"required","description":"Indicates the purpose of a bundle - how it is intended to be used.","valueSet":"http://hl7.org/fhir/ValueSet/bundle-type|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"Bundle.timestamp","path":"Bundle.timestamp","short":"When the bundle was assembled","definition":"The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.","comment":"For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated. \n\nUsage:\n\n* document : the date the document was created. Note: the composition may predate the document, or be associated with multiple documents. The date of the composition - the authoring time - may be earlier than the document assembly time\n* message : the date that the content of the message was assembled. This date is not changed by middleware engines unless they add additional data that changes the meaning of the time of the message\n* history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates\n* searchset : the time that the search set was assembled. Note that different pages MAY have different timestamps but need not. Having different timestamps does not imply that subsequent pages will represent or include changes made since the initial query\n* transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning\n\nThe timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.","min":0,"max":"1","base":{"path":"Bundle.timestamp","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.init"},{"identity":"cda","map":"ClinicalDocument.effectiveTime"}]},{"id":"Bundle.total","path":"Bundle.total","short":"If search, the total number of matches","definition":"If a set of search matches, this is the 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.","comment":"Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.","min":0,"max":"1","base":{"path":"Bundle.total","min":0,"max":"1"},"type":[{"code":"unsignedInt"}],"condition":["bdl-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.link","path":"Bundle.link","short":"Links related to this Bundle","definition":"A series of links that provide context to this bundle.","comment":"Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. [HATEOAS](http://en.wikipedia.org/wiki/HATEOAS)). \n\nBundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was [read](http://hl7.org/fhir/R4/http.html#read) directly.\n\nThis specification defines some specific uses of Bundle.link for [searching](http://hl7.org/fhir/R4/search.html#conformance) and [paging](http://hl7.org/fhir/R4/http.html#paging), but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.","min":0,"max":"*","base":{"path":"Bundle.link","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.link.id","path":"Bundle.link.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.link.extension","path":"Bundle.link.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.link.modifierExtension","path":"Bundle.link.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.link.relation","path":"Bundle.link.relation","short":"See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1","definition":"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).","min":1,"max":"1","base":{"path":"Bundle.link.relation","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.link.url","path":"Bundle.link.url","short":"Reference details for the link","definition":"The reference details for the link.","min":1,"max":"1","base":{"path":"Bundle.link.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry","path":"Bundle.entry","slicing":{"discriminator":[{"type":"profile","path":"resource"},{"type":"type","path":"resource"}],"ordered":false,"rules":"open"},"short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":2,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.resource","path":"Bundle.entry.resource","short":"A resource in the bundle","definition":"The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.","min":0,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition","path":"Bundle.entry","sliceName":"Composition","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":1,"max":"1","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Composition.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Composition.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Composition.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.resource","path":"Bundle.entry.resource","short":"AT APS Composition","definition":"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 that has clinical attestation with regard to 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.).","comment":"While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Composition","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]"},{"identity":"cda","map":"ClinicalDocument"},{"identity":"fhirdocumentreference","map":"when described by DocumentReference"}]},{"id":"Bundle.entry:Composition.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Composition.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Composition.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Composition.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Composition.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Composition.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Composition.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Composition.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Composition.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Composition.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Composition.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Composition.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Composition.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient","path":"Bundle.entry","sliceName":"Patient","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":1,"max":"1","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Patient.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Patient.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Patient.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.resource","path":"Bundle.entry.resource","short":"AT APS Patient","definition":"Demographics and other administrative information about an individual or animal receiving care or other health-related services.","alias":["SubjectOfCare Client Resident"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Patient","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.recordTarget.patientRole"},{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Patient[classCode=PAT]"},{"identity":"cda","map":"ClinicalDocument.recordTarget.patientRole"}]},{"id":"Bundle.entry:Patient.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Patient.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Patient.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Patient.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Patient.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Patient.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Patient.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Patient.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Patient.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Patient.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Patient.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Patient.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Patient.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance","path":"Bundle.entry","sliceName":"AllergyIntolerance","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:AllergyIntolerance.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:AllergyIntolerance.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:AllergyIntolerance.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.resource","path":"Bundle.entry.resource","short":"AT APS AllergyIntolerance","definition":"Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.","comment":"Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.","alias":["Allergy","Intolerance","Adverse Reaction"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"AllergyIntolerance","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Bundle.entry:AllergyIntolerance.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:AllergyIntolerance.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:AllergyIntolerance.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:AllergyIntolerance.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:AllergyIntolerance.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:AllergyIntolerance.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:AllergyIntolerance.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:AllergyIntolerance.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:AllergyIntolerance.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:AllergyIntolerance.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:AllergyIntolerance.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:AllergyIntolerance.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:AllergyIntolerance.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition","path":"Bundle.entry","sliceName":"Condition","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Condition.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Condition.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Condition.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.resource","path":"Bundle.entry.resource","short":"AT APS Condition","definition":"A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Condition","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)"},{"identity":"v2","map":"PPR message"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value
id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Condition.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Condition.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Condition.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Condition.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Condition.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Condition.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Condition.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Condition.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Condition.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Condition.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Condition.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Condition.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device","path":"Bundle.entry","sliceName":"Device","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Device.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Device.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Device.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.resource","path":"Bundle.entry.resource","short":"A resource in the bundle","definition":"The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Device"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Device.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Device.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Device.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Device.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Device.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Device.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Device.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Device.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Device.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Device.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Device.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Device.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement","path":"Bundle.entry","sliceName":"DeviceUseStatement","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DeviceUseStatement.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DeviceUseStatement.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DeviceUseStatement.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.resource","path":"Bundle.entry.resource","short":"AT APS DeviceUseStatement","definition":"A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"DeviceUseStatement","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-deviceusestatement"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"quick","map":"DeviceUsePerformanceOccurrence"}]},{"id":"Bundle.entry:DeviceUseStatement.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DeviceUseStatement.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DeviceUseStatement.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DeviceUseStatement.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:DeviceUseStatement.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DeviceUseStatement.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DeviceUseStatement.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DeviceUseStatement.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:DeviceUseStatement.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DeviceUseStatement.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DeviceUseStatement.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DeviceUseStatement.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DeviceUseStatement.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport","path":"Bundle.entry","sliceName":"DiagnosticReport","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DiagnosticReport.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DiagnosticReport.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DiagnosticReport.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.resource","path":"Bundle.entry.resource","short":"AT APS DiagnosticReport","definition":"The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.","comment":"This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.","alias":["Report","Test","Result","Results","Labs","Laboratory"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"DiagnosticReport","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-diagnosticreport"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"v2","map":"ORU -> OBR"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Bundle.entry:DiagnosticReport.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DiagnosticReport.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DiagnosticReport.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DiagnosticReport.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:DiagnosticReport.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DiagnosticReport.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DiagnosticReport.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DiagnosticReport.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:DiagnosticReport.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DiagnosticReport.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DiagnosticReport.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DiagnosticReport.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DiagnosticReport.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy","path":"Bundle.entry","sliceName":"ImagingStudy","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ImagingStudy.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ImagingStudy.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ImagingStudy.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.resource","path":"Bundle.entry.resource","short":"AT APS ImagingStudy","definition":"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 may have multiple series of different modalities.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"ImagingStudy","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-imagingstudy"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"Act[classCode=COMPOSITION, moodCode=EVN]"},{"identity":"dicom","map":"Reference IHE radiology TF vol 2 table 4.14-1"}]},{"id":"Bundle.entry:ImagingStudy.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ImagingStudy.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ImagingStudy.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ImagingStudy.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:ImagingStudy.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ImagingStudy.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ImagingStudy.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ImagingStudy.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:ImagingStudy.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ImagingStudy.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ImagingStudy.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ImagingStudy.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ImagingStudy.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization","path":"Bundle.entry","sliceName":"Immunization","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Immunization.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Immunization.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Immunization.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.resource","path":"Bundle.entry.resource","short":"AT APS Immunization","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Immunization","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-immunization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"v2","map":"VXU_V04"},{"identity":"rim","map":"SubstanceAdministration"}]},{"id":"Bundle.entry:Immunization.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Immunization.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Immunization.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Immunization.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Immunization.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Immunization.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Immunization.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Immunization.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Immunization.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Immunization.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Immunization.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Immunization.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Immunization.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication","path":"Bundle.entry","sliceName":"Medication","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Medication.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Medication.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Medication.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.resource","path":"Bundle.entry.resource","short":"AT APS Medication","definition":"This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Medication","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medication"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"script10.6","map":"NewRx/MedicationPrescribed\r-or-\rRxFill/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationPrescribed"},{"identity":"rim","map":"ManufacturedProduct[classCode=ADMM]"}]},{"id":"Bundle.entry:Medication.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Medication.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Medication.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Medication.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Medication.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Medication.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Medication.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Medication.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Medication.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Medication.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Medication.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Medication.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Medication.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest","path":"Bundle.entry","sliceName":"MedicationRequest","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationRequest.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationRequest.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:MedicationRequest.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.resource","path":"Bundle.entry.resource","short":"AT APS MedicationRequest","definition":"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.","alias":["Prescription","Order"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"MedicationRequest","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationrequest"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Request"},{"identity":"script10.6","map":"Message/Body/NewRx"},{"identity":"rim","map":"CombinedMedicationRequest"}]},{"id":"Bundle.entry:MedicationRequest.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationRequest.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationRequest.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:MedicationRequest.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:MedicationRequest.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationRequest.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationRequest.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:MedicationRequest.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:MedicationRequest.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationRequest.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationRequest.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:MedicationRequest.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationRequest.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement","path":"Bundle.entry","sliceName":"MedicationStatement","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationStatement.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationStatement.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:MedicationStatement.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.resource","path":"Bundle.entry.resource","short":"AT APS MedicationStatement","definition":"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. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement 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.","comment":"When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\rMedicationStatement.status + MedicationStatement.wasNotTaken\rStatus=Active + NotTaken=T = Not currently taking\rStatus=Completed + NotTaken=T = Not taken in the past\rStatus=Intended + NotTaken=T = No intention of taking\rStatus=Active + NotTaken=F = Taking, but not as prescribed\rStatus=Active + NotTaken=F = Taking\rStatus=Intended +NotTaken= F = Will be taking (not started)\rStatus=Completed + NotTaken=F = Taken in past\rStatus=In Error + NotTaken=N/A = In Error.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"MedicationStatement","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationstatement"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"SubstanceAdministration"}]},{"id":"Bundle.entry:MedicationStatement.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationStatement.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationStatement.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:MedicationStatement.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:MedicationStatement.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationStatement.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationStatement.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:MedicationStatement.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:MedicationStatement.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationStatement.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:MedicationStatement.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:MedicationStatement.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:MedicationStatement.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner","path":"Bundle.entry","sliceName":"Practitioner","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Practitioner.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Practitioner.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Practitioner.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.resource","path":"Bundle.entry.resource","short":"AT APS Practitioner","definition":"A person who is directly or indirectly involved in the provisioning of healthcare.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Practitioner","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"PRD (as one example)"},{"identity":"rim","map":"Role"},{"identity":"servd","map":"Provider"}]},{"id":"Bundle.entry:Practitioner.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Practitioner.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Practitioner.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Practitioner.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Practitioner.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Practitioner.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Practitioner.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Practitioner.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Practitioner.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Practitioner.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Practitioner.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Practitioner.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Practitioner.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole","path":"Bundle.entry","sliceName":"PractitionerRole","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:PractitionerRole.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:PractitionerRole.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:PractitionerRole.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.resource","path":"Bundle.entry.resource","short":"At APS PractitionerRole","definition":"A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"PractitionerRole","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"PRD (as one example)"},{"identity":"rim","map":"Role"},{"identity":"servd","map":"ServiceSiteProvider"}]},{"id":"Bundle.entry:PractitionerRole.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:PractitionerRole.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:PractitionerRole.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:PractitionerRole.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:PractitionerRole.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:PractitionerRole.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:PractitionerRole.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:PractitionerRole.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:PractitionerRole.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:PractitionerRole.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:PractitionerRole.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:PractitionerRole.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:PractitionerRole.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure","path":"Bundle.entry","sliceName":"Procedure","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Procedure.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Procedure.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Procedure.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.resource","path":"Bundle.entry.resource","short":"AT APS Procedure","definition":"An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Procedure","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"Procedure[moodCode=EVN]"}]},{"id":"Bundle.entry:Procedure.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Procedure.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Procedure.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Procedure.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Procedure.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Procedure.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Procedure.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Procedure.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Procedure.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Procedure.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Procedure.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Procedure.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Procedure.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization","path":"Bundle.entry","sliceName":"Organization","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Organization.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Organization.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Organization.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.resource","path":"Bundle.entry.resource","short":"AT APS Organization","definition":"A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Organization","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"(also see master files messages)"},{"identity":"rim","map":"Organization(classCode=ORG, determinerCode=INST)"},{"identity":"servd","map":"Organization"}]},{"id":"Bundle.entry:Organization.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Organization.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Organization.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Organization.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Organization.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Organization.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Organization.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Organization.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Organization.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Organization.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Organization.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Organization.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Organization.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd","path":"Bundle.entry","sliceName":"ObservationPregnancyEdd","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.resource","path":"Bundle.entry.resource","short":"AT APS Observation Pregnancy Expected Delivery Date","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Observation","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyedd"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:ObservationPregnancyEdd.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:ObservationPregnancyEdd.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyEdd.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyEdd.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome","path":"Bundle.entry","sliceName":"ObservationPregnancyOutcome","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.resource","path":"Bundle.entry.resource","short":"AT APS Observation Pregnancy Outcome","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Observation","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyoutcome"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:ObservationPregnancyOutcome.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:ObservationPregnancyOutcome.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyOutcome.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyOutcome.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus","path":"Bundle.entry","sliceName":"ObservationPregnancyStatus","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.resource","path":"Bundle.entry.resource","short":"AT APS Observation Pregnancy Status","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Observation","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancystatus"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:ObservationPregnancyStatus.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:ObservationPregnancyStatus.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationPregnancyStatus.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationPregnancyStatus.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse","path":"Bundle.entry","sliceName":"ObservationAlcoholUse","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationAlcoholUse.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationAlcoholUse.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationAlcoholUse.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.resource","path":"Bundle.entry.resource","short":"AT APS Observation Alcohol Use","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Observation","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationalcoholuse"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Bundle.entry:ObservationAlcoholUse.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationAlcoholUse.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationAlcoholUse.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationAlcoholUse.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:ObservationAlcoholUse.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationAlcoholUse.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationAlcoholUse.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationAlcoholUse.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:ObservationAlcoholUse.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationAlcoholUse.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationAlcoholUse.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationAlcoholUse.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationAlcoholUse.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse","path":"Bundle.entry","sliceName":"ObservationTobaccoUse","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationTobaccoUse.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationTobaccoUse.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationTobaccoUse.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.resource","path":"Bundle.entry.resource","short":"AT APS Observation Tobacco Use","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Observation","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationtobaccouse"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Bundle.entry:ObservationTobaccoUse.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationTobaccoUse.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationTobaccoUse.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationTobaccoUse.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:ObservationTobaccoUse.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationTobaccoUse.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationTobaccoUse.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationTobaccoUse.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:ObservationTobaccoUse.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationTobaccoUse.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationTobaccoUse.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationTobaccoUse.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationTobaccoUse.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology","path":"Bundle.entry","sliceName":"ObservationResultsLaboratoryPathology","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.resource","path":"Bundle.entry.resource","short":"AT APS Observation Results Laboratory Pathology","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Observation","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsLaboratoryPathology.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology","path":"Bundle.entry","sliceName":"ObservationResultsRadiology","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsRadiology.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsRadiology.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationResultsRadiology.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.resource","path":"Bundle.entry.resource","short":"AT APS Observation Results Radiology","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Observation","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultsradiology"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Bundle.entry:ObservationResultsRadiology.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsRadiology.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsRadiology.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationResultsRadiology.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:ObservationResultsRadiology.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsRadiology.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsRadiology.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationResultsRadiology.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:ObservationResultsRadiology.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsRadiology.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationResultsRadiology.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationResultsRadiology.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationResultsRadiology.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns","path":"Bundle.entry","sliceName":"ObservationVitalSigns","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationVitalSigns.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationVitalSigns.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationVitalSigns.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.resource","path":"Bundle.entry.resource","short":"AT APS Observation Vital Signs","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Observation","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationvitalsigns"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Bundle.entry:ObservationVitalSigns.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationVitalSigns.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationVitalSigns.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationVitalSigns.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:ObservationVitalSigns.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationVitalSigns.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationVitalSigns.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationVitalSigns.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:ObservationVitalSigns.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationVitalSigns.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ObservationVitalSigns.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ObservationVitalSigns.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ObservationVitalSigns.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen","path":"Bundle.entry","sliceName":"Specimen","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Specimen.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Specimen.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Specimen.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.resource","path":"Bundle.entry.resource","short":"AT APS Specimen","definition":"A sample to be used for analysis.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Specimen","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-specimen"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Role[classCode=SPEC]"}]},{"id":"Bundle.entry:Specimen.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Specimen.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Specimen.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Specimen.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Specimen.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Specimen.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Specimen.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Specimen.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Specimen.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Specimen.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Specimen.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Specimen.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Specimen.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag","path":"Bundle.entry","sliceName":"Flag","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Flag.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Flag.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Flag.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.resource","path":"Bundle.entry.resource","short":"AT APS Flag Alert","definition":"Prospective warnings of potential issues when providing care to the patient.","alias":["Barriers to Care","Alert","Warning"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Flag","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-flagalert"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Observation[classCode=ISSUE, moodCode=EVN]"}]},{"id":"Bundle.entry:Flag.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Flag.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Flag.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Flag.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Flag.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Flag.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Flag.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Flag.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Flag.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Flag.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Flag.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Flag.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Flag.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression","path":"Bundle.entry","sliceName":"ClinicalImpression","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ClinicalImpression.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ClinicalImpression.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ClinicalImpression.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.resource","path":"Bundle.entry.resource","short":"AT APS ClinicalImpression","definition":"A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow. This resource is called \"ClinicalImpression\" rather than \"ClinicalAssessment\" to avoid confusion with the recording of assessment tools such as Apgar score.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"ClinicalImpression","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"v2","map":"Partial mapping for problem evaluation"}]},{"id":"Bundle.entry:ClinicalImpression.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ClinicalImpression.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ClinicalImpression.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ClinicalImpression.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:ClinicalImpression.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ClinicalImpression.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ClinicalImpression.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ClinicalImpression.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:ClinicalImpression.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ClinicalImpression.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:ClinicalImpression.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:ClinicalImpression.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:ClinicalImpression.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan","path":"Bundle.entry","sliceName":"CarePlan","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:CarePlan.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:CarePlan.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:CarePlan.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.resource","path":"Bundle.entry.resource","short":"AT APS CarePlan","definition":"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.","alias":["Care Team"],"min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"CarePlan","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-careplan"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Request"},{"identity":"rim","map":"Act[classCode=PCPR, moodCode=INT]"}]},{"id":"Bundle.entry:CarePlan.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:CarePlan.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:CarePlan.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:CarePlan.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:CarePlan.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:CarePlan.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:CarePlan.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:CarePlan.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:CarePlan.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:CarePlan.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:CarePlan.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:CarePlan.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:CarePlan.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent","path":"Bundle.entry","sliceName":"Consent","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Consent.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Consent.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Consent.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.resource","path":"Bundle.entry.resource","short":"AT APS Consent","definition":"A record of a healthcare consumer’s choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.","comment":"Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"Consent","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-consent"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"v2","map":"CON"},{"identity":"rim","map":"FinancialConsent"}]},{"id":"Bundle.entry:Consent.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Consent.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Consent.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Consent.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:Consent.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Consent.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Consent.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Consent.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:Consent.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Consent.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:Consent.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:Consent.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.etag","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.response.lastModified","path":"Bundle.entry.response.lastModified","short":"Server's date time modified","definition":"The date/time that the resource was modified on the server.","comment":"This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.","min":0,"max":"1","base":{"path":"Bundle.entry.response.lastModified","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:Consent.response.outcome","path":"Bundle.entry.response.outcome","short":"OperationOutcome with hints and warnings (for batch/transaction)","definition":"An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.","comment":"For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference","path":"Bundle.entry","sliceName":"DocumentReference","short":"Entry in the bundle - will have a resource or information","definition":"An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).","min":0,"max":"*","base":{"path":"Bundle.entry","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"orderMeaning":"For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type","constraint":[{"key":"bdl-5","severity":"error","human":"must be a resource unless there's a request or response","expression":"resource.exists() or request.exists() or response.exists()","xpath":"exists(f:resource) or exists(f:request) or exists(f:response)","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"bdl-8","severity":"error","human":"fullUrl cannot be a version specific reference","expression":"fullUrl.contains('/_history/').not()","xpath":"not(exists(f:fullUrl[contains(string(@value), '/_history/')]))","source":"http://hl7.org/fhir/StructureDefinition/Bundle"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.id","path":"Bundle.entry.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DocumentReference.extension","path":"Bundle.entry.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DocumentReference.modifierExtension","path":"Bundle.entry.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DocumentReference.link","path":"Bundle.entry.link","short":"Links related to this entry","definition":"A series of links that provide context to this entry.","min":0,"max":"*","base":{"path":"Bundle.entry.link","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.fullUrl","path":"Bundle.entry.fullUrl","short":"URI for resource (Absolute URL server address or URI for UUID/OID)","definition":"The Absolute URL for the resource. 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. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.","comment":"fullUrl might not be [unique in the context of a resource](http://hl7.org/fhir/R4/bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](http://hl7.org/fhir/R4/references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](http://hl7.org/fhir/R4/references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).","min":0,"max":"1","base":{"path":"Bundle.entry.fullUrl","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.resource","path":"Bundle.entry.resource","short":"At APS DocumentReference","definition":"A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.","comment":"Usually, this is used for documents other than those defined by FHIR.","min":1,"max":"1","base":{"path":"Bundle.entry.resource","min":0,"max":"1"},"type":[{"code":"DocumentReference","profile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"fhircomposition","map":"when describing a Composition"},{"identity":"rim","map":"Document[classCode=\"DOC\" and moodCode=\"EVN\"]"},{"identity":"cda","map":"when describing a CDA"}]},{"id":"Bundle.entry:DocumentReference.search","path":"Bundle.entry.search","short":"Search related information","definition":"Information about the search process that lead to the creation of this entry.","min":0,"max":"1","base":{"path":"Bundle.entry.search","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.search.id","path":"Bundle.entry.search.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DocumentReference.search.extension","path":"Bundle.entry.search.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DocumentReference.search.modifierExtension","path":"Bundle.entry.search.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DocumentReference.search.mode","path":"Bundle.entry.search.mode","short":"match | include | outcome - why this is in the result set","definition":"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.","comment":"There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.","min":0,"max":"1","base":{"path":"Bundle.entry.search.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SearchEntryMode"}],"strength":"required","description":"Why an 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.","valueSet":"http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1"}},{"id":"Bundle.entry:DocumentReference.search.score","path":"Bundle.entry.search.score","short":"Search ranking (between 0 and 1)","definition":"When searching, the server's search ranking score for the entry.","comment":"Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html) for the EMPI search which relates to this element.","min":0,"max":"1","base":{"path":"Bundle.entry.search.score","min":0,"max":"1"},"type":[{"code":"decimal"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.request","path":"Bundle.entry.request","short":"Additional execution information (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.request","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.request.id","path":"Bundle.entry.request.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DocumentReference.request.extension","path":"Bundle.entry.request.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DocumentReference.request.modifierExtension","path":"Bundle.entry.request.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DocumentReference.request.method","path":"Bundle.entry.request.method","short":"GET | HEAD | POST | PUT | DELETE | PATCH","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.request.method","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HTTPVerb"}],"strength":"required","description":"HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.","valueSet":"http://hl7.org/fhir/ValueSet/http-verb|4.0.1"}},{"id":"Bundle.entry:DocumentReference.request.url","path":"Bundle.entry.request.url","short":"URL for HTTP equivalent of this entry","definition":"The URL for this entry, relative to the root (the address to which the request is posted).","comment":"E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".","min":1,"max":"1","base":{"path":"Bundle.entry.request.url","min":1,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.request.ifNoneMatch","path":"Bundle.entry.request.ifNoneMatch","short":"For managing cache currency","definition":"If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.request.ifModifiedSince","path":"Bundle.entry.request.ifModifiedSince","short":"For managing cache currency","definition":"Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http://hl7.org/fhir/R4/http.html#cread).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifModifiedSince","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.request.ifMatch","path":"Bundle.entry.request.ifMatch","short":"For managing update contention","definition":"Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http://hl7.org/fhir/R4/http.html#concurrency).","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifMatch","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.request.ifNoneExist","path":"Bundle.entry.request.ifNoneExist","short":"For conditional creates","definition":"Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http://hl7.org/fhir/R4/http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").","min":0,"max":"1","base":{"path":"Bundle.entry.request.ifNoneExist","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.response","path":"Bundle.entry.response","short":"Results of execution (transaction/batch/history)","definition":"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.","min":0,"max":"1","base":{"path":"Bundle.entry.response","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["bdl-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.response.id","path":"Bundle.entry.response.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DocumentReference.response.extension","path":"Bundle.entry.response.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Bundle.entry:DocumentReference.response.modifierExtension","path":"Bundle.entry.response.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Bundle.entry:DocumentReference.response.status","path":"Bundle.entry.response.status","short":"Status response code (text optional)","definition":"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.","min":1,"max":"1","base":{"path":"Bundle.entry.response.status","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.response.location","path":"Bundle.entry.response.location","short":"The location (if the operation returns a location)","definition":"The location header created by processing this operation, populated if the operation returns a location.","min":0,"max":"1","base":{"path":"Bundle.entry.response.location","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Bundle.entry:DocumentReference.response.etag","path":"Bundle.entry.response.etag","short":"The Etag for the resource (if relevant)","definition":"The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http://hl7.org/fhir/R4/http.html#versioning) and [Managing Resource Contention](http://hl7.org/fhir/R4/http.html#concurrency)).","comment":"Etags match the Resource.meta.versionId. 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In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.","min":0,"max":"1","base":{"path":"Bundle.entry.response.outcome","min":0,"max":"1"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":true},{"id":"Bundle.signature","path":"Bundle.signature","short":"Digital Signature","definition":"Digital Signature - base64 encoded. XML-DSig or a JWT.","comment":"The signature could be created by the \"author\" of the bundle or by the originating device. Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.","requirements":"A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.","min":0,"max":"1","base":{"path":"Bundle.signature","min":0,"max":"1"},"type":[{"code":"Signature"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true}]},"differential":{"element":[{"id":"Bundle","path":"Bundle","short":"AT APS 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package/StructureDefinition-at-aps-careplan.json 0100644 0000000 0000000 00000252574 15112310070 021057 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-careplan","text":{"status":"extensions","div":""},"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-careplan","version":"0.2.0","name":"AtApsCarePlan","title":"AT APS CarePlan","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die CarePlan-Ressource berücksichtigt die österreichischen Vorgaben (z.B. Patient).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"CarePlan","baseDefinition":"http://hl7.org/fhir/StructureDefinition/CarePlan","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"CarePlan","path":"CarePlan","short":"AT APS CarePlan","definition":"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.","alias":["Care Team"],"min":0,"max":"*","base":{"path":"CarePlan","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Request"},{"identity":"rim","map":"Act[classCode=PCPR, moodCode=INT]"}]},{"id":"CarePlan.id","path":"CarePlan.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"CarePlan.meta","path":"CarePlan.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"CarePlan.implicitRules","path":"CarePlan.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"CarePlan.language","path":"CarePlan.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"CarePlan.text","path":"CarePlan.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"CarePlan.contained","path":"CarePlan.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CarePlan.extension","path":"CarePlan.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CarePlan.modifierExtension","path":"CarePlan.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CarePlan.identifier","path":"CarePlan.identifier","short":"External Ids for this plan","definition":"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.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.","requirements":"Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"CarePlan.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PTH-3"},{"identity":"rim","map":".id"}]},{"id":"CarePlan.instantiatesCanonical","path":"CarePlan.instantiatesCanonical","short":"Instantiates FHIR protocol or definition","definition":"The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.","min":0,"max":"*","base":{"path":"CarePlan.instantiatesCanonical","min":0,"max":"*"},"type":[{"code":"canonical","targetProfile":["http://hl7.org/fhir/StructureDefinition/PlanDefinition|4.0.1","http://hl7.org/fhir/StructureDefinition/Questionnaire|4.0.1","http://hl7.org/fhir/StructureDefinition/Measure|4.0.1","http://hl7.org/fhir/StructureDefinition/ActivityDefinition|4.0.1","http://hl7.org/fhir/StructureDefinition/OperationDefinition|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.instantiatesCanonical"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"CarePlan.instantiatesUri","path":"CarePlan.instantiatesUri","short":"Instantiates external protocol or definition","definition":"The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.","comment":"This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.","min":0,"max":"*","base":{"path":"CarePlan.instantiatesUri","min":0,"max":"*"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.instantiatesUri"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"CarePlan.basedOn","path":"CarePlan.basedOn","short":"Fulfills CarePlan","definition":"A care plan that is fulfilled in whole or in part by this care plan.","requirements":"Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon.","alias":["fulfills"],"min":0,"max":"*","base":{"path":"CarePlan.basedOn","min":0,"max":"*"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.basedOn"}]},{"id":"CarePlan.replaces","path":"CarePlan.replaces","short":"CarePlan replaced by this CarePlan","definition":"Completed or terminated care plan whose function is taken by this new care plan.","comment":"The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.","requirements":"Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans.","alias":["supersedes"],"min":0,"max":"*","base":{"path":"CarePlan.replaces","min":0,"max":"*"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.replaces"}]},{"id":"CarePlan.partOf","path":"CarePlan.partOf","short":"Part of referenced CarePlan","definition":"A larger care plan of which this particular care plan is a component or step.","comment":"Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses. As such, this element is still being discussed.","min":0,"max":"*","base":{"path":"CarePlan.partOf","min":0,"max":"*"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"CarePlan.status","path":"CarePlan.status","short":"draft | active | on-hold | revoked | completed | entered-in-error | unknown","definition":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","comment":"The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the plan as not currently valid.","requirements":"Allows clinicians to determine whether the plan is actionable or not.","min":1,"max":"1","base":{"path":"CarePlan.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanStatus"}],"strength":"required","description":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","valueSet":"http://hl7.org/fhir/ValueSet/request-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.status {uses different ValueSet}"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"PTH-5"},{"identity":"rim","map":".statusCode planned = new active = active completed = completed"}]},{"id":"CarePlan.intent","path":"CarePlan.intent","short":"proposal | plan | order | option","definition":"Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain.","comment":"This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.","requirements":"Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.","min":1,"max":"1","base":{"path":"CarePlan.intent","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request\"","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanIntent"}],"strength":"required","description":"Codes indicating the degree of authority/intentionality associated with a care plan.","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.intent"}]},{"id":"CarePlan.category","path":"CarePlan.category","short":"Type of plan","definition":"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.","comment":"There may be multiple axes of categorization and one plan may serve multiple purposes. In some cases, this may be redundant with references to CarePlan.concern.","requirements":"Used for filtering what plan(s) are retrieved and displayed to different types of users.","min":0,"max":"*","base":{"path":"CarePlan.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanCategory"}],"strength":"example","description":"Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", etc.","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"CarePlan.title","path":"CarePlan.title","short":"Human-friendly name for the care plan","definition":"Human-friendly name for the care plan.","min":0,"max":"1","base":{"path":"CarePlan.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"CarePlan.description","path":"CarePlan.description","short":"Summary of nature of plan","definition":"A description of the scope and nature of the plan.","requirements":"Provides more detail than conveyed by category.","min":0,"max":"1","base":{"path":"CarePlan.description","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"}]},{"id":"CarePlan.subject","path":"CarePlan.subject","short":"Who the care plan is for","definition":"Identifies the patient or group whose intended care is described by the plan.","alias":["patient"],"min":1,"max":"1","base":{"path":"CarePlan.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":".participation[typeCode=PAT].role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"CarePlan.encounter","path":"CarePlan.encounter","short":"Encounter created as part of","definition":"The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated.","comment":"This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters.","min":0,"max":"1","base":{"path":"CarePlan.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"Associated PV1"},{"identity":"rim","map":"."}]},{"id":"CarePlan.period","path":"CarePlan.period","short":"Time period plan covers","definition":"Indicates when the plan did (or is intended to) come into effect and end.","comment":"Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).","requirements":"Allows tracking what plan(s) are in effect at a particular time.","alias":["timing"],"min":0,"max":"1","base":{"path":"CarePlan.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.occurrence[x]"},{"identity":"w5","map":"FiveWs.planned"},{"identity":"v2","map":"GOL-7 / GOL-8"},{"identity":"rim","map":".effectiveTime"}]},{"id":"CarePlan.created","path":"CarePlan.created","short":"Date record was first recorded","definition":"Represents when this particular CarePlan record was created in the system, which is often a system-generated date.","alias":["authoredOn"],"min":0,"max":"1","base":{"path":"CarePlan.created","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.authoredOn"},{"identity":"w5","map":"FiveWs.recorded"},{"identity":"rim","map":".participation[typeCode=AUT].time"}]},{"id":"CarePlan.author","path":"CarePlan.author","short":"Who is the designated responsible party","definition":"When populated, the author is responsible for the care plan. The care plan is attributed to the author.","comment":"The author may also be a contributor. For example, an organization can be an author, but not listed as a contributor.","min":0,"max":"1","base":{"path":"CarePlan.author","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.requester"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"CarePlan.contributor","path":"CarePlan.contributor","short":"Who provided the content of the care plan","definition":"Identifies the individual(s) or organization who provided the contents of the care plan.","comment":"Collaborative care plans may have multiple contributors.","min":0,"max":"*","base":{"path":"CarePlan.contributor","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"CarePlan.careTeam","path":"CarePlan.careTeam","short":"Who's involved in plan?","definition":"Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.","requirements":"Allows representation of care teams, helps scope care plan. In some cases may be a determiner of access permissions.","min":0,"max":"*","base":{"path":"CarePlan.careTeam","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.performer {similar but does not entail CareTeam}"},{"identity":"w5","map":"FiveWs.actor"}]},{"id":"CarePlan.addresses","path":"CarePlan.addresses","short":"Health issues this plan addresses","definition":"Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.","comment":"When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.","requirements":"Links plan to the conditions it manages. The element can identify risks addressed by the plan as well as active conditions. (The Condition resource can include things like \"at risk for hypertension\" or \"fall risk\".) Also scopes plans - multiple plans may exist addressing different concerns.","min":0,"max":"*","base":{"path":"CarePlan.addresses","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.reasonReference"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"PRB-4"},{"identity":"rim","map":".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]"}]},{"id":"CarePlan.supportingInfo","path":"CarePlan.supportingInfo","short":"Information considered as part of plan","definition":"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.","comment":"Use \"concern\" to identify specific conditions addressed by the care plan.","requirements":"Identifies barriers and other considerations associated with the care plan.","min":0,"max":"*","base":{"path":"CarePlan.supportingInfo","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.supportingInfo"}]},{"id":"CarePlan.goal","path":"CarePlan.goal","short":"Desired outcome of plan","definition":"Describes the intended objective(s) of carrying out the care plan.","comment":"Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.","requirements":"Provides context for plan. Allows plan effectiveness to be evaluated by clinicians.","min":0,"max":"*","base":{"path":"CarePlan.goal","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Goal|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"GOL.1"},{"identity":"rim","map":".outboundRelationship[typeCode<=OBJ]."}]},{"id":"CarePlan.activity","path":"CarePlan.activity","short":"Action to occur as part of plan","definition":"Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.","requirements":"Allows systems to prompt for performance of planned activities, and validate plans against best practice.","min":0,"max":"*","base":{"path":"CarePlan.activity","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cpl-3","severity":"error","human":"Provide a reference or detail, not both","expression":"detail.empty() or reference.empty()","xpath":"not(exists(f:detail)) or not(exists(f:reference))","source":"http://hl7.org/fhir/StructureDefinition/CarePlan"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"{no mapping\nNOTE: This is a list of contained Request-Event tuples!}"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target"}]},{"id":"CarePlan.activity.id","path":"CarePlan.activity.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CarePlan.activity.extension","path":"CarePlan.activity.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CarePlan.activity.modifierExtension","path":"CarePlan.activity.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CarePlan.activity.outcomeCodeableConcept","path":"CarePlan.activity.outcomeCodeableConcept","short":"Results of the activity","definition":"Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not).","comment":"Note that this should not duplicate the activity status (e.g. completed or in progress).","min":0,"max":"*","base":{"path":"CarePlan.activity.outcomeCodeableConcept","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanActivityOutcome"}],"strength":"example","description":"Identifies the results of the activity.","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-activity-outcome|4.0.1"}},{"id":"CarePlan.activity.outcomeReference","path":"CarePlan.activity.outcomeReference","short":"Appointment, Encounter, Procedure, etc.","definition":"Details of the outcome or action resulting from the activity. The reference to an \"event\" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself. The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource).","comment":"The activity outcome is independent of the outcome of the related goal(s). For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured.","requirements":"Links plan to resulting actions.","min":0,"max":"*","base":{"path":"CarePlan.activity.outcomeReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"{Event that is outcome of Request in activity.reference}"},{"identity":"rim","map":".inboundRelationship[typeCode=FLFS].source"}]},{"id":"CarePlan.activity.progress","path":"CarePlan.activity.progress","short":"Comments about the activity status/progress","definition":"Notes about the adherence/status/progress of the activity.","comment":"This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.","requirements":"Can be used to capture information about adherence, progress, concerns, etc.","min":0,"max":"*","base":{"path":"CarePlan.activity.progress","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE?"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]},{"id":"CarePlan.activity.reference","path":"CarePlan.activity.reference","short":"Activity details defined in specific resource","definition":"The details of the proposed activity represented in a specific resource.","comment":"Standard extension exists ([resource-pertainsToGoal](http://hl7.org/fhir/R4/extension-resource-pertainstogoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference. \rThe goal should be visible when the resource referenced by CarePlan.activity.reference is viewed independently from the CarePlan. Requests that are pointed to by a CarePlan using this element should *not* point to this CarePlan using the \"basedOn\" element. i.e. Requests that are part of a CarePlan are not \"based on\" the CarePlan.","requirements":"Details in a form consistent with other applications and contexts of use.","min":0,"max":"1","base":{"path":"CarePlan.activity.reference","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Appointment|4.0.1","http://hl7.org/fhir/StructureDefinition/CommunicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1","http://hl7.org/fhir/StructureDefinition/Task|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/VisionPrescription|4.0.1","http://hl7.org/fhir/StructureDefinition/RequestGroup|4.0.1"]}],"condition":["cpl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"{Request that resulted in Event in activity.actionResulting}"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target"}]},{"id":"CarePlan.activity.detail","path":"CarePlan.activity.detail","short":"In-line definition of activity","definition":"A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc.","requirements":"Details in a simple form for generic care plan systems.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"condition":["cpl-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target"}]},{"id":"CarePlan.activity.detail.id","path":"CarePlan.activity.detail.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CarePlan.activity.detail.extension","path":"CarePlan.activity.detail.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"CarePlan.activity.detail.modifierExtension","path":"CarePlan.activity.detail.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"CarePlan.activity.detail.kind","path":"CarePlan.activity.detail.kind","short":"Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription","definition":"A description of the kind of resource the in-line definition of a care plan activity is representing. The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.","requirements":"May determine what types of extensions are permitted.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.kind","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanActivityKind"}],"strength":"required","description":"Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=LIST].code"}]},{"id":"CarePlan.activity.detail.instantiatesCanonical","path":"CarePlan.activity.detail.instantiatesCanonical","short":"Instantiates FHIR protocol or definition","definition":"The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.","requirements":"Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.instantiatesCanonical","min":0,"max":"*"},"type":[{"code":"canonical","targetProfile":["http://hl7.org/fhir/StructureDefinition/PlanDefinition|4.0.1","http://hl7.org/fhir/StructureDefinition/ActivityDefinition|4.0.1","http://hl7.org/fhir/StructureDefinition/Questionnaire|4.0.1","http://hl7.org/fhir/StructureDefinition/Measure|4.0.1","http://hl7.org/fhir/StructureDefinition/OperationDefinition|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.instantiatesCanonical"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"CarePlan.activity.detail.instantiatesUri","path":"CarePlan.activity.detail.instantiatesUri","short":"Instantiates external protocol or definition","definition":"The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.","comment":"This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.","requirements":"Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.instantiatesUri","min":0,"max":"*"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.instantiatesUri"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"CarePlan.activity.detail.code","path":"CarePlan.activity.detail.code","short":"Detail type of activity","definition":"Detailed description of the type of planned activity; e.g. what lab test, what procedure, what kind of encounter.","comment":"Tends to be less relevant for activities involving particular products. Codes should not convey negation - use \"prohibited\" instead.","requirements":"Allows matching performed to planned as well as validation against protocols.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanActivityType"}],"strength":"example","description":"Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-code|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.code"},{"identity":"v2","map":"OBR-4 / RXE-2 / RXO-1 / RXD-2"},{"identity":"rim","map":".code"}]},{"id":"CarePlan.activity.detail.reasonCode","path":"CarePlan.activity.detail.reasonCode","short":"Why activity should be done or why activity was prohibited","definition":"Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.","comment":"This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonCondition instead.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanActivityReason"}],"strength":"example","description":"Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as \"general wellness\", prophylaxis, surgical preparation, etc.","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.reasonCode"}]},{"id":"CarePlan.activity.detail.reasonReference","path":"CarePlan.activity.detail.reasonReference","short":"Why activity is needed","definition":"Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan.","comment":"Conditions can be identified at the activity level that are not identified as reasons for the overall plan.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1","http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.reasonReference"}]},{"id":"CarePlan.activity.detail.goal","path":"CarePlan.activity.detail.goal","short":"Goals this activity relates to","definition":"Internal reference that identifies the goals that this activity is intended to contribute towards meeting.","requirements":"So that participants know the link explicitly.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.goal","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Goal|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode<=OBJ]."}]},{"id":"CarePlan.activity.detail.status","path":"CarePlan.activity.detail.status","short":"not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error","definition":"Identifies what progress is being made for the specific activity.","comment":"Some aspects of status can be inferred based on the resources linked in actionTaken. Note that \"status\" is only as current as the plan was most recently updated. \nThe unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity.","requirements":"Indicates progress against the plan, whether the activity is still relevant for the plan.","min":1,"max":"1","base":{"path":"CarePlan.activity.detail.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the activity should not be treated as valid","isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanActivityStatus"}],"strength":"required","description":"Codes that reflect the current state of a care plan activity within its overall life cycle.","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.status"},{"identity":"v2","map":"ORC-5?"},{"identity":"rim","map":".statusCode not-started = new scheduled = not-started (and fulfillment relationship to appointent) in-progress = active on-hold = suspended completed = completed cancelled = aborted"}]},{"id":"CarePlan.activity.detail.statusReason","path":"CarePlan.activity.detail.statusReason","short":"Reason for current status","definition":"Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.","comment":"Will generally not be present if status is \"complete\". Be sure to prompt to update this (or at least remove the existing value) if the status is changed.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.statusReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.statusReason"}]},{"id":"CarePlan.activity.detail.doNotPerform","path":"CarePlan.activity.detail.doNotPerform","short":"If true, activity is prohibiting action","definition":"If true, indicates that the described activity is one that must NOT be engaged in when following the plan. If false, or missing, indicates that the described activity is one that should be engaged in when following the plan.","comment":"This element is labeled as a modifier because it marks an activity as an activity that is not to be performed.","requirements":"Captures intention to not do something that may have been previously typical.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.doNotPerform","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"If missing indicates that the described activity is one that should be engaged in when following the plan.","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"If true this element negates the specified action. For example, instead of a request for a procedure, it is a request for the procedure to not occur.","isSummary":false,"mapping":[{"identity":"workflow","map":"Request.doNotPerform"},{"identity":"rim","map":"actionNegationInd"}]},{"id":"CarePlan.activity.detail.scheduled[x]","path":"CarePlan.activity.detail.scheduled[x]","short":"When activity is to occur","definition":"The period, timing or frequency upon which the described activity is to occur.","requirements":"Allows prompting for activities and detection of missed planned activities.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.scheduled[x]","min":0,"max":"1"},"type":[{"code":"Timing"},{"code":"Period"},{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.occurrence[x]"},{"identity":"v2","map":"TQ1"},{"identity":"rim","map":".effectiveTime"}]},{"id":"CarePlan.activity.detail.location","path":"CarePlan.activity.detail.location","short":"Where it should happen","definition":"Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.","comment":"May reference a specific clinical location or may identify a type of location.","requirements":"Helps in planning of activity.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.location","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBR-24(???!!)"},{"identity":"rim","map":".participation[typeCode=LOC].role"}]},{"id":"CarePlan.activity.detail.performer","path":"CarePlan.activity.detail.performer","short":"Who will be responsible?","definition":"Identifies who's expected to be involved in the activity.","comment":"A performer MAY also be a participant in the care plan.","requirements":"Helps in planning of activity.","min":0,"max":"*","base":{"path":"CarePlan.activity.detail.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1","http://hl7.org/fhir/StructureDefinition/HealthcareService|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.performer"},{"identity":"v2","map":"PRT-5 : ( PRV-4 = (provider participations)); PRT-5 : ( PRV-4 = (non-provider person participations )) ; PRT-5 : ( PRV-4 = (patient non-subject of care) ) ; PRT-8"},{"identity":"rim","map":".participation[typeCode=PFM]"}]},{"id":"CarePlan.activity.detail.product[x]","path":"CarePlan.activity.detail.product[x]","short":"What is to be administered/supplied","definition":"Identifies the food, drug or other product to be consumed or supplied in the activity.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.product[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Medication|4.0.1","http://hl7.org/fhir/StructureDefinition/Substance|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CarePlanProduct"}],"strength":"example","description":"A product supplied or administered as part of a care plan activity.","valueSet":"http://hl7.org/fhir/ValueSet/medication-codes|4.0.1"},"mapping":[{"identity":"v2","map":"RXE-2 / RXO-1 / RXD-2"},{"identity":"rim","map":".participation[typeCode=PRD].role"}]},{"id":"CarePlan.activity.detail.dailyAmount","path":"CarePlan.activity.detail.dailyAmount","short":"How to consume/day?","definition":"Identifies the quantity expected to be consumed in a given day.","requirements":"Allows rough dose checking.","alias":["daily dose"],"min":0,"max":"1","base":{"path":"CarePlan.activity.detail.dailyAmount","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXO-23 / RXE-19 / RXD-12"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP][classCode=SBADM].doseQuantity"}]},{"id":"CarePlan.activity.detail.quantity","path":"CarePlan.activity.detail.quantity","short":"How much to administer/supply/consume","definition":"Identifies the quantity expected to be supplied, administered or consumed by the subject.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXO-11 / RXE-10 / RXD-4 / RXG-5 / RXA-6 / TQ1-2.1 *and* RXO-12 / RXE-11 / RXD-5 / RXG-7 / RXA-7 / TQ1-2.2"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP][classCode=SPLY].quantity"}]},{"id":"CarePlan.activity.detail.description","path":"CarePlan.activity.detail.description","short":"Extra info describing activity to perform","definition":"This provides a textual description of constraints on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc.","min":0,"max":"1","base":{"path":"CarePlan.activity.detail.description","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE?"},{"identity":"rim","map":".text"}]},{"id":"CarePlan.note","path":"CarePlan.note","short":"Comments about the plan","definition":"General notes about the care plan not covered elsewhere.","requirements":"Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.","min":0,"max":"*","base":{"path":"CarePlan.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.note"},{"identity":"v2","map":"NTE?"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]}]},"differential":{"element":[{"id":"CarePlan","path":"CarePlan","short":"AT APS CarePlan"},{"id":"CarePlan.subject","path":"CarePlan.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group"]}]}]}} package/StructureDefinition-at-aps-clinicalimpression.json 0100644 0000000 0000000 00000161727 15112310070 023160 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-clinicalimpression","text":{"status":"extensions","div":""},"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression","version":"0.2.0","name":"AtApsClinicalImpression","title":"AT APS ClinicalImpression","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die ClinicalImpression-Ressource berücksichtigt die österreichischen Vorgaben (z.B. Patient).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"resource","abstract":false,"type":"ClinicalImpression","baseDefinition":"http://hl7.org/fhir/StructureDefinition/ClinicalImpression","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"ClinicalImpression","path":"ClinicalImpression","short":"AT APS ClinicalImpression","definition":"A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow. This resource is called \"ClinicalImpression\" rather than \"ClinicalAssessment\" to avoid confusion with the recording of assessment tools such as Apgar score.","min":0,"max":"*","base":{"path":"ClinicalImpression","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"v2","map":"Partial mapping for problem evaluation"}]},{"id":"ClinicalImpression.id","path":"ClinicalImpression.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"ClinicalImpression.meta","path":"ClinicalImpression.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ClinicalImpression.implicitRules","path":"ClinicalImpression.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"ClinicalImpression.language","path":"ClinicalImpression.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"ClinicalImpression.text","path":"ClinicalImpression.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"ClinicalImpression.contained","path":"ClinicalImpression.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"ClinicalImpression.extension","path":"ClinicalImpression.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"ClinicalImpression.modifierExtension","path":"ClinicalImpression.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"ClinicalImpression.identifier","path":"ClinicalImpression.identifier","short":"Business identifier","definition":"Business identifiers assigned to this clinical impression by the performer or other systems which remain constant as the resource is updated and propagates from server to server.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.","requirements":"Allows identification of the clinical impression as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"ClinicalImpression.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PID-3"}]},{"id":"ClinicalImpression.status","path":"ClinicalImpression.status","short":"in-progress | completed | entered-in-error","definition":"Identifies the workflow status of the assessment.","comment":"This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid.","min":1,"max":"1","base":{"path":"ClinicalImpression.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ClinicalImpressionStatus"}],"strength":"required","description":"The workflow state of a clinical impression.","valueSet":"http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"PRB-14"}]},{"id":"ClinicalImpression.statusReason","path":"ClinicalImpression.statusReason","short":"Reason for current status","definition":"Captures the reason for the current state of the ClinicalImpression.","comment":"This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"cancelled\".\n\n[distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].","alias":["Suspended Reason","Cancelled Reason"],"min":0,"max":"1","base":{"path":"ClinicalImpression.statusReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ClinicalImpressionStatusReason"}],"strength":"example","description":"Codes identifying the reason for the current state of a clinical impression."},"mapping":[{"identity":"workflow","map":"Event.statusReason"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"}]},{"id":"ClinicalImpression.code","path":"ClinicalImpression.code","short":"Kind of assessment performed","definition":"Categorizes the type of clinical assessment performed.","comment":"This is present as a place-holder only and may be removed based on feedback/work group opinion.","alias":["type"],"min":0,"max":"1","base":{"path":"ClinicalImpression.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ClinicalImpressionCode"}],"strength":"example","description":"Identifies categories of clinical impressions. This is a place-holder only. It may be removed."},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"}]},{"id":"ClinicalImpression.description","path":"ClinicalImpression.description","short":"Why/how the assessment was performed","definition":"A summary of the context and/or cause of the assessment - why / where it was performed, and what patient events/status prompted it.","min":0,"max":"1","base":{"path":"ClinicalImpression.description","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ClinicalImpression.subject","path":"ClinicalImpression.subject","short":"Patient or group assessed","definition":"The patient or group of individuals assessed as part of this record.","requirements":"Group is typically for veterinary and/or public health purposes.","min":1,"max":"1","base":{"path":"ClinicalImpression.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"ClinicalImpression.encounter","path":"ClinicalImpression.encounter","short":"Encounter created as part of","definition":"The Encounter during which this ClinicalImpression was created or to which the creation of this record is tightly associated.","comment":"This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.","min":0,"max":"1","base":{"path":"ClinicalImpression.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"}]},{"id":"ClinicalImpression.effective[x]","path":"ClinicalImpression.effective[x]","short":"Time of assessment","definition":"The point in time or period over which the subject was assessed.","comment":"This SHOULD be accurate to at least the minute, though some assessments only have a known date.","min":0,"max":"1","base":{"path":"ClinicalImpression.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"PRB-2"}]},{"id":"ClinicalImpression.date","path":"ClinicalImpression.date","short":"When the assessment was documented","definition":"Indicates when the documentation of the assessment was complete.","min":0,"max":"1","base":{"path":"ClinicalImpression.date","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"}]},{"id":"ClinicalImpression.assessor","path":"ClinicalImpression.assessor","short":"The clinician performing the assessment","definition":"The clinician performing the assessment.","min":0,"max":"1","base":{"path":"ClinicalImpression.assessor","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.author"},{"identity":"v2","map":"ROL-4"}]},{"id":"ClinicalImpression.previous","path":"ClinicalImpression.previous","short":"Reference to last assessment","definition":"A reference to the last assessment that was conducted on this patient. Assessments are often/usually ongoing in nature; a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes.","comment":"It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved).","min":0,"max":"1","base":{"path":"ClinicalImpression.previous","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ClinicalImpression|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"ClinicalImpression.problem","path":"ClinicalImpression.problem","short":"Relevant impressions of patient state","definition":"A list of the relevant problems/conditions for a patient.","comment":"e.g. The patient is a pregnant, has congestive heart failure, has an Adenocarcinoma, and is allergic to penicillin.","min":0,"max":"*","base":{"path":"ClinicalImpression.problem","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1","http://hl7.org/fhir/StructureDefinition/AllergyIntolerance|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"PRB-3 / IAM-7"}]},{"id":"ClinicalImpression.investigation","path":"ClinicalImpression.investigation","short":"One or more sets of investigations (signs, symptoms, etc.)","definition":"One or more sets of investigations (signs, symptoms, etc.). The actual grouping of investigations varies greatly depending on the type and context of the assessment. These investigations may include data generated during the assessment process, or data previously generated and recorded that is pertinent to the outcomes.","min":0,"max":"*","base":{"path":"ClinicalImpression.investigation","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"ClinicalImpression.investigation.id","path":"ClinicalImpression.investigation.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"ClinicalImpression.investigation.extension","path":"ClinicalImpression.investigation.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"ClinicalImpression.investigation.modifierExtension","path":"ClinicalImpression.investigation.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"ClinicalImpression.investigation.code","path":"ClinicalImpression.investigation.code","short":"A name/code for the set","definition":"A name/code for the group (\"set\") of investigations. Typically, this will be something like \"signs\", \"symptoms\", \"clinical\", \"diagnostic\", but the list is not constrained, and others such groups such as (exposure|family|travel|nutritional) history may be used.","min":1,"max":"1","base":{"path":"ClinicalImpression.investigation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"InvestigationGroupType"}],"strength":"example","description":"A name/code for a set of investigations.","valueSet":"http://hl7.org/fhir/ValueSet/investigation-sets|4.0.1"}},{"id":"ClinicalImpression.investigation.item","path":"ClinicalImpression.investigation.item","short":"Record of a specific investigation","definition":"A record of a specific investigation that was undertaken.","comment":"Most investigations are observations of one kind or another but some other specific types of data collection resources can also be used.","min":0,"max":"*","base":{"path":"ClinicalImpression.investigation.item","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory|4.0.1","http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1","http://hl7.org/fhir/StructureDefinition/RiskAssessment|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-21"}]},{"id":"ClinicalImpression.protocol","path":"ClinicalImpression.protocol","short":"Clinical Protocol followed","definition":"Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.","min":0,"max":"*","base":{"path":"ClinicalImpression.protocol","min":0,"max":"*"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"ClinicalImpression.summary","path":"ClinicalImpression.summary","short":"Summary of the assessment","definition":"A text summary of the investigations and the diagnosis.","min":0,"max":"1","base":{"path":"ClinicalImpression.summary","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX"}]},{"id":"ClinicalImpression.finding","path":"ClinicalImpression.finding","short":"Possible or likely findings and diagnoses","definition":"Specific findings or diagnoses that were considered likely or relevant to ongoing treatment.","min":0,"max":"*","base":{"path":"ClinicalImpression.finding","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"ClinicalImpression.finding.id","path":"ClinicalImpression.finding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"ClinicalImpression.finding.extension","path":"ClinicalImpression.finding.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"ClinicalImpression.finding.modifierExtension","path":"ClinicalImpression.finding.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"ClinicalImpression.finding.itemCodeableConcept","path":"ClinicalImpression.finding.itemCodeableConcept","short":"What was found","definition":"Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions.","min":0,"max":"1","base":{"path":"ClinicalImpression.finding.itemCodeableConcept","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConditionKind"}],"strength":"example","description":"Identification of the Condition or diagnosis.","valueSet":"http://hl7.org/fhir/ValueSet/condition-code|4.0.1"},"mapping":[{"identity":"v2","map":"OBX"}]},{"id":"ClinicalImpression.finding.itemReference","path":"ClinicalImpression.finding.itemReference","short":"What was found","definition":"Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions.","min":0,"max":"1","base":{"path":"ClinicalImpression.finding.itemReference","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX"}]},{"id":"ClinicalImpression.finding.basis","path":"ClinicalImpression.finding.basis","short":"Which investigations support finding","definition":"Which investigations support finding or diagnosis.","min":0,"max":"1","base":{"path":"ClinicalImpression.finding.basis","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"ClinicalImpression.prognosisCodeableConcept","path":"ClinicalImpression.prognosisCodeableConcept","short":"Estimate of likely outcome","definition":"Estimate of likely outcome.","min":0,"max":"*","base":{"path":"ClinicalImpression.prognosisCodeableConcept","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ClinicalImpressionPrognosis"}],"strength":"example","description":"Prognosis or outlook findings.","valueSet":"http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis|4.0.1"},"mapping":[{"identity":"v2","map":"PRB-22"}]},{"id":"ClinicalImpression.prognosisReference","path":"ClinicalImpression.prognosisReference","short":"RiskAssessment expressing likely outcome","definition":"RiskAssessment expressing likely outcome.","min":0,"max":"*","base":{"path":"ClinicalImpression.prognosisReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/RiskAssessment|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"ClinicalImpression.supportingInfo","path":"ClinicalImpression.supportingInfo","short":"Information supporting the clinical impression","definition":"Information supporting the clinical impression.","min":0,"max":"*","base":{"path":"ClinicalImpression.supportingInfo","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"ClinicalImpression.note","path":"ClinicalImpression.note","short":"Comments made about the ClinicalImpression","definition":"Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.","comment":"Don't use this element for content that should more properly appear as one of the specific elements of the impression.","min":0,"max":"*","base":{"path":"ClinicalImpression.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"}]}]},"differential":{"element":[{"id":"ClinicalImpression","path":"ClinicalImpression","short":"AT APS ClinicalImpression"},{"id":"ClinicalImpression.subject","path":"ClinicalImpression.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group"]}]}]}} package/StructureDefinition-at-aps-composition.json 0100644 0000000 0000000 00003012663 15112310070 021631 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-composition","text":{"status":"extensions","div":" | Name | Flags | Card. | Type | Description & Constraints![\"doco\"](\"data:image/png;base64,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\") |
|---|
![\".\"](\"tbl_spacer.png\") ![\".\"](\"icon_resource.png\" "\\"Resource\\"") Composition | C | 0..* | Composition | AT APS Composition
This profile also imposes the profile Composition (IPS)
Constraints: aps-comp-1 |
\r\n![\".\"](\"tbl_vjoin.png\") ![\".\"](\"icon_reference.png\" "\\"Reference") subject | | 0..1 | Reference(AT APS Patient) | The person the Austrian Patient Summary is about. |
\r\n![\".\"](\"icon_element.gif\" "\\"Element\\"") author | | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Person, die die Richtigkeit der Zusammenstellung bestätigt. |
\r\n| custodian | | 1..1 | Reference(Organization) | Organisation, die die Patient Summary verwaltet (z.b. zentrale Anwendung). |
\r\n| relatesTo | | | | |
\r\n![\".\"](\"tbl_vline.png\") ![\".\"](\"tbl_vjoin_end.png\") ![\".\"](\"icon_choice.gif\" "\\"Choice") target[x] | | 1..1 | | Target of the relationship |
\r\n![\".\"](\"tbl_blank.png\") ![\".\"](\"icon_datatype.gif\" "\\"Data") targetIdentifier | | | Identifier | |
\r\n| targetReference | | | Reference(Composition | AT APS Composition) | |
\r\n![\".\"](\"icon_slice.png\" "\\"Slice") Slices for section | | 5..* | BackboneElement | Composition is broken into sections
Slice: Ordered, Open At End by pattern:code |
\r\n![\".\"](\"tbl_vjoin_slicer.png\") ![\".\"](\"icon_slice_item.png\" "\\"Slice") section:sectionMedications | | 1..1 | BackboneElement | Medikationsliste (Medication Summary) |
\r\n![\".\"](\"tbl_vline_slicer.png\") ![\".\"](\"tbl_vjoin_slice.png\") code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n![\".\"](\"tbl_vline_slice.png\") ![\".\"](\"icon_fixed.gif\" "\\"Fixed") coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 10160-0 |
\r\n![\".\"](\"tbl_vjoin_end_slice.png\") Slices for entry | | 0..* | Reference(AT APS MedicationStatement | AT APS MedicationRequest | AT APS MedicationAdministration | AT APS MedicationDispense | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:medicationStatement | | 0..* | Reference(AT APS MedicationStatement) | A reference to data that supports this section
|
\r\n| entry:medicationRequest | | 0..* | Reference(AT APS MedicationRequest) | A reference to data that supports this section
|
\r\n| entry:medicationAdministration | | 0..* | Reference(AT APS MedicationAdministration) | A reference to data that supports this section
|
\r\n| entry:medicationDispense | | 0..* | Reference(AT APS MedicationDispense) | A reference to data that supports this section
|
\r\n![\".\"](\"tbl_vjoin_end_slicer.png\") entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionAllergies | | 1..1 | BackboneElement | Allergien und Intoleranzen (Allergies and Intolerances) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 48765-2 |
\r\n| Slices for entry | | 0..* | Reference(AT APS AllergyIntolerance | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:allergyOrIntolerance | | 0..* | Reference(AT APS AllergyIntolerance) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionProblems | | 1..1 | BackboneElement | Gesundheitsprobleme und Risiken (Problems) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 11450-4 |
\r\n| Slices for entry | | 0..* | Reference(AT APS Condition | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:problem | | 0..* | Reference(AT APS Condition) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionProceduresHx | C | 1..1 | BackboneElement | Eingriffe und Therapien (History of Procedures)
Constraints: ips-comp-1 |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 47519-4 |
\r\n| Slices for entry | | 0..* | Reference(AT APS Procedure | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:procedure | | 0..* | Reference(AT APS Procedure) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionMedicalDevices | C | 1..1 | BackboneElement | Implantate, medizinische Geräte (Medical Devices)
Constraints: ips-comp-1 |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 46264-8 |
\r\n| Slices for entry | | 0..* | Reference(AT APS DeviceUseStatement | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:deviceStatement | | 0..* | Reference(AT APS DeviceUseStatement) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionImmunizations | | 0..1 | BackboneElement | Impfungen (Immunizations) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 11369-6 |
\r\n| Slices for entry | | 0..* | Reference(AT APS Immunization | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:immunization | | 0..* | Reference(AT APS Immunization) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionResults | | 0..1 | BackboneElement | Diagnostische Resultate (Results) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 30954-2 |
\r\n| Slices for entry | | 0..* | Reference(AT APS Observation | AT APS DiagnosticReport | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Open At End by type:resolve(), profile:resolve() |
\r\n| entry:resultsObservationLaboratoryPathology | | 0..* | Reference(AT APS Observation Results Laboratory Pathology) | A reference to data that supports this section
|
\r\n| entry:resultsObservationRadiology | | 0..* | Reference(AT APS Observation Results Radiology) | A reference to data that supports this section
|
\r\n| entry:resultsDiagnosticReport | | 0..* | Reference(AT APS DiagnosticReport) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionVitalSigns | | 0..1 | BackboneElement | Vitalparameter (Vital Signs) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 8716-3 |
\r\n| Slices for entry | | 0..* | Reference(AT APS Observation | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Open At End by profile:resolve() |
\r\n| entry:vitalSign | | 0..* | Reference(AT APS Observation Vital Signs) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionPastIllnessHx | | 0..1 | BackboneElement | Vergangene Gesundheitsprobleme und Risiken (History of Past Illness) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 11348-0 |
\r\n| Slices for entry | | 0..* | Reference(AT APS Condition | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:pastProblem | | 0..* | Reference(AT APS Condition) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionFunctionalStatus | | 0..1 | BackboneElement | Beeinträchtigungen (Functional Status) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 47420-5 |
\r\n| Slices for entry | | 0..* | Reference(AT APS Condition | AT APS ClinicalImpression | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:disability | | 0..* | Reference(AT APS Condition) | A reference to data that supports this section
|
\r\n| entry:functionalAssessment | | 0..* | Reference(AT APS ClinicalImpression) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionPlanOfCare | | 0..1 | BackboneElement | Behandlungsplan (Plan of Care) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 18776-5 |
\r\n| Slices for entry | | 0..* | Reference(AT APS CarePlan | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:carePlan | | 0..* | Reference(AT APS CarePlan) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionSocialHistory | | 0..1 | BackboneElement | Lebensstil / Soziale Umstände und Verhalten (Social History) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 29762-2 |
\r\n| Slices for entry | | 0..* | Reference(AT APS Observation | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Open At End by profile:resolve() |
\r\n| entry:smokingTobaccoUse | | 0..1 | Reference(AT APS Observation Tobacco Use) | A reference to data that supports this section |
\r\n| entry:alcoholUse | | 0..1 | Reference(AT APS Observation Alcohol Use) | A reference to data that supports this section |
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionPregnancyHx | | 0..1 | BackboneElement | Schwangerschaftshistorie (History of Pregnancy) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 10162-6 |
\r\n| Slices for entry | | 0..* | Reference(AT APS Observation Pregnancy Status | AT APS Observation Pregnancy Outcome | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:pregnancyStatus | | 0..* | Reference(AT APS Observation Pregnancy Status) | A reference to data that supports this section
|
\r\n| entry:pregnancyOutcomeSummary | | 0..* | Reference(AT APS Observation Pregnancy Outcome) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionAdvanceDirectives | | 0..1 | BackboneElement | Willenserklärungen und andere juridische Dokumente (AdvanceDirectives) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 42348-3 |
\r\n| Slices for entry | | 0..* | Reference(AT APS Consent | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:advanceDirectivesConsent | | 0..* | Reference(AT APS Consent) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionAlerts | | 0..1 | BackboneElement | Warnungen (Alerts) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 104605-1 |
\r\n| Slices for entry | | 0..* | Reference(AT APS Flag Alert | AT APS DocumentReference) | A reference to data that supports this section
Slice: Ordered, Closed by profile:resolve() |
\r\n| entry:alertsFlag | | 0..* | Reference(AT APS Flag Alert) | A reference to data that supports this section
|
\r\n| entry:document | | 0..* | Reference(AT APS DocumentReference) | A reference to data that supports this section
|
\r\n| section:sectionPatientStory | | 0..1 | BackboneElement | Patientenbericht (Patient Story) |
\r\n| code | | 1..1 | CodeableConcept | Classification of section (recommended)
Required Pattern: At least the following |
\r\n| coding | | 1..* | Coding | Code defined by a terminology system
Fixed Value: (Complex) |
\r\n| system | | 1..1 | uri | Identity of the terminology system
Fixed Value: http://loinc.org |
\r\n| code | | 1..1 | code | Symbol in syntax defined by the system
Fixed Value: 81338-6 |
\r\n
Documentation for this format |
"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition","version":"0.2.0","name":"AtApsComposition","title":"AT APS Composition","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Composition-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"cda","uri":"http://hl7.org/v3/cda","name":"CDA (R2)"},{"identity":"fhirdocumentreference","uri":"http://hl7.org/fhir/documentreference","name":"FHIR DocumentReference"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"Composition","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Composition","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Composition","path":"Composition","short":"AT APS Composition","definition":"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 that has clinical attestation with regard to 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.).","comment":"While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.","min":0,"max":"*","base":{"path":"Composition","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"aps-comp-1","severity":"error","human":"For automatically generated APS an attester is not allowed","expression":"(author.resolve().ofType(Device).count() != author.count() or attester.count() = 0)","source":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]"},{"identity":"cda","map":"ClinicalDocument"},{"identity":"fhirdocumentreference","map":"when described by DocumentReference"}]},{"id":"Composition.id","path":"Composition.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Composition.meta","path":"Composition.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Composition.implicitRules","path":"Composition.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Composition.language","path":"Composition.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Composition.text","path":"Composition.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Composition.contained","path":"Composition.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.extension","path":"Composition.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.modifierExtension","path":"Composition.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.identifier","path":"Composition.identifier","short":"Version-independent identifier for the Composition","definition":"A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.","comment":"Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.","min":0,"max":"1","base":{"path":"Composition.identifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":"Document.id / Document.setId"},{"identity":"cda","map":".setId"},{"identity":"fhirdocumentreference","map":"DocumentReference.masterIdentifier"}]},{"id":"Composition.status","path":"Composition.status","short":"preliminary | final | amended | entered-in-error","definition":"The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.","comment":"If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag \"entered-in-error\" is why this element is labeled as a modifier of other elements. \n\nSome reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.","requirements":"Need to be able to mark interim, amended, or withdrawn compositions or documents.","min":1,"max":"1","base":{"path":"Composition.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionStatus"}],"strength":"required","description":"The workflow/clinical status of the composition.","valueSet":"http://hl7.org/fhir/ValueSet/composition-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\"; final: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct()]); amended: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct() and statusCode=\"completed\"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]=\"obsolete\""},{"identity":"cda","map":"n/a"},{"identity":"fhirdocumentreference","map":"DocumentReference.status"}]},{"id":"Composition.type","path":"Composition.type","short":"Kind of composition (LOINC if possible)","definition":"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.","comment":"For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.","requirements":"Key metadata element describing the composition, used in searching/filtering.","min":1,"max":"1","base":{"path":"Composition.type","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentType"}],"strength":"preferred","description":"Type of a composition.","valueSet":"http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"},{"identity":"fhirdocumentreference","map":"DocumentReference.type"}]},{"id":"Composition.category","path":"Composition.category","short":"Categorization of Composition","definition":"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.","comment":"This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).","requirements":"Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.","min":0,"max":"*","base":{"path":"Composition.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentCategory"}],"strength":"example","description":"High-level kind of a clinical document at a macro level.","valueSet":"http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"},{"identity":"cda","map":"n/a"},{"identity":"fhirdocumentreference","map":"DocumenttReference.category"}]},{"id":"Composition.subject","path":"Composition.subject","short":"The person the Austrian Patient Summary is about.","definition":"Patientendaten, inkl. Angabe von Kontaktpersonen, Hausarzt bzw. primäre Ansprechpartner.","comment":"For clinical documents, this is usually the patient.","requirements":"Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.","min":0,"max":"1","base":{"path":"Composition.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"rim","map":".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"},{"identity":"cda","map":".recordTarget"},{"identity":"fhirdocumentreference","map":"DocumentReference.subject"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Composition.encounter","path":"Composition.encounter","short":"Context of the Composition","definition":"Describes the clinical encounter or type of care this documentation is associated with.","requirements":"Provides context for the composition and supports searching.","min":0,"max":"1","base":{"path":"Composition.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"rim","map":"unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"},{"identity":"cda","map":".componentOf.encompassingEncounter"},{"identity":"fhirdocumentreference","map":"DocumentReference.context.encounter"}]},{"id":"Composition.date","path":"Composition.date","short":"Composition editing time","definition":"The composition editing time, when the composition was last logically changed by the author.","comment":"The Last Modified Date on the composition may be after the date of the document was attested without being changed.","requirements":"dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/R4/bundle-definitions.html#Bundle.timestamp) is the date of packaging.","min":1,"max":"1","base":{"path":"Composition.date","min":1,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"rim","map":".effectiveTime[type=\"TS\"]"},{"identity":"cda","map":".effectiveTime"},{"identity":"fhirdocumentreference","map":"DocumentReference.content.attachment.date, DocumentReference.created"}]},{"id":"Composition.author","path":"Composition.author","short":"Person, die die Richtigkeit der Zusammenstellung bestätigt.","definition":"Person, die die Richtigkeit der Zusammenstellung bestätigt. Darf bei automatischer Erstellung durch ein Device nicht angegeben werden.","requirements":"Identifies who is responsible for the content.","min":1,"max":"*","base":{"path":"Composition.author","min":1,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"},{"identity":"fhirdocumentreference","map":"DocumentReference.agent"}]},{"id":"Composition.title","path":"Composition.title","short":"Human Readable name/title","definition":"Official human-readable label for the composition.","comment":"For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a \"consultation\" or \"progress note\"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.","min":1,"max":"1","base":{"path":"Composition.title","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"},{"identity":"fhirdocumentreference","map":"DocumentReference.description, DocumentReference.content.attachment.title"}]},{"id":"Composition.confidentiality","path":"Composition.confidentiality","short":"As defined by affinity domain","definition":"The code specifying the level of confidentiality of the Composition.","comment":"The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.","min":0,"max":"1","base":{"path":"Composition.confidentiality","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentConfidentiality"}],"strength":"required","description":"Codes specifying the level of confidentiality of the composition.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26"},"mapping":[{"identity":"rim","map":".confidentialityCode"},{"identity":"cda","map":".confidentialityCode"},{"identity":"fhirdocumentreference","map":"DocumentReference.securityLabel"}]},{"id":"Composition.attester","path":"Composition.attester","short":"Attests to accuracy of composition","definition":"A participant who has attested to the accuracy of the composition/document.","comment":"Only list each attester once.","requirements":"Identifies responsibility for the accuracy of the composition content.","min":0,"max":"*","base":{"path":"Composition.attester","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".authenticator/.legalAuthenticator"},{"identity":"fhirdocumentreference","map":"DocumentReference.authenticator"}]},{"id":"Composition.attester.id","path":"Composition.attester.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.attester.extension","path":"Composition.attester.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.attester.modifierExtension","path":"Composition.attester.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.attester.mode","path":"Composition.attester.mode","short":"personal | professional | legal | official","definition":"The type of attestation the authenticator offers.","requirements":"Indicates the level of authority of the attestation.","min":1,"max":"1","base":{"path":"Composition.attester.mode","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionAttestationMode"}],"strength":"required","description":"The way in which a person authenticated a composition.","valueSet":"http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1"},"mapping":[{"identity":"rim","map":"unique(./modeCode)"},{"identity":"cda","map":"implied by .authenticator/.legalAuthenticator"}]},{"id":"Composition.attester.time","path":"Composition.attester.time","short":"When the composition was attested","definition":"When the composition was attested by the party.","requirements":"Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).","min":0,"max":"1","base":{"path":"Composition.attester.time","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./time[type=\"TS\" and isNormalDatatype()]"},{"identity":"cda","map":".authenticator.time"}]},{"id":"Composition.attester.party","path":"Composition.attester.party","short":"Who attested the composition","definition":"Who attested the composition in the specified way.","requirements":"Identifies who has taken on the responsibility for accuracy of the composition content.","min":0,"max":"1","base":{"path":"Composition.attester.party","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.witness"},{"identity":"rim","map":"./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]"},{"identity":"cda","map":".authenticator.assignedEnttty"}]},{"id":"Composition.custodian","path":"Composition.custodian","short":"Organisation, die die Patient Summary verwaltet (z.b. zentrale Anwendung).","definition":"Organisation, die die Patient Summary verwaltet (z.B. zentrale Anwendung).","comment":"This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.","requirements":"Identifies where to go to find the current version, where to report issues, etc.","min":1,"max":"1","base":{"path":"Composition.custodian","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]"},{"identity":"cda","map":".custodian.assignedCustodian"},{"identity":"fhirdocumentreference","map":"DocumentReference.custodian"}]},{"id":"Composition.relatesTo","path":"Composition.relatesTo","short":"Relationships to other compositions/documents","definition":"Relationships that this composition has with other compositions or documents that already exist.","comment":"A document is a version specific composition.","min":0,"max":"*","base":{"path":"Composition.relatesTo","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship"},{"identity":"cda","map":".relatedDocument"},{"identity":"fhirdocumentreference","map":"DocumentReference.relatesTo"}]},{"id":"Composition.relatesTo.id","path":"Composition.relatesTo.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.relatesTo.extension","path":"Composition.relatesTo.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.relatesTo.modifierExtension","path":"Composition.relatesTo.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.relatesTo.code","path":"Composition.relatesTo.code","short":"replaces | transforms | signs | appends","definition":"The type of relationship that this composition has with anther composition or document.","comment":"If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.","min":1,"max":"1","base":{"path":"Composition.relatesTo.code","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentRelationshipType"}],"strength":"required","description":"The type of relationship between documents.","valueSet":"http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship.typeCode"},{"identity":"cda","map":".relatedDocument.typeCode"},{"identity":"fhirdocumentreference","map":"DocumentReference.relatesTo.code"}]},{"id":"Composition.relatesTo.target[x]","path":"Composition.relatesTo.target[x]","short":"Target of the relationship","definition":"The target composition/document of this relationship.","min":1,"max":"1","base":{"path":"Composition.relatesTo.target[x]","min":1,"max":"1"},"type":[{"code":"Identifier"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Composition","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".target[classCode=\"DOC\", moodCode=\"EVN\"].id"},{"identity":"cda","map":".relatedDocument.id"},{"identity":"fhirdocumentreference","map":"DocumentReference.relatesTo.target"}]},{"id":"Composition.event","path":"Composition.event","short":"The clinical service(s) being documented","definition":"The clinical service, such as a colonoscopy or an appendectomy, being documented.","comment":"The event needs to be consistent with the type element, though can provide further information if desired.","requirements":"Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.","min":0,"max":"*","base":{"path":"Composition.event","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']"},{"identity":"cda","map":".documentationOf.serviceEvent"},{"identity":"fhirdocumentreference","map":"DocumentReference.event"}]},{"id":"Composition.event.id","path":"Composition.event.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.event.extension","path":"Composition.event.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.event.modifierExtension","path":"Composition.event.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.event.code","path":"Composition.event.code","short":"Code(s) that apply to the event being documented","definition":"This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.","comment":"An event can further specialize the act inherent in the typeCode, such as where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.","min":0,"max":"*","base":{"path":"Composition.event.code","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentEventType"}],"strength":"example","description":"This list of codes represents the main clinical acts being documented.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActCode"},"mapping":[{"identity":"rim","map":".code"},{"identity":"cda","map":".code"},{"identity":"fhirdocumentreference","map":"DocumentReference.event.code"}]},{"id":"Composition.event.period","path":"Composition.event.period","short":"The period covered by the documentation","definition":"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.","min":0,"max":"1","base":{"path":"Composition.event.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".effectiveTime"},{"identity":"cda","map":".effectiveTime"},{"identity":"fhirdocumentreference","map":"DocumentReference.event.period"}]},{"id":"Composition.event.detail","path":"Composition.event.detail","short":"The event(s) being documented","definition":"The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.","min":0,"max":"*","base":{"path":"Composition.event.detail","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=\"SUBJ\"].target"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section","path":"Composition.section","slicing":{"discriminator":[{"type":"pattern","path":"code"}],"ordered":true,"rules":"openAtEnd"},"short":"Composition is broken into sections","definition":"The root of the sections that make up the composition.","min":5,"max":"*","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":0,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section.entry","path":"Composition.section.entry","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionMedications","path":"Composition.section","sliceName":"sectionMedications","short":"Medikationsliste (Medication Summary)","definition":"Diese Sektion enthält eine Beschreibung der aktuell relevanten Medikamente des Patienten bzw. liefert Information über das Nichtvorhandensein. Dabei werden nur rezeptpflichtige Medikamente und wechselwirkungsrelevante OTCs berücksichtigt.","min":1,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionMedications.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionMedications.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionMedications.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionMedications.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionMedications.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"10160-0"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionMedications.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionMedications.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionMedications.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionMedications.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionMedications.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionMedications.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationstatement","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationrequest","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationadministration","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationdispense","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionMedications.entry:medicationStatement","path":"Composition.section.entry","sliceName":"medicationStatement","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationstatement"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionMedications.entry:medicationRequest","path":"Composition.section.entry","sliceName":"medicationRequest","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationrequest"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionMedications.entry:medicationAdministration","path":"Composition.section.entry","sliceName":"medicationAdministration","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationadministration"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionMedications.entry:medicationDispense","path":"Composition.section.entry","sliceName":"medicationDispense","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationdispense"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionMedications.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionMedications.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionAllergies","path":"Composition.section","sliceName":"sectionAllergies","short":"Allergien und Intoleranzen (Allergies and Intolerances)","definition":"In dieser Sektion werden die relevanten Allergien oder Unverträglichkeiten des Patienten dokumentiert, wobei die Art der Reaktion (z.B. Ausschlag, Anaphylaxie usw.), vorzugsweise die auslösenden Stoffe, sowie optional die Kritikalität und die Bestimmtheit der Allergie beschrieben werden. Zumindest sollten die derzeit aktiven und alle relevanten früheren Allergien und Nebenwirkungen aufgeführt werden. Liegen keine Informationen über Allergien vor oder sind keine Allergien bekannt, sollte dies ebenfalls dokumentiert werden.","min":1,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionAllergies.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionAllergies.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionAllergies.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionAllergies.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionAllergies.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"48765-2"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionAllergies.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionAllergies.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionAllergies.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionAllergies.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionAllergies.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionAllergies.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionAllergies.entry:allergyOrIntolerance","path":"Composition.section.entry","sliceName":"allergyOrIntolerance","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionAllergies.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionAllergies.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionProblems","path":"Composition.section","sliceName":"sectionProblems","short":"Gesundheitsprobleme und Risiken (Problems)","definition":"Diese Sektion listet und beschreibt klinische Probleme oder Erkrankungen (kodierte Diagnosen), die derzeit für den Patienten relevant sind bzw. liefert Information über das Nichtvorhandensein.","min":1,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionProblems.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionProblems.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionProblems.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionProblems.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionProblems.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"11450-4"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionProblems.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionProblems.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionProblems.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionProblems.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionProblems.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionProblems.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionProblems.entry:problem","path":"Composition.section.entry","sliceName":"problem","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionProblems.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionProblems.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionProceduresHx","path":"Composition.section","sliceName":"sectionProceduresHx","short":"Eingriffe und Therapien (History of Procedures)","definition":"Diese Sektion enthält eine Beschreibung früherer Eingriffe und Therapien. Darunter fallen zum Beispiel invasive diagnostische Verfahren (z.B. Herzkatheteruntersuchung), therapeutische Verfahren (z.B. Dialyse) und chirurgische Eingriffe (z.B. Appendektomie). Befunde und Dokumentation von z.B. im Rahmen von Disease-Management-Programmen durchgeführten Schulungen und Beratungen werden ebenfalls in dieser Sektion aufgenommen. Die Dokumentation der Information kann am Beispiel der Integrierten Versorgung z.B. der Fallkoordinator übernehmen.","min":1,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ips-comp-1","severity":"error","human":"Either section.entry or emptyReason are present","expression":"(entry.reference.exists() or emptyReason.exists())","source":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionProceduresHx.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionProceduresHx.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionProceduresHx.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionProceduresHx.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionProceduresHx.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"47519-4"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionProceduresHx.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionProceduresHx.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionProceduresHx.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionProceduresHx.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionProceduresHx.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionProceduresHx.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionProceduresHx.entry:procedure","path":"Composition.section.entry","sliceName":"procedure","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionProceduresHx.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionProceduresHx.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionMedicalDevices","path":"Composition.section","sliceName":"sectionMedicalDevices","short":"Implantate, medizinische Geräte (Medical Devices)","definition":"Diese Sektion enthält Informationen und kodierte Einträge, die den Gebrauch von Medizinprodukten in der Krankengeschichte beschreiben, z.B. Insulinpumpen oder Herzschrittmacher.","min":1,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ips-comp-1","severity":"error","human":"Either section.entry or emptyReason are present","expression":"(entry.reference.exists() or emptyReason.exists())","source":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionMedicalDevices.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). 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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.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionMedicalDevices.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionMedicalDevices.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"The label for this particular section. 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They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionMedicalDevices.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"46264-8"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionMedicalDevices.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionMedicalDevices.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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. 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Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? 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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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionMedicalDevices.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionMedicalDevices.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. 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An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionImmunizations","path":"Composition.section","sliceName":"sectionImmunizations","short":"Impfungen (Immunizations)","definition":"Die Sektion beschreibt den aktuellen Impfstatus des Patienten und die dazugehörige Impfhistorie.","min":0,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionImmunizations.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionImmunizations.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionImmunizations.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionImmunizations.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionImmunizations.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"11369-6"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionImmunizations.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionImmunizations.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionImmunizations.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionImmunizations.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionImmunizations.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionImmunizations.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-immunization","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionImmunizations.entry:immunization","path":"Composition.section.entry","sliceName":"immunization","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-immunization"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionImmunizations.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionImmunizations.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionResults","path":"Composition.section","sliceName":"sectionResults","short":"Diagnostische Resultate (Results)","definition":"Die Sektion fasst Untersuchungsergebnisse zusammen, die am Patienten erhoben oder anhand von biologischen In-vitro-Proben erstellt wurden. Dabei kann es sich um Laborergebnisse, Ergebnisse der anatomischen Pathologie oder um radiologische Ergebnisse handeln.","min":0,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionResults.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionResults.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionResults.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionResults.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionResults.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"30954-2"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionResults.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionResults.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionResults.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionResults.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionResults.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionResults.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"type","path":"resolve()"},{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"openAtEnd"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-diagnosticreport","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionResults.entry:resultsObservationLaboratoryPathology","path":"Composition.section.entry","sliceName":"resultsObservationLaboratoryPathology","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionResults.entry:resultsObservationRadiology","path":"Composition.section.entry","sliceName":"resultsObservationRadiology","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultsradiology"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionResults.entry:resultsDiagnosticReport","path":"Composition.section.entry","sliceName":"resultsDiagnosticReport","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-diagnosticreport"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionResults.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionResults.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionVitalSigns","path":"Composition.section","sliceName":"sectionVitalSigns","short":"Vitalparameter (Vital Signs)","definition":"Die Sektion umfasst Informationen wie Blutdruck, Körpertemperatur, Herzfrequenz, Atemfrequenz, Größe, Gewicht, Body-Mass-Index, Kopfumfang oder Pulsoximetrie. Insbesondere können auffällige Vitalparameter oder körperliche Befunde wie der letzte, maximale und/oder minimale Wert, der Ausgangswert oder relevante Trends angegeben werden.","min":0,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionVitalSigns.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionVitalSigns.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionVitalSigns.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionVitalSigns.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionVitalSigns.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"8716-3"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionVitalSigns.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionVitalSigns.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionVitalSigns.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionVitalSigns.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionVitalSigns.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionVitalSigns.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"openAtEnd"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionVitalSigns.entry:vitalSign","path":"Composition.section.entry","sliceName":"vitalSign","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationvitalsigns"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionVitalSigns.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionVitalSigns.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionPastIllnessHx","path":"Composition.section","sliceName":"sectionPastIllnessHx","short":"Vergangene Gesundheitsprobleme und Risiken (History of Past Illness)","definition":"Die Sektion enthält eine Beschreibung der historischen klinischen Probleme oder Erkrankungen, die für die Patientin oder den Patienten in der Vergangenheit diagnostiziert wurden.","min":0,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionPastIllnessHx.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionPastIllnessHx.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionPastIllnessHx.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionPastIllnessHx.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionPastIllnessHx.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"11348-0"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionPastIllnessHx.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionPastIllnessHx.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionPastIllnessHx.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionPastIllnessHx.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionPastIllnessHx.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionPastIllnessHx.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionPastIllnessHx.entry:pastProblem","path":"Composition.section.entry","sliceName":"pastProblem","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionPastIllnessHx.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionPastIllnessHx.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionFunctionalStatus","path":"Composition.section","sliceName":"sectionFunctionalStatus","short":"Beeinträchtigungen (Functional Status)","definition":"Diese Sektion enthält eine Beschreibung der Mobilität bzw. Fähigkeit der Patientin oder des Patienten, Handlungen des täglichen Lebens auszuführen, einschließlich möglicher Bedürfnisse. Hier könnte auch die Pflegestufe dokumentiert werden.","min":0,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionFunctionalStatus.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionFunctionalStatus.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionFunctionalStatus.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionFunctionalStatus.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionFunctionalStatus.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"47420-5"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionFunctionalStatus.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionFunctionalStatus.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionFunctionalStatus.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionFunctionalStatus.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionFunctionalStatus.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionFunctionalStatus.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or 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provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionFunctionalStatus.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionFunctionalStatus.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionPlanOfCare","path":"Composition.section","sliceName":"sectionPlanOfCare","short":"Behandlungsplan (Plan of Care)","definition":"Die Sektion enthält den Behandlungsplan inkl. Vorschlägen, Zielen und Anordnungen zur Kontrolle oder Verbesserung des Zustands des Patienten, zur Planung der nächsten empfohlenen oder vereinbarten Untersuchungen, Kontrolltermine und Schulungen. Durchgeführte Maßnahmen wie Untersuchungen oder Schulungen können in der Sektion \"History of Procedures\" dokumentiert werden.","min":0,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionPlanOfCare.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionPlanOfCare.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionPlanOfCare.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionPlanOfCare.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionPlanOfCare.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"18776-5"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionPlanOfCare.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionPlanOfCare.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionPlanOfCare.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionPlanOfCare.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionPlanOfCare.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionPlanOfCare.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-careplan","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionPlanOfCare.entry:carePlan","path":"Composition.section.entry","sliceName":"carePlan","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-careplan"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionPlanOfCare.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionPlanOfCare.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionSocialHistory","path":"Composition.section","sliceName":"sectionSocialHistory","short":"Lebensstil / Soziale Umstände und Verhalten (Social History)","definition":"Diese Sektion erfasst den aktuellen Lebensstil einer Person. Angaben zum Rauchverhalten sowie zum Alkoholkonsum werden in den hierfür vorgesehenen spezifischen Ressourcen abgebildet. Weitere relevante Aspekte, wie z.B. körperliche Aktivität, Ernährungsgewohnheiten oder sonstige Verhaltensweisen, werden mithilfe der AtApsObservation-Ressource dokumentiert.","min":0,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionSocialHistory.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionSocialHistory.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionSocialHistory.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionSocialHistory.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionSocialHistory.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"29762-2"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionSocialHistory.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionSocialHistory.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionSocialHistory.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionSocialHistory.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionSocialHistory.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionSocialHistory.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"openAtEnd"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionSocialHistory.entry:smokingTobaccoUse","path":"Composition.section.entry","sliceName":"smokingTobaccoUse","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"1","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationtobaccouse"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionSocialHistory.entry:alcoholUse","path":"Composition.section.entry","sliceName":"alcoholUse","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"1","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationalcoholuse"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionSocialHistory.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionSocialHistory.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionPregnancyHx","path":"Composition.section","sliceName":"sectionPregnancyHx","short":"Schwangerschaftshistorie (History of Pregnancy)","definition":"Die Sektion ermöglicht die Dokumentation eines Schwangerschaftsstatus inkl. geplantem Entbindungstermin und eine kurze Zusammenfassung von vergangenen Schwangerschaften.","min":0,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionPregnancyHx.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionPregnancyHx.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionPregnancyHx.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionPregnancyHx.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionPregnancyHx.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"10162-6"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionPregnancyHx.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionPregnancyHx.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionPregnancyHx.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionPregnancyHx.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionPregnancyHx.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionPregnancyHx.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancystatus","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyoutcome","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionPregnancyHx.entry:pregnancyStatus","path":"Composition.section.entry","sliceName":"pregnancyStatus","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancystatus"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionPregnancyHx.entry:pregnancyOutcomeSummary","path":"Composition.section.entry","sliceName":"pregnancyOutcomeSummary","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyoutcome"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionPregnancyHx.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionPregnancyHx.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionAdvanceDirectives","path":"Composition.section","sliceName":"sectionAdvanceDirectives","short":"Willenserklärungen und andere juridische Dokumente (AdvanceDirectives)","definition":"Die Sektion kann aktuelle Verfügungen von Patienten beinhalten.","min":0,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionAdvanceDirectives.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionAdvanceDirectives.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionAdvanceDirectives.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionAdvanceDirectives.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionAdvanceDirectives.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"42348-3"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionAdvanceDirectives.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionAdvanceDirectives.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionAdvanceDirectives.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionAdvanceDirectives.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionAdvanceDirectives.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionAdvanceDirectives.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-consent","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionAdvanceDirectives.entry:advanceDirectivesConsent","path":"Composition.section.entry","sliceName":"advanceDirectivesConsent","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-consent"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionAdvanceDirectives.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionAdvanceDirectives.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionAlerts","path":"Composition.section","sliceName":"sectionAlerts","short":"Warnungen (Alerts)","definition":"Die Sektion ermöglicht Warnmeldungen, wenn bestimmte Umstände eintreten (z.B. wenn Grenzwerte für Blutdruck, Gewicht oder subjektives Befinden einen gewissen Zeitraum überschritten werden).","min":0,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionAlerts.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionAlerts.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionAlerts.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionAlerts.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionAlerts.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"104605-1"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionAlerts.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionAlerts.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionAlerts.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionAlerts.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionAlerts.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionAlerts.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-flagalert","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionAlerts.entry:alertsFlag","path":"Composition.section.entry","sliceName":"alertsFlag","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-flagalert"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionAlerts.entry:document","path":"Composition.section.entry","sliceName":"document","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionAlerts.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]},{"id":"Composition.section:sectionPatientStory","path":"Composition.section","sliceName":"sectionPatientStory","short":"Patientenbericht (Patient Story)","definition":"Die Sektion enthält narrativen Text sowie optionale Ressourcen, die zum Ausdruck bringen, was für den Patienten wichtig ist. Dazu können Bedürfnisse, Stärken, Werte, Bedenken und Präferenzen gehören, die für Personen relevant sind, die Unterstützung und Pflege anbieten.","min":0,"max":"1","base":{"path":"Composition.section","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"cmp-1","severity":"error","human":"A section must contain at least one of text, entries, or sub-sections","expression":"text.exists() or entry.exists() or section.exists()","xpath":"exists(f:text) or exists(f:entry) or exists(f:section)","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"cmp-2","severity":"error","human":"A section can only have an emptyReason if it is empty","expression":"emptyReason.empty() or entry.empty()","xpath":"not(exists(f:emptyReason) and exists(f:entry))","source":"http://hl7.org/fhir/StructureDefinition/Composition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.structuredBody.component.section"}]},{"id":"Composition.section:sectionPatientStory.id","path":"Composition.section.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionPatientStory.extension","path":"Composition.section.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Composition.section:sectionPatientStory.modifierExtension","path":"Composition.section.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Composition.section:sectionPatientStory.title","path":"Composition.section.title","short":"Label for section (e.g. for ToC)","definition":"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.","comment":"The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.","requirements":"Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.","alias":["header","label","caption"],"min":0,"max":"1","base":{"path":"Composition.section.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./title"},{"identity":"cda","map":".title"}]},{"id":"Composition.section:sectionPatientStory.code","path":"Composition.section.code","short":"Classification of section (recommended)","definition":"A code identifying the kind of content contained within the section. This must be consistent with the section title.","comment":"The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.","requirements":"Provides computable standardized labels to topics within the document.","min":1,"max":"1","base":{"path":"Composition.section.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"81338-6"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CompositionSectionType"}],"strength":"example","description":"Classification of a section of a composition/document.","valueSet":"http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1"},"mapping":[{"identity":"rim","map":"./code"},{"identity":"cda","map":".code"}]},{"id":"Composition.section:sectionPatientStory.author","path":"Composition.section.author","short":"Who and/or what authored the section","definition":"Identifies who is responsible for the information in this section, not necessarily who typed it in.","requirements":"Identifies who is responsible for the content.","min":0,"max":"*","base":{"path":"Composition.section.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"cda","map":".author.assignedAuthor"}]},{"id":"Composition.section:sectionPatientStory.focus","path":"Composition.section.focus","short":"Who/what the section is about, when it is not about the subject of composition","definition":"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).","comment":"Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.","min":0,"max":"1","base":{"path":"Composition.section.focus","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cda","map":".subject? (CDA did not differentiate between subject and focus)"}]},{"id":"Composition.section:sectionPatientStory.text","path":"Composition.section.text","short":"Text summary of the section, for human interpretation","definition":"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.","comment":"Document profiles may define what content should be represented in the narrative to ensure clinical safety.","min":0,"max":"1","base":{"path":"Composition.section.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"condition":["cmp-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"},{"identity":"cda","map":".text"}]},{"id":"Composition.section:sectionPatientStory.mode","path":"Composition.section.mode","short":"working | snapshot | changes","definition":"How the entry 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.","comment":"This element is labeled as a modifier because a change list must not be misunderstood as a complete list.","requirements":"Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.","min":0,"max":"1","base":{"path":"Composition.section.mode","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionMode"}],"strength":"required","description":"The processing mode that applies to this section.","valueSet":"http://hl7.org/fhir/ValueSet/list-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionPatientStory.orderedBy","path":"Composition.section.orderedBy","short":"Order of section entries","definition":"Specifies the order applied to the items in the section entries.","comment":"Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.","requirements":"Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.","min":0,"max":"1","base":{"path":"Composition.section.orderedBy","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEntryOrder"}],"strength":"preferred","description":"What order applies to the items in the entry.","valueSet":"http://hl7.org/fhir/ValueSet/list-order|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].sequenceNumber > 1"},{"identity":"cda","map":"n/a"}]},{"id":"Composition.section:sectionPatientStory.entry","path":"Composition.section.entry","short":"A reference to data that supports this section","definition":"A reference to the actual resource from which the narrative in the section is derived.","comment":"If there are no entries in the list, an emptyReason SHOULD be provided.","min":0,"max":"*","base":{"path":"Composition.section.entry","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"},{"identity":"cda","map":".entry"}]},{"id":"Composition.section:sectionPatientStory.emptyReason","path":"Composition.section.emptyReason","short":"Why the section is empty","definition":"If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.","comment":"The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.","requirements":"Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.","min":0,"max":"1","base":{"path":"Composition.section.emptyReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["cmp-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SectionEmptyReason"}],"strength":"preferred","description":"If a section is empty, why it is empty.","valueSet":"http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ,code id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"},{"identity":"cda","map":".component.section"}]}]},"differential":{"element":[{"id":"Composition","path":"Composition","short":"AT APS Composition","constraint":[{"key":"aps-comp-1","severity":"error","human":"For automatically generated APS an attester is not allowed","expression":"(author.resolve().ofType(Device).count() != author.count() or attester.count() = 0)","source":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition"}]},{"id":"Composition.subject","path":"Composition.subject","short":"The person the Austrian Patient Summary is about.","definition":"Patientendaten, inkl. Angabe von Kontaktpersonen, Hausarzt bzw. primäre Ansprechpartner.","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]},{"id":"Composition.author","path":"Composition.author","short":"Person, die die Richtigkeit der Zusammenstellung bestätigt.","definition":"Person, die die Richtigkeit der Zusammenstellung bestätigt. Darf bei automatischer Erstellung durch ein Device nicht angegeben werden."},{"id":"Composition.custodian","path":"Composition.custodian","short":"Organisation, die die Patient Summary verwaltet (z.b. zentrale Anwendung).","definition":"Organisation, die die Patient Summary verwaltet (z.B. zentrale Anwendung).","min":1},{"id":"Composition.relatesTo.target[x]","path":"Composition.relatesTo.target[x]","type":[{"code":"Identifier"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Composition","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition"]}]},{"id":"Composition.section","path":"Composition.section","slicing":{"discriminator":[{"type":"pattern","path":"code"}],"ordered":true,"rules":"openAtEnd"},"min":5},{"id":"Composition.section:sectionMedications","path":"Composition.section","sliceName":"sectionMedications","short":"Medikationsliste (Medication Summary)","definition":"Diese Sektion enthält eine Beschreibung der aktuell relevanten Medikamente des Patienten bzw. liefert Information über das Nichtvorhandensein. Dabei werden nur rezeptpflichtige Medikamente und wechselwirkungsrelevante OTCs berücksichtigt.","min":1,"max":"1"},{"id":"Composition.section:sectionMedications.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"10160-0"}]}},{"id":"Composition.section:sectionMedications.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationstatement","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationrequest","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationadministration","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationdispense","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionMedications.entry:medicationStatement","path":"Composition.section.entry","sliceName":"medicationStatement","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationstatement"]}]},{"id":"Composition.section:sectionMedications.entry:medicationRequest","path":"Composition.section.entry","sliceName":"medicationRequest","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationrequest"]}]},{"id":"Composition.section:sectionMedications.entry:medicationAdministration","path":"Composition.section.entry","sliceName":"medicationAdministration","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationadministration"]}]},{"id":"Composition.section:sectionMedications.entry:medicationDispense","path":"Composition.section.entry","sliceName":"medicationDispense","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationdispense"]}]},{"id":"Composition.section:sectionMedications.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionAllergies","path":"Composition.section","sliceName":"sectionAllergies","short":"Allergien und Intoleranzen (Allergies and Intolerances)","definition":"In dieser Sektion werden die relevanten Allergien oder Unverträglichkeiten des Patienten dokumentiert, wobei die Art der Reaktion (z.B. Ausschlag, Anaphylaxie usw.), vorzugsweise die auslösenden Stoffe, sowie optional die Kritikalität und die Bestimmtheit der Allergie beschrieben werden. Zumindest sollten die derzeit aktiven und alle relevanten früheren Allergien und Nebenwirkungen aufgeführt werden. Liegen keine Informationen über Allergien vor oder sind keine Allergien bekannt, sollte dies ebenfalls dokumentiert werden.","min":1,"max":"1"},{"id":"Composition.section:sectionAllergies.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"48765-2"}]}},{"id":"Composition.section:sectionAllergies.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionAllergies.entry:allergyOrIntolerance","path":"Composition.section.entry","sliceName":"allergyOrIntolerance","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-allergyintolerance"]}]},{"id":"Composition.section:sectionAllergies.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionProblems","path":"Composition.section","sliceName":"sectionProblems","short":"Gesundheitsprobleme und Risiken (Problems)","definition":"Diese Sektion listet und beschreibt klinische Probleme oder Erkrankungen (kodierte Diagnosen), die derzeit für den Patienten relevant sind bzw. liefert Information über das Nichtvorhandensein.","min":1,"max":"1"},{"id":"Composition.section:sectionProblems.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"11450-4"}]}},{"id":"Composition.section:sectionProblems.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionProblems.entry:problem","path":"Composition.section.entry","sliceName":"problem","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"]}]},{"id":"Composition.section:sectionProblems.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionProceduresHx","path":"Composition.section","sliceName":"sectionProceduresHx","short":"Eingriffe und Therapien (History of Procedures)","definition":"Diese Sektion enthält eine Beschreibung früherer Eingriffe und Therapien. Darunter fallen zum Beispiel invasive diagnostische Verfahren (z.B. Herzkatheteruntersuchung), therapeutische Verfahren (z.B. Dialyse) und chirurgische Eingriffe (z.B. Appendektomie). Befunde und Dokumentation von z.B. im Rahmen von Disease-Management-Programmen durchgeführten Schulungen und Beratungen werden ebenfalls in dieser Sektion aufgenommen. Die Dokumentation der Information kann am Beispiel der Integrierten Versorgung z.B. der Fallkoordinator übernehmen.","min":1,"max":"1","constraint":[{"key":"ips-comp-1","severity":"error","human":"Either section.entry or emptyReason are present","expression":"(entry.reference.exists() or emptyReason.exists())","source":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition"}]},{"id":"Composition.section:sectionProceduresHx.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"47519-4"}]}},{"id":"Composition.section:sectionProceduresHx.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionProceduresHx.entry:procedure","path":"Composition.section.entry","sliceName":"procedure","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure"]}]},{"id":"Composition.section:sectionProceduresHx.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionMedicalDevices","path":"Composition.section","sliceName":"sectionMedicalDevices","short":"Implantate, medizinische Geräte (Medical Devices)","definition":"Diese Sektion enthält Informationen und kodierte Einträge, die den Gebrauch von Medizinprodukten in der Krankengeschichte beschreiben, z.B. Insulinpumpen oder Herzschrittmacher.","min":1,"max":"1","constraint":[{"key":"ips-comp-1","severity":"error","human":"Either section.entry or emptyReason are present","expression":"(entry.reference.exists() or emptyReason.exists())","source":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition"}]},{"id":"Composition.section:sectionMedicalDevices.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"46264-8"}]}},{"id":"Composition.section:sectionMedicalDevices.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-deviceusestatement","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionMedicalDevices.entry:deviceStatement","path":"Composition.section.entry","sliceName":"deviceStatement","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-deviceusestatement"]}]},{"id":"Composition.section:sectionMedicalDevices.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionImmunizations","path":"Composition.section","sliceName":"sectionImmunizations","short":"Impfungen (Immunizations)","definition":"Die Sektion beschreibt den aktuellen Impfstatus des Patienten und die dazugehörige Impfhistorie.","min":0,"max":"1"},{"id":"Composition.section:sectionImmunizations.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"11369-6"}]}},{"id":"Composition.section:sectionImmunizations.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-immunization","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionImmunizations.entry:immunization","path":"Composition.section.entry","sliceName":"immunization","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-immunization"]}]},{"id":"Composition.section:sectionImmunizations.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionResults","path":"Composition.section","sliceName":"sectionResults","short":"Diagnostische Resultate (Results)","definition":"Die Sektion fasst Untersuchungsergebnisse zusammen, die am Patienten erhoben oder anhand von biologischen In-vitro-Proben erstellt wurden. Dabei kann es sich um Laborergebnisse, Ergebnisse der anatomischen Pathologie oder um radiologische Ergebnisse handeln.","min":0,"max":"1"},{"id":"Composition.section:sectionResults.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"30954-2"}]}},{"id":"Composition.section:sectionResults.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"type","path":"resolve()"},{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"openAtEnd"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-diagnosticreport","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionResults.entry:resultsObservationLaboratoryPathology","path":"Composition.section.entry","sliceName":"resultsObservationLaboratoryPathology","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology"]}]},{"id":"Composition.section:sectionResults.entry:resultsObservationRadiology","path":"Composition.section.entry","sliceName":"resultsObservationRadiology","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultsradiology"]}]},{"id":"Composition.section:sectionResults.entry:resultsDiagnosticReport","path":"Composition.section.entry","sliceName":"resultsDiagnosticReport","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-diagnosticreport"]}]},{"id":"Composition.section:sectionResults.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionVitalSigns","path":"Composition.section","sliceName":"sectionVitalSigns","short":"Vitalparameter (Vital Signs)","definition":"Die Sektion umfasst Informationen wie Blutdruck, Körpertemperatur, Herzfrequenz, Atemfrequenz, Größe, Gewicht, Body-Mass-Index, Kopfumfang oder Pulsoximetrie. Insbesondere können auffällige Vitalparameter oder körperliche Befunde wie der letzte, maximale und/oder minimale Wert, der Ausgangswert oder relevante Trends angegeben werden.","min":0,"max":"1"},{"id":"Composition.section:sectionVitalSigns.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"8716-3"}]}},{"id":"Composition.section:sectionVitalSigns.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"openAtEnd"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionVitalSigns.entry:vitalSign","path":"Composition.section.entry","sliceName":"vitalSign","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationvitalsigns"]}]},{"id":"Composition.section:sectionVitalSigns.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionPastIllnessHx","path":"Composition.section","sliceName":"sectionPastIllnessHx","short":"Vergangene Gesundheitsprobleme und Risiken (History of Past Illness)","definition":"Die Sektion enthält eine Beschreibung der historischen klinischen Probleme oder Erkrankungen, die für die Patientin oder den Patienten in der Vergangenheit diagnostiziert wurden.","min":0,"max":"1"},{"id":"Composition.section:sectionPastIllnessHx.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"11348-0"}]}},{"id":"Composition.section:sectionPastIllnessHx.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionPastIllnessHx.entry:pastProblem","path":"Composition.section.entry","sliceName":"pastProblem","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"]}]},{"id":"Composition.section:sectionPastIllnessHx.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionFunctionalStatus","path":"Composition.section","sliceName":"sectionFunctionalStatus","short":"Beeinträchtigungen (Functional Status)","definition":"Diese Sektion enthält eine Beschreibung der Mobilität bzw. Fähigkeit der Patientin oder des Patienten, Handlungen des täglichen Lebens auszuführen, einschließlich möglicher Bedürfnisse. Hier könnte auch die Pflegestufe dokumentiert werden.","min":0,"max":"1"},{"id":"Composition.section:sectionFunctionalStatus.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"47420-5"}]}},{"id":"Composition.section:sectionFunctionalStatus.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionFunctionalStatus.entry:disability","path":"Composition.section.entry","sliceName":"disability","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition"]}]},{"id":"Composition.section:sectionFunctionalStatus.entry:functionalAssessment","path":"Composition.section.entry","sliceName":"functionalAssessment","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression"]}]},{"id":"Composition.section:sectionFunctionalStatus.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionPlanOfCare","path":"Composition.section","sliceName":"sectionPlanOfCare","short":"Behandlungsplan (Plan of Care)","definition":"Die Sektion enthält den Behandlungsplan inkl. Vorschlägen, Zielen und Anordnungen zur Kontrolle oder Verbesserung des Zustands des Patienten, zur Planung der nächsten empfohlenen oder vereinbarten Untersuchungen, Kontrolltermine und Schulungen. Durchgeführte Maßnahmen wie Untersuchungen oder Schulungen können in der Sektion \"History of Procedures\" dokumentiert werden.","min":0,"max":"1"},{"id":"Composition.section:sectionPlanOfCare.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"18776-5"}]}},{"id":"Composition.section:sectionPlanOfCare.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-careplan","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionPlanOfCare.entry:carePlan","path":"Composition.section.entry","sliceName":"carePlan","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-careplan"]}]},{"id":"Composition.section:sectionPlanOfCare.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionSocialHistory","path":"Composition.section","sliceName":"sectionSocialHistory","short":"Lebensstil / Soziale Umstände und Verhalten (Social History)","definition":"Diese Sektion erfasst den aktuellen Lebensstil einer Person. Angaben zum Rauchverhalten sowie zum Alkoholkonsum werden in den hierfür vorgesehenen spezifischen Ressourcen abgebildet. Weitere relevante Aspekte, wie z.B. körperliche Aktivität, Ernährungsgewohnheiten oder sonstige Verhaltensweisen, werden mithilfe der AtApsObservation-Ressource dokumentiert.","min":0,"max":"1"},{"id":"Composition.section:sectionSocialHistory.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"29762-2"}]}},{"id":"Composition.section:sectionSocialHistory.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"openAtEnd"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionSocialHistory.entry:smokingTobaccoUse","path":"Composition.section.entry","sliceName":"smokingTobaccoUse","min":0,"max":"1","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationtobaccouse"]}]},{"id":"Composition.section:sectionSocialHistory.entry:alcoholUse","path":"Composition.section.entry","sliceName":"alcoholUse","min":0,"max":"1","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationalcoholuse"]}]},{"id":"Composition.section:sectionSocialHistory.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionPregnancyHx","path":"Composition.section","sliceName":"sectionPregnancyHx","short":"Schwangerschaftshistorie (History of Pregnancy)","definition":"Die Sektion ermöglicht die Dokumentation eines Schwangerschaftsstatus inkl. geplantem Entbindungstermin und eine kurze Zusammenfassung von vergangenen Schwangerschaften.","min":0,"max":"1"},{"id":"Composition.section:sectionPregnancyHx.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"10162-6"}]}},{"id":"Composition.section:sectionPregnancyHx.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancystatus","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyoutcome","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionPregnancyHx.entry:pregnancyStatus","path":"Composition.section.entry","sliceName":"pregnancyStatus","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancystatus"]}]},{"id":"Composition.section:sectionPregnancyHx.entry:pregnancyOutcomeSummary","path":"Composition.section.entry","sliceName":"pregnancyOutcomeSummary","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyoutcome"]}]},{"id":"Composition.section:sectionPregnancyHx.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionAdvanceDirectives","path":"Composition.section","sliceName":"sectionAdvanceDirectives","short":"Willenserklärungen und andere juridische Dokumente (AdvanceDirectives)","definition":"Die Sektion kann aktuelle Verfügungen von Patienten beinhalten.","min":0,"max":"1"},{"id":"Composition.section:sectionAdvanceDirectives.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"42348-3"}]}},{"id":"Composition.section:sectionAdvanceDirectives.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-consent","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionAdvanceDirectives.entry:advanceDirectivesConsent","path":"Composition.section.entry","sliceName":"advanceDirectivesConsent","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-consent"]}]},{"id":"Composition.section:sectionAdvanceDirectives.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionAlerts","path":"Composition.section","sliceName":"sectionAlerts","short":"Warnungen (Alerts)","definition":"Die Sektion ermöglicht Warnmeldungen, wenn bestimmte Umstände eintreten (z.B. wenn Grenzwerte für Blutdruck, Gewicht oder subjektives Befinden einen gewissen Zeitraum überschritten werden).","min":0,"max":"1"},{"id":"Composition.section:sectionAlerts.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"104605-1"}]}},{"id":"Composition.section:sectionAlerts.entry","path":"Composition.section.entry","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":true,"rules":"closed"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-flagalert","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionAlerts.entry:alertsFlag","path":"Composition.section.entry","sliceName":"alertsFlag","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-flagalert"]}]},{"id":"Composition.section:sectionAlerts.entry:document","path":"Composition.section.entry","sliceName":"document","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference"]}]},{"id":"Composition.section:sectionPatientStory","path":"Composition.section","sliceName":"sectionPatientStory","short":"Patientenbericht (Patient Story)","definition":"Die Sektion enthält narrativen Text sowie optionale Ressourcen, die zum Ausdruck bringen, was für den Patienten wichtig ist. Dazu können Bedürfnisse, Stärken, Werte, Bedenken und Präferenzen gehören, die für Personen relevant sind, die Unterstützung und Pflege anbieten.","min":0,"max":"1"},{"id":"Composition.section:sectionPatientStory.code","path":"Composition.section.code","min":1,"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"81338-6"}]}}]}} package/StructureDefinition-at-aps-condition.json 0100644 0000000 0000000 00000224311 15112310071 021245 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-condition","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition","version":"0.2.0","name":"AtApsCondition","title":"AT APS Condition","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Condition-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Condition","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Condition","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Condition","path":"Condition","short":"AT APS Condition","definition":"A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.","min":0,"max":"*","base":{"path":"Condition","min":0,"max":"*"},"constraint":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."}],"key":"con-3","severity":"warning","human":"Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item","expression":"clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()","xpath":"exists(f:clinicalStatus) or exists(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(category[@value='problem-list-item']))","source":"http://hl7.org/fhir/StructureDefinition/Condition"},{"key":"con-4","severity":"error","human":"If condition is abated, then clinicalStatus must be either inactive, resolved, or remission","expression":"abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()","xpath":"not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])","source":"http://hl7.org/fhir/StructureDefinition/Condition"},{"key":"con-5","severity":"error","human":"Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error","expression":"verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()","xpath":"not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))","source":"http://hl7.org/fhir/StructureDefinition/Condition"},{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)"},{"identity":"v2","map":"PPR message"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Condition.implicitRules","path":"Condition.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Condition.language","path":"Condition.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Condition.text","path":"Condition.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Condition.contained","path":"Condition.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Condition.extension","path":"Condition.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Condition.modifierExtension","path":"Condition.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Condition.identifier","path":"Condition.identifier","short":"External Ids for this condition","definition":"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.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.","requirements":"Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"Condition.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"}]},{"id":"Condition.clinicalStatus","path":"Condition.clinicalStatus","short":"active | recurrence | relapse | inactive | remission | resolved","definition":"The clinical status of the condition.","comment":"The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.","min":0,"max":"1","base":{"path":"Condition.clinicalStatus","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["con-3","con-4","con-5"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConditionClinicalStatus"}],"strength":"required","description":"The clinical status of the condition or diagnosis.","valueSet":"http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 303105007 |Disease phases|"},{"identity":"v2","map":"PRB-14"},{"identity":"rim","map":"Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"}]},{"id":"Condition.verificationStatus","path":"Condition.verificationStatus","short":"unconfirmed | provisional | differential | confirmed | refuted | entered-in-error","definition":"The verification status to support the clinical status of the condition.","comment":"verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.\nThe data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.","min":0,"max":"1","base":{"path":"Condition.verificationStatus","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["con-3","con-5"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConditionVerificationStatus"}],"strength":"required","description":"The verification status to support or decline the clinical status of the condition or diagnosis.","valueSet":"http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 410514004 |Finding context value|"},{"identity":"v2","map":"PRB-13"},{"identity":"rim","map":"Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"},{"identity":"sct-attr","map":"408729009"}]},{"id":"Condition.category","path":"Condition.category","short":"problem-list-item | encounter-diagnosis","definition":"A category assigned to the condition.","comment":"The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.","min":0,"max":"*","base":{"path":"Condition.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"extension":[{"url":"key","valueId":"ElgaProblemType"},{"url":"purpose","valueCode":"candidate"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-problemarten"}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"sct-concept","map":"< 404684003 |Clinical finding|"},{"identity":"v2","map":"'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"},{"identity":"rim","map":".code"}]},{"id":"Condition.severity","path":"Condition.severity","short":"Subjective severity of condition","definition":"A subjective assessment of the severity of the condition as evaluated by the clinician.","comment":"Coding of the severity with a terminology is preferred, where possible.","min":0,"max":"1","base":{"path":"Condition.severity","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-problemseverity"},"mapping":[{"identity":"w5","map":"FiveWs.grade"},{"identity":"sct-concept","map":"< 272141005 |Severities|"},{"identity":"v2","map":"PRB-26 / ABS-3"},{"identity":"rim","map":"Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"severity\"].value"},{"identity":"sct-attr","map":"246112005"}]},{"id":"Condition.code","path":"Condition.code","short":"Identification of the condition, problem or diagnosis","definition":"Identification of the condition, problem or diagnosis.","requirements":"0..1 to account for primarily narrative only resources.","alias":["type"],"min":0,"max":"1","base":{"path":"Condition.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS\n<< 420134006 |Propensity to adverse reactions| MINUS \n<< 473010000 |Hypersensitivity condition| MINUS \n<< 79899007 |Drug interaction| MINUS\n<< 69449002 |Drug action| MINUS \n<< 441742003 |Evaluation finding| MINUS \n<< 307824009 |Administrative status| MINUS \n<< 385356007 |Tumor stage finding|) \nOR < 413350009 |Finding with explicit context|\nOR < 272379006 |Event|"},{"identity":"v2","map":"PRB-3"},{"identity":"rim","map":".value"},{"identity":"sct-attr","map":"246090004"}]},{"id":"Condition.bodySite","path":"Condition.bodySite","short":"Anatomical location, if relevant","definition":"The anatomical location where this condition manifests itself.","comment":"Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.","min":0,"max":"*","base":{"path":"Condition.bodySite","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"extensible","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"mapping":[{"identity":"sct-concept","map":"< 442083009 |Anatomical or acquired body structure|"},{"identity":"rim","map":".targetBodySiteCode"},{"identity":"sct-attr","map":"363698007"}]},{"id":"Condition.subject","path":"Condition.subject","short":"Who has the condition?","definition":"Indicates the patient or group who the condition record is associated with.","requirements":"Group is typically used for veterinary or public health use cases.","alias":["patient"],"min":1,"max":"1","base":{"path":"Condition.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":".participation[typeCode=SBJ].role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Condition.encounter","path":"Condition.encounter","short":"Encounter created as part of","definition":"The Encounter during which this Condition was created or to which the creation of this record is tightly associated.","comment":"This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a \"new\" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first \"known\".","min":0,"max":"1","base":{"path":"Condition.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-19 (+PV1-54)"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Condition.onset[x]","path":"Condition.onset[x]","short":"Estimated or actual date, date-time, or age","definition":"Estimated or actual date or date-time the condition began, in the opinion of the clinician.","comment":"Age is generally used when the patient reports an age at which the Condition began to occur.","min":0,"max":"1","base":{"path":"Condition.onset[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Age"},{"code":"Period"},{"code":"Range"},{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.init"},{"identity":"v2","map":"PRB-16"},{"identity":"rim","map":".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value"}]},{"id":"Condition.abatement[x]","path":"Condition.abatement[x]","short":"When in resolution/remission","definition":"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\" - Conditions are never really resolved, but they can abate.","comment":"There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.","min":0,"max":"1","base":{"path":"Condition.abatement[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Age"},{"code":"Period"},{"code":"Range"},{"code":"string"}],"condition":["con-4"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"rim","map":".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at remission\"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed"}]},{"id":"Condition.recordedDate","path":"Condition.recordedDate","short":"Date record was first recorded","definition":"The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.","min":0,"max":"1","base":{"path":"Condition.recordedDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"REL-11"},{"identity":"rim","map":".participation[typeCode=AUT].time"}]},{"id":"Condition.recorder","path":"Condition.recorder","short":"Who recorded the condition","definition":"Individual who recorded the record and takes responsibility for its content.","min":0,"max":"1","base":{"path":"Condition.recorder","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"}]},{"id":"Condition.asserter","path":"Condition.asserter","short":"Person who asserts this condition","definition":"Individual who is making the condition statement.","min":0,"max":"1","base":{"path":"Condition.asserter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"v2","map":"REL-7.1 identifier + REL-7.12 type code"},{"identity":"rim","map":".participation[typeCode=INF].role"}]},{"id":"Condition.stage","path":"Condition.stage","short":"Stage/grade, usually assessed formally","definition":"Clinical stage or grade of a condition. May include formal severity assessments.","min":0,"max":"*","base":{"path":"Condition.stage","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"con-1","severity":"error","human":"Stage SHALL have summary or assessment","expression":"summary.exists() or assessment.exists()","xpath":"exists(f:summary) or exists(f:assessment)","source":"http://hl7.org/fhir/StructureDefinition/Condition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]"}]},{"id":"Condition.stage.id","path":"Condition.stage.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Condition.stage.extension","path":"Condition.stage.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Condition.stage.modifierExtension","path":"Condition.stage.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Condition.stage.summary","path":"Condition.stage.summary","short":"Simple summary (disease specific)","definition":"A simple summary of the stage such as \"Stage 3\". The determination of the stage is disease-specific.","min":0,"max":"1","base":{"path":"Condition.stage.summary","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["con-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConditionStage"}],"strength":"example","description":"Codes describing condition stages (e.g. Cancer stages).","valueSet":"http://hl7.org/fhir/ValueSet/condition-stage|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 254291000 |Staging and scales|"},{"identity":"v2","map":"PRB-14"},{"identity":"rim","map":".value"}]},{"id":"Condition.stage.assessment","path":"Condition.stage.assessment","short":"Formal record of assessment","definition":"Reference to a formal record of the evidence on which the staging assessment is based.","min":0,"max":"*","base":{"path":"Condition.stage.assessment","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ClinicalImpression|4.0.1","http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"]}],"condition":["con-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".self"}]},{"id":"Condition.stage.type","path":"Condition.stage.type","short":"Kind of staging","definition":"The kind of staging, such as pathological or clinical staging.","min":0,"max":"1","base":{"path":"Condition.stage.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConditionStageType"}],"strength":"example","description":"Codes describing the kind of condition staging (e.g. clinical or pathological).","valueSet":"http://hl7.org/fhir/ValueSet/condition-stage-type|4.0.1"},"mapping":[{"identity":"rim","map":"./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage type\"]"}]},{"id":"Condition.evidence","path":"Condition.evidence","short":"Supporting evidence","definition":"Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.","comment":"The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.","min":0,"max":"*","base":{"path":"Condition.evidence","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"con-2","severity":"error","human":"evidence SHALL have code or details","expression":"code.exists() or detail.exists()","xpath":"exists(f:code) or exists(f:detail)","source":"http://hl7.org/fhir/StructureDefinition/Condition"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"}]},{"id":"Condition.evidence.id","path":"Condition.evidence.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Condition.evidence.extension","path":"Condition.evidence.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Condition.evidence.modifierExtension","path":"Condition.evidence.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Condition.evidence.code","path":"Condition.evidence.code","short":"Manifestation/symptom","definition":"A manifestation or symptom that led to the recording of this condition.","min":0,"max":"*","base":{"path":"Condition.evidence.code","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"condition":["con-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ManifestationOrSymptom"}],"strength":"example","description":"Codes that describe the manifestation or symptoms of a condition.","valueSet":"http://hl7.org/fhir/ValueSet/manifestation-or-symptom|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"sct-concept","map":"< 404684003 |Clinical finding|"},{"identity":"rim","map":"[code=\"diagnosis\"].value"}]},{"id":"Condition.evidence.detail","path":"Condition.evidence.detail","short":"Supporting information found elsewhere","definition":"Links to other relevant information, including pathology reports.","min":0,"max":"*","base":{"path":"Condition.evidence.detail","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"condition":["con-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".self"}]},{"id":"Condition.note","path":"Condition.note","short":"Additional information about the Condition","definition":"Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.","min":0,"max":"*","base":{"path":"Condition.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"v2","map":"NTE child of PRB"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]}]},"differential":{"element":[{"id":"Condition","path":"Condition","short":"AT APS Condition"},{"id":"Condition.category","path":"Condition.category","binding":{"extension":[{"extension":[{"url":"key","valueId":"ElgaProblemType"},{"url":"purpose","valueCode":"candidate"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-problemarten"}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips"}},{"id":"Condition.severity","path":"Condition.severity","binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-problemseverity"}},{"id":"Condition.code","path":"Condition.code","binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips"}},{"id":"Condition.bodySite","path":"Condition.bodySite","binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"extensible","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"}},{"id":"Condition.subject","path":"Condition.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]}]}} package/StructureDefinition-at-aps-consent.json 0100644 0000000 0000000 00000236744 15112310071 020745 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-consent","text":{"status":"extensions","div":""},"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-consent","version":"0.2.0","name":"AtApsConsent","title":"AT APS Consent","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Consent-Ressource berücksichtigt die österreichischen Vorgaben (z.B. Patient).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"Consent","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Consent","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Consent","path":"Consent","short":"AT APS Consent","definition":"A record of a healthcare consumer’s choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.","comment":"Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.","min":0,"max":"*","base":{"path":"Consent","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"ppc-1","severity":"error","human":"Either a Policy or PolicyRule","expression":"policy.exists() or policyRule.exists()","xpath":"exists(f:policy) or exists(f:policyRule)","source":"http://hl7.org/fhir/StructureDefinition/Consent"},{"key":"ppc-2","severity":"error","human":"IF Scope=privacy, there must be a patient","expression":"patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()","xpath":"exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='patient-privacy'])))","source":"http://hl7.org/fhir/StructureDefinition/Consent"},{"key":"ppc-3","severity":"error","human":"IF Scope=research, there must be a patient","expression":"patient.exists() or scope.coding.where(system='something' and code='research').exists().not()","xpath":"exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='research'])))","source":"http://hl7.org/fhir/StructureDefinition/Consent"},{"key":"ppc-4","severity":"error","human":"IF Scope=adr, there must be a patient","expression":"patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()","xpath":"exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='adr'])))","source":"http://hl7.org/fhir/StructureDefinition/Consent"},{"key":"ppc-5","severity":"error","human":"IF Scope=treatment, there must be a patient","expression":"patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()","xpath":"exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='treatment'])))","source":"http://hl7.org/fhir/StructureDefinition/Consent"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"v2","map":"CON"},{"identity":"rim","map":"FinancialConsent"}]},{"id":"Consent.id","path":"Consent.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Consent.meta","path":"Consent.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Consent.implicitRules","path":"Consent.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Consent.language","path":"Consent.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Consent.text","path":"Consent.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Consent.contained","path":"Consent.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Consent.extension","path":"Consent.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Consent.modifierExtension","path":"Consent.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Consent.identifier","path":"Consent.identifier","short":"Identifier for this record (external references)","definition":"Unique identifier for this copy of the Consent Statement.","comment":"This identifier identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.","min":0,"max":"*","base":{"path":"Consent.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"example":[{"label":"General","valueIdentifier":{"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"}]},{"id":"Consent.status","path":"Consent.status","short":"draft | proposed | active | rejected | inactive | entered-in-error","definition":"Indicates the current state of this consent.","comment":"This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.","requirements":"The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.","min":1,"max":"1","base":{"path":"Consent.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentState"}],"strength":"required","description":"Indicates the state of the consent.","valueSet":"http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"HL7 Table 0498 - Consent Status"},{"identity":"rim","map":".statusCode"}]},{"id":"Consent.scope","path":"Consent.scope","short":"Which of the four areas this resource covers (extensible)","definition":"A selector of the type of consent being presented: ADR, Privacy, Treatment, Research. This list is now extensible.","min":1,"max":"1","base":{"path":"Consent.scope","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"Allows changes to codes based on scope selection","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentScope"}],"strength":"extensible","description":"The four anticipated uses for the Consent Resource.","valueSet":"http://hl7.org/fhir/ValueSet/consent-scope|4.0.1"}},{"id":"Consent.category","path":"Consent.category","short":"Classification of the consent statement - for indexing/retrieval","definition":"A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.","min":1,"max":"*","base":{"path":"Consent.category","min":1,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentCategory"}],"strength":"extensible","description":"A classification of the type of consents found in a consent statement.","valueSet":"http://hl7.org/fhir/ValueSet/consent-category|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"HL7 Table 0497 - Consent Type"},{"identity":"rim","map":"CNTRCT"}]},{"id":"Consent.patient","path":"Consent.patient","short":"Who the consent applies to","definition":"The patient/healthcare consumer to whom this consent applies.","comment":"Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.","min":0,"max":"1","base":{"path":"Consent.patient","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"rim","map":"Role"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Consent.dateTime","path":"Consent.dateTime","short":"When this Consent was created or indexed","definition":"When this Consent was issued / created / indexed.","comment":"This is not the time of the original consent, but the time that this statement was made or derived.","min":0,"max":"1","base":{"path":"Consent.dateTime","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"Field 13/ Consent Decision Date"},{"identity":"rim","map":"FinancialConsent effectiveTime"}]},{"id":"Consent.performer","path":"Consent.performer","short":"Who is agreeing to the policy and rules","definition":"Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions.","comment":"Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.","alias":["consentor"],"min":0,"max":"*","base":{"path":"Consent.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"Field 24/ ConsenterID"}]},{"id":"Consent.organization","path":"Consent.organization","short":"Custodian of the consent","definition":"The organization that manages the consent, and the framework within which it is executed.","alias":["custodian"],"min":0,"max":"*","base":{"path":"Consent.organization","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"w5","map":"FiveWs.witness"}]},{"id":"Consent.source[x]","path":"Consent.source[x]","short":"Source from which this consent is taken","definition":"The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.","comment":"The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.","min":0,"max":"1","base":{"path":"Consent.source[x]","min":0,"max":"1"},"type":[{"code":"Attachment"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Consent|4.0.1","http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/Contract|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Field 19 Informational Material Supplied Indicator"}]},{"id":"Consent.policy","path":"Consent.policy","short":"Policies covered by this consent","definition":"The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.","min":0,"max":"*","base":{"path":"Consent.policy","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Consent.policy.id","path":"Consent.policy.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Consent.policy.extension","path":"Consent.policy.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Consent.policy.modifierExtension","path":"Consent.policy.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Consent.policy.authority","path":"Consent.policy.authority","short":"Enforcement source for policy","definition":"Entity or Organization having regulatory jurisdiction or accountability for enforcing policies pertaining to Consent Directives.","min":0,"max":"1","base":{"path":"Consent.policy.authority","min":0,"max":"1"},"type":[{"code":"uri"}],"condition":["ppc-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Consent.policy.uri","path":"Consent.policy.uri","short":"Specific policy covered by this consent","definition":"The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.","comment":"This element is for discoverability / documentation and does not modify or qualify the policy rules.","min":0,"max":"1","base":{"path":"Consent.policy.uri","min":0,"max":"1"},"type":[{"code":"uri"}],"condition":["ppc-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Consent.policyRule","path":"Consent.policyRule","short":"Regulation that this consents to","definition":"A reference to the specific base computable regulation or policy.","comment":"If the policyRule is absent, computable consent would need to be constructed from the elements of the Consent resource.","requirements":"Might be a unique identifier of a policy set in XACML, or other rules engine.","min":0,"max":"1","base":{"path":"Consent.policyRule","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["ppc-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentPolicyRule"}],"strength":"extensible","description":"Regulatory policy examples.","valueSet":"http://hl7.org/fhir/ValueSet/consent-policy|4.0.1"}},{"id":"Consent.verification","path":"Consent.verification","short":"Consent Verified by patient or family","definition":"Whether a treatment instruction (e.g. artificial respiration yes or no) was verified with the patient, his/her family or another authorized person.","min":0,"max":"*","base":{"path":"Consent.verification","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Consent.verification.id","path":"Consent.verification.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Consent.verification.extension","path":"Consent.verification.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Consent.verification.modifierExtension","path":"Consent.verification.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Consent.verification.verified","path":"Consent.verification.verified","short":"Has been verified","definition":"Has the instruction been verified.","min":1,"max":"1","base":{"path":"Consent.verification.verified","min":1,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Consent.verification.verifiedWith","path":"Consent.verification.verifiedWith","short":"Person who verified","definition":"Who verified the instruction (Patient, Relative or other Authorized Person).","min":0,"max":"1","base":{"path":"Consent.verification.verifiedWith","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Consent.verification.verificationDate","path":"Consent.verification.verificationDate","short":"When consent verified","definition":"Date verification was collected.","min":0,"max":"1","base":{"path":"Consent.verification.verificationDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Consent.provision","path":"Consent.provision","short":"Constraints to the base Consent.policyRule","definition":"An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.","min":0,"max":"1","base":{"path":"Consent.provision","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Consent.provision.id","path":"Consent.provision.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Consent.provision.extension","path":"Consent.provision.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Consent.provision.modifierExtension","path":"Consent.provision.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Consent.provision.type","path":"Consent.provision.type","short":"deny | permit","definition":"Action to take - permit or deny - when the rule conditions are met. Not permitted in root rule, required in all nested rules.","min":0,"max":"1","base":{"path":"Consent.provision.type","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentProvisionType"}],"strength":"required","description":"How a rule statement is applied, such as adding additional consent or removing consent.","valueSet":"http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1"}},{"id":"Consent.provision.period","path":"Consent.provision.period","short":"Timeframe for this rule","definition":"The timeframe in this rule is valid.","min":0,"max":"1","base":{"path":"Consent.provision.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Consent.provision.actor","path":"Consent.provision.actor","short":"Who|what controlled by this rule (or group, by role)","definition":"Who or what is controlled by this rule. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').","min":0,"max":"*","base":{"path":"Consent.provision.actor","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"meaningWhenMissing":"There is no specific actor associated with the exception","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Consent.provision.actor.id","path":"Consent.provision.actor.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Consent.provision.actor.extension","path":"Consent.provision.actor.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Consent.provision.actor.modifierExtension","path":"Consent.provision.actor.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Consent.provision.actor.role","path":"Consent.provision.actor.role","short":"How the actor is involved","definition":"How the individual is involved in the resources content that is described in the exception.","min":1,"max":"1","base":{"path":"Consent.provision.actor.role","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentActorRole"}],"strength":"extensible","description":"How an actor is involved in the consent considerations.","valueSet":"http://hl7.org/fhir/ValueSet/security-role-type|4.0.1"}},{"id":"Consent.provision.actor.reference","path":"Consent.provision.actor.reference","short":"Resource for the actor (or group, by role)","definition":"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').","min":1,"max":"1","base":{"path":"Consent.provision.actor.reference","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Group|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Consent.provision.action","path":"Consent.provision.action","short":"Actions controlled by this rule","definition":"Actions controlled by this Rule.","comment":"Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.","min":0,"max":"*","base":{"path":"Consent.provision.action","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"meaningWhenMissing":"all actions","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentAction"}],"strength":"example","description":"Detailed codes for the consent action.","valueSet":"http://hl7.org/fhir/ValueSet/consent-action|4.0.1"}},{"id":"Consent.provision.securityLabel","path":"Consent.provision.securityLabel","short":"Security Labels that define affected resources","definition":"A security label, comprised of 0..* security label fields (Privacy tags), which define which resources are controlled by this exception.","comment":"If the consent specifies a security label of \"R\" then it applies to all resources that are labeled \"R\" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. When the purpose of use tag is on the data, access request purpose of use shall not conflict.","min":0,"max":"*","base":{"path":"Consent.provision.securityLabel","min":0,"max":"*"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SecurityLabels"}],"strength":"extensible","description":"Security Labels from the Healthcare Privacy and Security Classification System.","valueSet":"http://hl7.org/fhir/ValueSet/security-labels|4.0.1"}},{"id":"Consent.provision.purpose","path":"Consent.provision.purpose","short":"Context of activities covered by this rule","definition":"The context of the activities a user is taking - why the user is accessing the data - that are controlled by this rule.","comment":"When the purpose of use tag is on the data, access request purpose of use shall not conflict.","min":0,"max":"*","base":{"path":"Consent.provision.purpose","min":0,"max":"*"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PurposeOfUse"}],"strength":"extensible","description":"What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.","valueSet":"http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"}},{"id":"Consent.provision.class","path":"Consent.provision.class","short":"e.g. Resource Type, Profile, CDA, etc.","definition":"The class of information covered by this rule. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.","comment":"Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.","min":0,"max":"*","base":{"path":"Consent.provision.class","min":0,"max":"*"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentContentClass"}],"strength":"extensible","description":"The class (type) of information a consent rule covers.","valueSet":"http://hl7.org/fhir/ValueSet/consent-content-class|4.0.1"}},{"id":"Consent.provision.code","path":"Consent.provision.code","short":"e.g. LOINC or SNOMED CT code, etc. in the content","definition":"If this code is found in an instance, then the rule applies.","comment":"Typical use of this is a Document code with class = CDA.","min":0,"max":"*","base":{"path":"Consent.provision.code","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentContentCode"}],"strength":"example","description":"If this code is found in an instance, then the exception applies.","valueSet":"http://hl7.org/fhir/ValueSet/consent-content-code|4.0.1"}},{"id":"Consent.provision.dataPeriod","path":"Consent.provision.dataPeriod","short":"Timeframe for data controlled by this rule","definition":"Clinical or Operational Relevant period of time that bounds the data controlled by this rule.","comment":"This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.","min":0,"max":"1","base":{"path":"Consent.provision.dataPeriod","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Consent.provision.data","path":"Consent.provision.data","short":"Data controlled by this rule","definition":"The resources controlled by this rule if specific resources are referenced.","min":0,"max":"*","base":{"path":"Consent.provision.data","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"meaningWhenMissing":"all data","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"Role"}]},{"id":"Consent.provision.data.id","path":"Consent.provision.data.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Consent.provision.data.extension","path":"Consent.provision.data.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Consent.provision.data.modifierExtension","path":"Consent.provision.data.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Consent.provision.data.meaning","path":"Consent.provision.data.meaning","short":"instance | related | dependents | authoredby","definition":"How the resource reference is interpreted when testing consent restrictions.","min":1,"max":"1","base":{"path":"Consent.provision.data.meaning","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentDataMeaning"}],"strength":"required","description":"How a resource reference is interpreted when testing consent restrictions.","valueSet":"http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1"}},{"id":"Consent.provision.data.reference","path":"Consent.provision.data.reference","short":"The actual data reference","definition":"A reference to a specific resource that defines which resources are covered by this consent.","min":1,"max":"1","base":{"path":"Consent.provision.data.reference","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Consent.provision.provision","path":"Consent.provision.provision","short":"Nested Exception Rules","definition":"Rules which provide exceptions to the base rule or subrules.","min":0,"max":"*","base":{"path":"Consent.provision.provision","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Consent#Consent.provision","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false}]},"differential":{"element":[{"id":"Consent","path":"Consent","short":"AT APS Consent"},{"id":"Consent.patient","path":"Consent.patient","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]}]}} package/StructureDefinition-at-aps-device.json 0100644 0000000 0000000 00000257555 15112310071 020536 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-device","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Device-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-device","version":"0.2.0","name":"AtApsDevice","title":"AT APS Device","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Device-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"udi","uri":"http://fda.gov/UDI","name":"UDI Mapping"}],"kind":"resource","abstract":false,"type":"Device","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Device","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Device","path":"Device","short":"AT APS Device","definition":"A type 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.","min":0,"max":"*","base":{"path":"Device","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Device"}]},{"id":"Device.id","path":"Device.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Device.meta","path":"Device.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Device.implicitRules","path":"Device.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Device.language","path":"Device.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Device.text","path":"Device.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Device.contained","path":"Device.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.extension","path":"Device.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.modifierExtension","path":"Device.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.identifier","path":"Device.identifier","short":"Instance identifier","definition":"Unique instance identifiers assigned to a device by manufacturers other organizations or owners.","comment":"The barcode string from a barcode present on a device label or package may identify the instance, include names given to the device in local usage, or may identify the type of device. If the identifier identifies the type of device, Device.type element should be used.","min":0,"max":"*","base":{"path":"Device.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"},{"identity":"udi","map":"The serial number which is a component of the production identifier (PI), a conditional, variable portion of a UDI. The identifier.type code should be set to “SNO”(Serial Number) and the system left empty."}]},{"id":"Device.definition","path":"Device.definition","short":"The reference to the definition for the device","definition":"The reference to the definition for the device.","min":0,"max":"1","base":{"path":"Device.definition","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DeviceDefinition|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.udiCarrier","path":"Device.udiCarrier","short":"Unique Device Identifier (UDI) Barcode string","definition":"Unique device identifier (UDI) assigned to device label or package. Note that the Device may include multiple udiCarriers as it either may include just the udiCarrier for the jurisdiction it is sold, or for multiple jurisdictions it could have been sold.","comment":"UDI may identify an unique instance of a device, or it may only identify the type of the device. See [UDI mappings](http://hl7.org/fhir/R4/device-mappings.html#udi) for a complete mapping of UDI parts to Device.","min":0,"max":"*","base":{"path":"Device.udiCarrier","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id and .code"}]},{"id":"Device.udiCarrier.id","path":"Device.udiCarrier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.udiCarrier.extension","path":"Device.udiCarrier.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.udiCarrier.modifierExtension","path":"Device.udiCarrier.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.udiCarrier.deviceIdentifier","path":"Device.udiCarrier.deviceIdentifier","short":"Mandatory fixed portion of UDI","definition":"The device identifier (DI) is a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device.","alias":["DI"],"min":0,"max":"1","base":{"path":"Device.udiCarrier.deviceIdentifier","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":"Role.id.extension"},{"identity":"udi","map":"The device identifier (DI), a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device."}]},{"id":"Device.udiCarrier.issuer","path":"Device.udiCarrier.issuer","short":"UDI Issuing Organization","definition":"Organization that is charged with issuing UDIs for devices. For example, the US FDA issuers include :\n1) GS1: \nhttp://hl7.org/fhir/NamingSystem/gs1-di, \n2) HIBCC:\nhttp://hl7.org/fhir/NamingSystem/hibcc-dI, \n3) ICCBBA for blood containers:\nhttp://hl7.org/fhir/NamingSystem/iccbba-blood-di, \n4) ICCBA for other devices:\nhttp://hl7.org/fhir/NamingSystem/iccbba-other-di.","alias":["Barcode System"],"min":0,"max":"1","base":{"path":"Device.udiCarrier.issuer","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Role.id.root"},{"identity":"udi","map":"All UDIs are to be issued under a system operated by an Jurisdiction-accredited issuing agency.\nGS1 DIs: \n http://hl7.org/fhir/NamingSystem/gs1\nHIBCC DIs:\n http://hl7.org/fhir/NamingSystem/hibcc\nICCBBA DIs for blood containers:\n http://hl7.org/fhir/NamingSystem/iccbba-blood\nICCBA DIs for other devices:\n http://hl7.org/fhir/NamingSystem/iccbba-other"}]},{"id":"Device.udiCarrier.jurisdiction","path":"Device.udiCarrier.jurisdiction","short":"Regional UDI authority","definition":"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/fda-udi.","requirements":"Allows a recipient of a UDI to know which database will contain the UDI-associated metadata.","min":0,"max":"1","base":{"path":"Device.udiCarrier.jurisdiction","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Role.scoper"}]},{"id":"Device.udiCarrier.carrierAIDC","path":"Device.udiCarrier.carrierAIDC","short":"UDI Machine Readable Barcode String","definition":"The full UDI carrier of the Automatic Identification and Data Capture (AIDC) technology representation of the barcode string as printed on the packaging of the device - e.g., a barcode or RFID. Because of limitations on character sets in XML and the need to round-trip JSON data through XML, AIDC Formats *SHALL* be base64 encoded.","comment":"The AIDC form of UDIs should be scanned or otherwise used for the identification of the device whenever possible to minimize errors in records resulting from manual transcriptions. If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.","alias":["Automatic Identification and Data Capture"],"min":0,"max":"1","base":{"path":"Device.udiCarrier.carrierAIDC","min":0,"max":"1"},"type":[{"code":"base64Binary"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"Role.id.extension"},{"identity":"udi","map":"A unique device identifier (UDI) on a device label a form that uses automatic identification and data capture (AIDC) technology."}]},{"id":"Device.udiCarrier.carrierHRF","path":"Device.udiCarrier.carrierHRF","short":"UDI Human Readable Barcode String","definition":"The full UDI carrier as the human readable form (HRF) representation of the barcode string as printed on the packaging of the device.","comment":"If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.","alias":["Human Readable Form"],"min":0,"max":"1","base":{"path":"Device.udiCarrier.carrierHRF","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"Role.id.extension"},{"identity":"udi","map":"A unique device identifier (UDI) on a device label in plain text"}]},{"id":"Device.udiCarrier.entryType","path":"Device.udiCarrier.entryType","short":"barcode | rfid | manual +","definition":"A coded entry to indicate how the data was entered.","requirements":"Supports a way to distinguish hand entered from machine read data.","min":0,"max":"1","base":{"path":"Device.udiCarrier.entryType","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"UDIEntryType"}],"strength":"required","description":"Codes to identify how UDI data was entered.","valueSet":"http://hl7.org/fhir/ValueSet/udi-entry-type|4.0.1"},"mapping":[{"identity":"rim","map":"NA"}]},{"id":"Device.status","path":"Device.status","short":"active | inactive | entered-in-error | unknown","definition":"Status of the Device availability.","comment":"This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the device (record)as not currently valid.","min":0,"max":"1","base":{"path":"Device.status","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRDeviceStatus"}],"strength":"required","description":"The availability status of the device.","valueSet":"http://hl7.org/fhir/ValueSet/device-status|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":".statusCode"}]},{"id":"Device.statusReason","path":"Device.statusReason","short":"online | paused | standby | offline | not-ready | transduc-discon | hw-discon | off","definition":"Reason for the dtatus of the Device availability.","min":0,"max":"*","base":{"path":"Device.statusReason","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRDeviceStatusReason"}],"strength":"extensible","description":"The availability status reason of the device.","valueSet":"http://hl7.org/fhir/ValueSet/device-status-reason|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.status"}]},{"id":"Device.distinctIdentifier","path":"Device.distinctIdentifier","short":"The distinct identification string","definition":"The distinct identification string as required by regulation for a human cell, tissue, or cellular and tissue-based product.","comment":"For example, this applies to devices in the United States regulated under *Code of Federal Regulation 21CFR§1271.290(c)*.","alias":["Distinct Identification Code (DIC)"],"min":0,"max":"1","base":{"path":"Device.distinctIdentifier","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".lotNumberText"},{"identity":"udi","map":"The lot or batch number within which a device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI."}]},{"id":"Device.manufacturer","path":"Device.manufacturer","short":"Name of device manufacturer","definition":"A name of the manufacturer.","min":0,"max":"1","base":{"path":"Device.manufacturer","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".playedRole[typeCode=MANU].scoper.name"},{"identity":"udi","map":"N/A"}]},{"id":"Device.manufactureDate","path":"Device.manufactureDate","short":"Date when the device was made","definition":"The date and time when the device was manufactured.","min":0,"max":"1","base":{"path":"Device.manufactureDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".existenceTime.low"},{"identity":"udi","map":"The date a specific device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI. For FHIR, The datetime syntax must converted to YYYY-MM-DD[THH:MM:SS]. If hour is present, the minutes and seconds should both be set to “00”."}]},{"id":"Device.expirationDate","path":"Device.expirationDate","short":"Date and time of expiry of this device (if applicable)","definition":"The date and time beyond which this device is no longer valid or should not be used (if applicable).","min":0,"max":"1","base":{"path":"Device.expirationDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".expirationTime"},{"identity":"udi","map":"the expiration date of a specific device - which is a component of the production identifier (PI), a conditional, variable portion of a UDI. For FHIR, The datetime syntax must converted to YYYY-MM-DD[THH:MM:SS]. If hour is present, the minutes and seconds should both be set to “00”."}]},{"id":"Device.lotNumber","path":"Device.lotNumber","short":"Lot number of manufacture","definition":"Lot number assigned by the manufacturer.","min":0,"max":"1","base":{"path":"Device.lotNumber","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".lotNumberText"},{"identity":"udi","map":"The lot or batch number within which a device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI."}]},{"id":"Device.serialNumber","path":"Device.serialNumber","short":"Serial number assigned by the manufacturer","definition":"The serial number assigned by the organization when the device was manufactured.","comment":"Alphanumeric Maximum 20.","min":0,"max":"1","base":{"path":"Device.serialNumber","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".playedRole[typeCode=MANU].id"}]},{"id":"Device.deviceName","path":"Device.deviceName","short":"The name of the device as given by the manufacturer","definition":"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.","min":1,"max":"*","base":{"path":"Device.deviceName","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.deviceName.id","path":"Device.deviceName.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.deviceName.extension","path":"Device.deviceName.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.deviceName.modifierExtension","path":"Device.deviceName.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.deviceName.name","path":"Device.deviceName.name","short":"The name of the device","definition":"The name of the device.","alias":["Σ"],"min":1,"max":"1","base":{"path":"Device.deviceName.name","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.deviceName.type","path":"Device.deviceName.type","short":"udi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other","definition":"The type of deviceName.\nUDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName | ModelName.","min":1,"max":"1","base":{"path":"Device.deviceName.type","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceNameType"}],"strength":"required","description":"The type of name the device is referred by.","valueSet":"http://hl7.org/fhir/ValueSet/device-nametype|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".playedRole[typeCode=MANU].code"}]},{"id":"Device.modelNumber","path":"Device.modelNumber","short":"The model number for the device","definition":"The model number for the device.","min":0,"max":"1","base":{"path":"Device.modelNumber","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".softwareName (included as part)"}]},{"id":"Device.partNumber","path":"Device.partNumber","short":"The part number of the device","definition":"The part number of the device.","comment":"Alphanumeric Maximum 20.","min":0,"max":"1","base":{"path":"Device.partNumber","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".playedRole[typeCode=MANU].id"}]},{"id":"Device.type","path":"Device.type","short":"The kind or type of device","definition":"The kind or type of device.","min":0,"max":"1","base":{"path":"Device.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-medicaldevices"}},{"id":"Device.specialization","path":"Device.specialization","short":"The capabilities supported on a device, the standards to which the device conforms for a particular purpose, and used for the communication","definition":"The capabilities supported on a device, the standards to which the device conforms for a particular purpose, and used for the communication.","min":0,"max":"*","base":{"path":"Device.specialization","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.specialization.id","path":"Device.specialization.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.specialization.extension","path":"Device.specialization.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.specialization.modifierExtension","path":"Device.specialization.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.specialization.systemType","path":"Device.specialization.systemType","short":"The standard that is used to operate and communicate","definition":"The standard that is used to operate and communicate.","alias":["Σ"],"min":1,"max":"1","base":{"path":"Device.specialization.systemType","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.specialization.version","path":"Device.specialization.version","short":"The version of the standard that is used to operate and communicate","definition":"The version of the standard that is used to operate and communicate.","min":0,"max":"1","base":{"path":"Device.specialization.version","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"}]},{"id":"Device.version","path":"Device.version","short":"The actual design of the device or software version running on the device","definition":"The actual design of the device or software version running on the device.","min":1,"max":"*","base":{"path":"Device.version","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.version.id","path":"Device.version.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.version.extension","path":"Device.version.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.version.modifierExtension","path":"Device.version.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.version.type","path":"Device.version.type","short":"The type of the device version","definition":"The type of the device version.","alias":["Σ"],"min":0,"max":"1","base":{"path":"Device.version.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.version.component","path":"Device.version.component","short":"A single component of the device version","definition":"A single component of the device version.","min":0,"max":"1","base":{"path":"Device.version.component","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"}]},{"id":"Device.version.value","path":"Device.version.value","short":"The version text","definition":"The version text.","min":1,"max":"1","base":{"path":"Device.version.value","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.property","path":"Device.property","short":"The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties","definition":"The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties.","min":0,"max":"*","base":{"path":"Device.property","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.property.id","path":"Device.property.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.property.extension","path":"Device.property.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Device.property.modifierExtension","path":"Device.property.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Device.property.type","path":"Device.property.type","short":"Code that specifies the property DeviceDefinitionPropetyCode (Extensible)","definition":"Code that specifies the property DeviceDefinitionPropetyCode (Extensible).","min":1,"max":"1","base":{"path":"Device.property.type","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.property.valueQuantity","path":"Device.property.valueQuantity","short":"Property value as a quantity","definition":"Property value as a quantity.","min":0,"max":"*","base":{"path":"Device.property.valueQuantity","min":0,"max":"*"},"type":[{"code":"Quantity"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.property.valueCode","path":"Device.property.valueCode","short":"Property value as a code, e.g., NTP4 (synced to NTP)","definition":"Property value as a code, e.g., NTP4 (synced to NTP).","min":0,"max":"*","base":{"path":"Device.property.valueCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"Device.patient","path":"Device.patient","short":"Patient to whom Device is affixed","definition":"Patient information, If the device is affixed to a person.","requirements":"If the device is implanted in a patient, then need to associate the device to the patient.","min":0,"max":"1","base":{"path":"Device.patient","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"rim","map":".playedRole[typeCode=USED].scoper.playedRole[typeCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Device.owner","path":"Device.owner","short":"Organization responsible for device","definition":"An organization that is responsible for the provision and ongoing maintenance of the device.","min":0,"max":"1","base":{"path":"Device.owner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"rim","map":".playedRole[typeCode=OWN].scoper"}]},{"id":"Device.contact","path":"Device.contact","short":"Details for human/organization for support","definition":"Contact details for an organization or a particular human that is responsible for the device.","comment":"used for troubleshooting etc.","min":0,"max":"*","base":{"path":"Device.contact","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"rim","map":".scopedRole[typeCode=CON].player"}]},{"id":"Device.location","path":"Device.location","short":"Where the device is found","definition":"The place where the device can be found.","requirements":"Device.location can be used to track device location.","min":0,"max":"1","base":{"path":"Device.location","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"rim","map":".playedRole[typeCode=LOCE].scoper"}]},{"id":"Device.url","path":"Device.url","short":"Network address to contact device","definition":"A network address on which the device may be contacted directly.","comment":"If the device is running a FHIR server, the network address should be the Base URL from which a conformance statement may be retrieved.","min":0,"max":"1","base":{"path":"Device.url","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"rim","map":".telecom"}]},{"id":"Device.note","path":"Device.note","short":"Device notes and comments","definition":"Descriptive information, usage information or implantation information that is not captured in an existing element.","min":0,"max":"*","base":{"path":"Device.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"}]},{"id":"Device.safety","path":"Device.safety","short":"Safety Characteristics of Device","definition":"Provides additional safety characteristics about a medical device. For example devices containing latex.","min":0,"max":"*","base":{"path":"Device.safety","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"NA"}]},{"id":"Device.parent","path":"Device.parent","short":"The parent device","definition":"The parent device.","min":0,"max":"1","base":{"path":"Device.parent","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false}]},"differential":{"element":[{"id":"Device","path":"Device","short":"AT APS Device"},{"id":"Device.deviceName","path":"Device.deviceName","min":1},{"id":"Device.type","path":"Device.type","binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-medicaldevices"}},{"id":"Device.version","path":"Device.version","min":1},{"id":"Device.patient","path":"Device.patient","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]}]}} package/StructureDefinition-at-aps-deviceusestatement.json 0100644 0000000 0000000 00000117121 15112310072 023161 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-deviceusestatement","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/DeviceUseStatement-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-deviceusestatement","version":"0.2.0","name":"AtApsDeviceUseStatement","title":"AT APS DeviceUseStatement","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die DeviceUseStatement-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"quick","uri":"http://siframework.org/cqf","name":"Quality Improvement and Clinical Knowledge (QUICK)"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"resource","abstract":false,"type":"DeviceUseStatement","baseDefinition":"http://hl7.org/fhir/StructureDefinition/DeviceUseStatement","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"DeviceUseStatement","path":"DeviceUseStatement","short":"AT APS DeviceUseStatement","definition":"A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.","min":0,"max":"*","base":{"path":"DeviceUseStatement","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"quick","map":"DeviceUsePerformanceOccurrence"}]},{"id":"DeviceUseStatement.id","path":"DeviceUseStatement.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"DeviceUseStatement.meta","path":"DeviceUseStatement.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"DeviceUseStatement.implicitRules","path":"DeviceUseStatement.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"DeviceUseStatement.language","path":"DeviceUseStatement.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"DeviceUseStatement.text","path":"DeviceUseStatement.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"DeviceUseStatement.contained","path":"DeviceUseStatement.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DeviceUseStatement.extension","path":"DeviceUseStatement.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DeviceUseStatement.modifierExtension","path":"DeviceUseStatement.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DeviceUseStatement.identifier","path":"DeviceUseStatement.identifier","short":"External identifier for this record","definition":"An external identifier for this statement such as an IRI.","min":0,"max":"*","base":{"path":"DeviceUseStatement.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"quick","map":"ClinicalStatement.identifier"}]},{"id":"DeviceUseStatement.basedOn","path":"DeviceUseStatement.basedOn","short":"Fulfills plan, proposal or order","definition":"A plan, proposal or order that is fulfilled in whole or in part by this DeviceUseStatement.","requirements":"Allows tracing of authorization for the DeviceUseStatement and tracking whether proposals/recommendations were acted upon.","alias":["fulfills"],"min":0,"max":"*","base":{"path":"DeviceUseStatement.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC in proximity to EVN segment"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"DeviceUseStatement.status","path":"DeviceUseStatement.status","short":"active | completed | entered-in-error +","definition":"A code representing the patient or other source's judgment about the state of the device used that this statement is about. Generally this will be active or completed.","comment":"DeviceUseStatment is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for contains codes that assert the status of the use by the patient (for example, stopped or on hold) as well as codes that assert the status of the resource itself (for example, entered in error).\r\rThis element is labeled as a modifier because the status contains the codes that mark the statement as not currently valid.","min":1,"max":"1","base":{"path":"DeviceUseStatement.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceUseStatementStatus"}],"strength":"required","description":"A coded concept indicating the current status of the Device Usage.","valueSet":"http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":".statusCode"},{"identity":"quick","map":"…status"}]},{"id":"DeviceUseStatement.subject","path":"DeviceUseStatement.subject","short":"Patient using device","definition":"The patient who used the device.","min":1,"max":"1","base":{"path":"DeviceUseStatement.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"quick","map":"ClinicalStatement.subject"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"DeviceUseStatement.derivedFrom","path":"DeviceUseStatement.derivedFrom","short":"Supporting information","definition":"Allows linking the DeviceUseStatement to the underlying Request, or to other information that supports or is used to derive the DeviceUseStatement.","comment":"The most common use cases for deriving a DeviceUseStatement comes from creating it from a request or from an observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the DeviceUseStatement from.","min":0,"max":"*","base":{"path":"DeviceUseStatement.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/Claim|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"DeviceUseStatement.timing[x]","path":"DeviceUseStatement.timing[x]","short":"How often the device was used","definition":"How often the device was used.","min":0,"max":"1","base":{"path":"DeviceUseStatement.timing[x]","min":0,"max":"1"},"type":[{"code":"Timing"},{"code":"Period"},{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"quick","map":"DeviceUse.applicationSchedule"}]},{"id":"DeviceUseStatement.recordedOn","path":"DeviceUseStatement.recordedOn","short":"When statement was recorded","definition":"The time at which the statement was made/recorded.","min":0,"max":"1","base":{"path":"DeviceUseStatement.recordedOn","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"quick","map":"ClinicalStatement.statementDateTime"}]},{"id":"DeviceUseStatement.source","path":"DeviceUseStatement.source","short":"Who made the statement","definition":"Who reported the device was being used by the patient.","min":0,"max":"1","base":{"path":"DeviceUseStatement.source","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"}]},{"id":"DeviceUseStatement.device","path":"DeviceUseStatement.device","short":"Reference to device used","definition":"The details of the device used.","min":1,"max":"1","base":{"path":"DeviceUseStatement.device","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-device"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.actor"},{"identity":"quick","map":"DeviceUse.device"}]},{"id":"DeviceUseStatement.reasonCode","path":"DeviceUseStatement.reasonCode","short":"Why device was used","definition":"Reason or justification for the use of the device.","min":0,"max":"*","base":{"path":"DeviceUseStatement.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"quick","map":"Action.indication.reason"}]},{"id":"DeviceUseStatement.reasonReference","path":"DeviceUseStatement.reasonReference","short":"Why was DeviceUseStatement performed?","definition":"Indicates another resource whose existence justifies this DeviceUseStatement.","min":0,"max":"*","base":{"path":"DeviceUseStatement.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1","http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.reasonReference"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"EVN.4 or by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=RSON].target"}]},{"id":"DeviceUseStatement.bodySite","path":"DeviceUseStatement.bodySite","short":"Target body site","definition":"Indicates the anotomic location on the subject's body where the device was used ( i.e. the target).","requirements":"Knowing where the device is targeted is important for tracking if multiple sites are possible. If more information than just a code is required, use the extension [http://hl7.org/fhir/StructureDefinition/bodySite](http://hl7.org/fhir/extension-bodysite.html).","min":0,"max":"1","base":{"path":"DeviceUseStatement.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"rim","map":"targetSiteCode"}]},{"id":"DeviceUseStatement.note","path":"DeviceUseStatement.note","short":"Addition details (comments, instructions)","definition":"Details about the device statement 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.","min":0,"max":"*","base":{"path":"DeviceUseStatement.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"quick","map":"ClinicalStatement.additionalText"}]}]},"differential":{"element":[{"id":"DeviceUseStatement","path":"DeviceUseStatement","short":"AT APS DeviceUseStatement"},{"id":"DeviceUseStatement.subject","path":"DeviceUseStatement.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]},{"id":"DeviceUseStatement.device","path":"DeviceUseStatement.device","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-device"]}]}]}} package/StructureDefinition-at-aps-diagnosticreport.json 0100644 0000000 0000000 00000201562 15112310072 022643 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-diagnosticreport","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-diagnosticreport","version":"0.2.0","name":"AtApsDiagnosticReport","title":"AT APS DiagnosticReport","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die DiagnosticReport-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"DiagnosticReport","baseDefinition":"http://hl7.org/fhir/StructureDefinition/DiagnosticReport","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"DiagnosticReport","path":"DiagnosticReport","short":"AT APS DiagnosticReport","definition":"The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.","comment":"This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.","alias":["Report","Test","Result","Results","Labs","Laboratory"],"min":0,"max":"*","base":{"path":"DiagnosticReport","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"v2","map":"ORU -> OBR"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"DiagnosticReport.id","path":"DiagnosticReport.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"DiagnosticReport.meta","path":"DiagnosticReport.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"DiagnosticReport.implicitRules","path":"DiagnosticReport.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"DiagnosticReport.language","path":"DiagnosticReport.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"DiagnosticReport.text","path":"DiagnosticReport.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"DiagnosticReport.contained","path":"DiagnosticReport.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DiagnosticReport.extension","path":"DiagnosticReport.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DiagnosticReport.modifierExtension","path":"DiagnosticReport.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DiagnosticReport.identifier","path":"DiagnosticReport.identifier","short":"Business identifier for report","definition":"Identifiers assigned to this report by the performer or other systems.","comment":"Usually assigned by the Information System of the diagnostic service provider (filler id).","requirements":"Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.","alias":["ReportID","Filler ID","Placer ID"],"min":0,"max":"*","base":{"path":"DiagnosticReport.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4"},{"identity":"rim","map":"id"}]},{"id":"DiagnosticReport.basedOn","path":"DiagnosticReport.basedOn","short":"What was requested","definition":"Details concerning a service requested.","comment":"Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.","requirements":"This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.","alias":["Request"],"min":0,"max":"*","base":{"path":"DiagnosticReport.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC? OBR-2/3?"},{"identity":"rim","map":"outboundRelationship[typeCode=FLFS].target"}]},{"id":"DiagnosticReport.status","path":"DiagnosticReport.status","short":"registered | partial | preliminary | final +","definition":"The status of the diagnostic report.","requirements":"Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.","min":1,"max":"1","base":{"path":"DiagnosticReport.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DiagnosticReportStatus"}],"strength":"required","description":"The status of the diagnostic report.","valueSet":"http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"OBR-25 (not 1:1 mapping)"},{"identity":"rim","map":"statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type \"revise\""}]},{"id":"DiagnosticReport.category","path":"DiagnosticReport.category","short":"Service category","definition":"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.","comment":"Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.","alias":["Department","Sub-department","Service","Discipline"],"min":0,"max":"*","base":{"path":"DiagnosticReport.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DiagnosticServiceSection"}],"strength":"example","description":"Codes for diagnostic service sections.","valueSet":"http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"OBR-24"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code"}]},{"id":"DiagnosticReport.code","path":"DiagnosticReport.code","short":"Name/Code for this diagnostic report","definition":"A code or name that describes this diagnostic report.","alias":["Type"],"min":1,"max":"1","base":{"path":"DiagnosticReport.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DiagnosticReportCodes"}],"strength":"preferred","description":"Codes that describe Diagnostic Reports.","valueSet":"http://hl7.org/fhir/ValueSet/report-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)"},{"identity":"rim","map":"code"}]},{"id":"DiagnosticReport.subject","path":"DiagnosticReport.subject","short":"The subject of the report - usually, but not always, the patient","definition":"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.","requirements":"SHALL know the subject context.","alias":["Patient"],"min":0,"max":"1","base":{"path":"DiagnosticReport.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3 (no HL7 v2 mapping for Group or Device)"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"DiagnosticReport.encounter","path":"DiagnosticReport.encounter","short":"Health care event when test ordered","definition":"The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"Links the request to the Encounter context.","alias":["Context"],"min":0,"max":"1","base":{"path":"DiagnosticReport.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.encounter"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-19"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"DiagnosticReport.effective[x]","path":"DiagnosticReport.effective[x]","short":"Clinically relevant time/time-period for report","definition":"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.","comment":"If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.","requirements":"Need to know where in the patient history to file/present this report.","alias":["Observation time","Effective Time","Occurrence"],"min":0,"max":"1","base":{"path":"DiagnosticReport.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBR-7"},{"identity":"rim","map":"effectiveTime"}]},{"id":"DiagnosticReport.issued","path":"DiagnosticReport.issued","short":"DateTime this version was made","definition":"The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.","comment":"May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.","requirements":"Clinicians need to be able to check the date that the report was released.","alias":["Date published","Date Issued","Date Verified"],"min":0,"max":"1","base":{"path":"DiagnosticReport.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR-22"},{"identity":"rim","map":"participation[typeCode=VRF or AUT].time"}]},{"id":"DiagnosticReport.performer","path":"DiagnosticReport.performer","short":"Responsible Diagnostic Service","definition":"The diagnostic service that is responsible for issuing the report.","comment":"This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.","requirements":"Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.","alias":["Laboratory","Service","Practitioner","Department","Company","Authorized by","Director"],"min":0,"max":"*","base":{"path":"DiagnosticReport.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization","http://hl7.org/fhir/StructureDefinition/CareTeam"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"PRT-8 (where this PRT-4-Participation = \"PO\")"},{"identity":"rim","map":".participation[typeCode=PRF]"}]},{"id":"DiagnosticReport.resultsInterpreter","path":"DiagnosticReport.resultsInterpreter","short":"Primary result interpreter","definition":"The practitioner or organization that is responsible for the report's conclusions and interpretations.","comment":"Might not be the same entity that takes responsibility for the clinical report.","requirements":"Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.","alias":["Analyzed by","Reported by"],"min":0,"max":"*","base":{"path":"DiagnosticReport.resultsInterpreter","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBR-32, PRT-8 (where this PRT-4-Participation = \"PI\")"},{"identity":"rim","map":".participation[typeCode=PRF]"}]},{"id":"DiagnosticReport.specimen","path":"DiagnosticReport.specimen","short":"Specimens this report is based on","definition":"Details about the specimens on which this diagnostic report is based.","comment":"If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.","requirements":"Need to be able to report information about the collected specimens on which the report is based.","min":0,"max":"*","base":{"path":"DiagnosticReport.specimen","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-specimen"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"SPM"},{"identity":"rim","map":"participation[typeCode=SBJ]"}]},{"id":"DiagnosticReport.result","path":"DiagnosticReport.result","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":false,"rules":"open"},"short":"Observations","definition":"[Observations](http://hl7.org/fhir/R4/observation.html) that are part of this diagnostic report.","comment":"Observations can contain observations.","requirements":"Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.","alias":["Data","Atomic Value","Result","Atomic result","Data","Test","Analyte","Battery","Organizer"],"min":0,"max":"*","base":{"path":"DiagnosticReport.result","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBXs"},{"identity":"rim","map":"outboundRelationship[typeCode=COMP].target"}]},{"id":"DiagnosticReport.result:observationResults","path":"DiagnosticReport.result","sliceName":"observationResults","short":"Observations","definition":"[Observations](http://hl7.org/fhir/R4/observation.html) that are part of this diagnostic report.","comment":"Observations can contain observations.","requirements":"Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.","alias":["Data","Atomic Value","Result","Atomic result","Data","Test","Analyte","Battery","Organizer"],"min":0,"max":"*","base":{"path":"DiagnosticReport.result","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultsradiology"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBXs"},{"identity":"rim","map":"outboundRelationship[typeCode=COMP].target"}]},{"id":"DiagnosticReport.imagingStudy","path":"DiagnosticReport.imagingStudy","short":"Reference to full details of imaging associated with the diagnostic report","definition":"One or more links to full details of any imaging performed during the diagnostic investigation. 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.","comment":"ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.","min":0,"max":"*","base":{"path":"DiagnosticReport.imagingStudy","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]"}]},{"id":"DiagnosticReport.media","path":"DiagnosticReport.media","short":"Key images associated with this report","definition":"A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).","requirements":"Many diagnostic services include images in the report as part of their service.","alias":["DICOM","Slides","Scans"],"min":0,"max":"*","base":{"path":"DiagnosticReport.media","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"OBX?"},{"identity":"rim","map":"outboundRelationship[typeCode=COMP].target"}]},{"id":"DiagnosticReport.media.id","path":"DiagnosticReport.media.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DiagnosticReport.media.extension","path":"DiagnosticReport.media.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DiagnosticReport.media.modifierExtension","path":"DiagnosticReport.media.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DiagnosticReport.media.comment","path":"DiagnosticReport.media.comment","short":"Comment about the image (e.g. explanation)","definition":"A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.","comment":"The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.","requirements":"The provider of the report should make a comment about each image included in the report.","min":0,"max":"1","base":{"path":"DiagnosticReport.media.comment","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]},{"id":"DiagnosticReport.media.link","path":"DiagnosticReport.media.link","short":"Reference to the image source","definition":"Reference to the image source.","min":1,"max":"1","base":{"path":"DiagnosticReport.media.link","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Media|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".value.reference"}]},{"id":"DiagnosticReport.conclusion","path":"DiagnosticReport.conclusion","short":"Clinical conclusion (interpretation) of test results","definition":"Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.","requirements":"Need to be able to provide a conclusion that is not lost among the basic result data.","alias":["Report"],"min":0,"max":"1","base":{"path":"DiagnosticReport.conclusion","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX"},{"identity":"rim","map":"inboundRelationship[typeCode=\"SPRT\"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)"}]},{"id":"DiagnosticReport.conclusionCode","path":"DiagnosticReport.conclusionCode","short":"Codes for the clinical conclusion of test results","definition":"One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.","min":0,"max":"*","base":{"path":"DiagnosticReport.conclusionCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AdjunctDiagnosis"}],"strength":"example","description":"Diagnosis codes provided as adjuncts to the report.","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1"},"mapping":[{"identity":"v2","map":"OBX"},{"identity":"rim","map":"inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)"}]},{"id":"DiagnosticReport.presentedForm","path":"DiagnosticReport.presentedForm","short":"Entire report as issued","definition":"Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.","comment":"\"application/pdf\" is recommended as the most reliable and interoperable in this context.","requirements":"Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.","min":0,"max":"*","base":{"path":"DiagnosticReport.presentedForm","min":0,"max":"*"},"type":[{"code":"Attachment"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX"},{"identity":"rim","map":"text (type=ED)"}]}]},"differential":{"element":[{"id":"DiagnosticReport","path":"DiagnosticReport","short":"AT APS DiagnosticReport"},{"id":"DiagnosticReport.subject","path":"DiagnosticReport.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group"]}]},{"id":"DiagnosticReport.performer","path":"DiagnosticReport.performer","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization","http://hl7.org/fhir/StructureDefinition/CareTeam"]}]},{"id":"DiagnosticReport.specimen","path":"DiagnosticReport.specimen","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-specimen"]}]},{"id":"DiagnosticReport.result","path":"DiagnosticReport.result","slicing":{"discriminator":[{"type":"profile","path":"resolve()"}],"ordered":false,"rules":"open"}},{"id":"DiagnosticReport.result:observationResults","path":"DiagnosticReport.result","sliceName":"observationResults","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultsradiology"]}]}]}} package/StructureDefinition-at-aps-documentreference.json 0100644 0000000 0000000 00000241417 15112310072 022763 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-documentreference","text":{"status":"extensions","div":""},"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference","version":"0.2.0","name":"AtApsDocumentReference","title":"AT APS DocumentReference","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die DocumentReference-Ressource berücksichtigt die österreichischen Vorgaben (z.B. Patient).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"fhircomposition","uri":"http://hl7.org/fhir/composition","name":"FHIR Composition"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"cda","uri":"http://hl7.org/v3/cda","name":"CDA (R2)"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"xds","uri":"http://ihe.net/xds","name":"XDS metadata equivalent"}],"kind":"resource","abstract":false,"type":"DocumentReference","baseDefinition":"http://hl7.org/fhir/StructureDefinition/DocumentReference","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"DocumentReference","path":"DocumentReference","short":"At APS DocumentReference","definition":"A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.","comment":"Usually, this is used for documents other than those defined by FHIR.","min":0,"max":"*","base":{"path":"DocumentReference","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"fhircomposition","map":"when describing a Composition"},{"identity":"rim","map":"Document[classCode=\"DOC\" and moodCode=\"EVN\"]"},{"identity":"cda","map":"when describing a CDA"}]},{"id":"DocumentReference.id","path":"DocumentReference.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"DocumentReference.meta","path":"DocumentReference.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"DocumentReference.implicitRules","path":"DocumentReference.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"DocumentReference.language","path":"DocumentReference.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"DocumentReference.text","path":"DocumentReference.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"DocumentReference.contained","path":"DocumentReference.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.extension","path":"DocumentReference.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.modifierExtension","path":"DocumentReference.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.masterIdentifier","path":"DocumentReference.masterIdentifier","short":"Master Version Specific Identifier","definition":"Document identifier as assigned by the source of the document. This identifier is specific to this version of the document. This unique identifier may be used elsewhere to identify this version of the document.","comment":"CDA Document Id extension and root.","requirements":"The structure and format of this Id shall be consistent with the specification corresponding to the formatCode attribute. (e.g. for a DICOM standard document a 64-character numeric UID, for an HL7 CDA format a serialization of the CDA Document Id extension and root in the form \"oid^extension\", where OID is a 64 digits max, and the Id is a 16 UTF-8 char max. If the OID is coded without the extension then the '^' character shall not be included.).","min":0,"max":"1","base":{"path":"DocumentReference.masterIdentifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"fhircomposition","map":"Composition.identifier"},{"identity":"v2","map":"TXA-12"},{"identity":"rim","map":".id"},{"identity":"xds","map":"DocumentEntry.uniqueId"},{"identity":"cda","map":"ClinicalDocument/id"}]},{"id":"DocumentReference.identifier","path":"DocumentReference.identifier","short":"Other identifiers for the document","definition":"Other identifiers associated with the document, including version independent identifiers.","min":0,"max":"*","base":{"path":"DocumentReference.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"TXA-16?"},{"identity":"rim","map":".id / .setId"},{"identity":"xds","map":"DocumentEntry.entryUUID"}]},{"id":"DocumentReference.status","path":"DocumentReference.status","short":"current | superseded | entered-in-error","definition":"The status of this document reference.","comment":"This is the status of the DocumentReference object, which might be independent from the docStatus element.\n\nThis element is labeled as a modifier because the status contains the codes that mark the document or reference as not currently valid.","min":1,"max":"1","base":{"path":"DocumentReference.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentReferenceStatus"}],"strength":"required","description":"The status of the document reference.","valueSet":"http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"TXA-19"},{"identity":"rim","map":"interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\"; final: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct()]); amended: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct() and statusCode=\"completed\"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]=\"obsolete\""},{"identity":"xds","map":"DocumentEntry.availabilityStatus"}]},{"id":"DocumentReference.docStatus","path":"DocumentReference.docStatus","short":"preliminary | final | amended | entered-in-error","definition":"The status of the underlying document.","comment":"The document that is pointed to might be in various lifecycle states.","min":0,"max":"1","base":{"path":"DocumentReference.docStatus","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ReferredDocumentStatus"}],"strength":"required","description":"Status of the underlying document.","valueSet":"http://hl7.org/fhir/ValueSet/composition-status|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"fhircomposition","map":"Composition.status"},{"identity":"v2","map":"TXA-17"},{"identity":"rim","map":".statusCode"}]},{"id":"DocumentReference.type","path":"DocumentReference.type","short":"Kind of document (LOINC if possible)","definition":"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.","comment":"Key metadata element describing the document that describes he exact type of document. Helps humans to assess whether the document is of interest when viewing a list of documents.","min":0,"max":"1","base":{"path":"DocumentReference.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentC80Type"}],"strength":"preferred","description":"Precise type of clinical document.","valueSet":"http://hl7.org/fhir/ValueSet/c80-doc-typecodes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.class"},{"identity":"fhircomposition","map":"Composition.type"},{"identity":"v2","map":"TXA-2"},{"identity":"rim","map":"./code"},{"identity":"xds","map":"DocumentEntry.type"},{"identity":"cda","map":"ClinicalDocument/code/@code \n\nThe typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC, in which case the mapping step can be omitted."}]},{"id":"DocumentReference.category","path":"DocumentReference.category","short":"Categorization of document","definition":"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.","comment":"Key metadata element describing the the category or classification of the document. This is a broader perspective that groups similar documents based on how they would be used. This is a primary key used in searching.","alias":["claxs"],"min":0,"max":"*","base":{"path":"DocumentReference.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentC80Class"}],"strength":"example","description":"High-level kind of a clinical document at a macro level.","valueSet":"http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"fhircomposition","map":"Composition.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"},{"identity":"xds","map":"DocumentEntry.class"},{"identity":"cda","map":"Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service, based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code"}]},{"id":"DocumentReference.subject","path":"DocumentReference.subject","short":"Who/what is the subject of the document","definition":"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).","min":0,"max":"1","base":{"path":"DocumentReference.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/Device"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"fhircomposition","map":"Composition.subject"},{"identity":"v2","map":"PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)"},{"identity":"rim","map":".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"},{"identity":"xds","map":"DocumentEntry.patientId"},{"identity":"cda","map":"ClinicalDocument/recordTarget/"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"DocumentReference.date","path":"DocumentReference.date","short":"When this document reference was created","definition":"When the document reference was created.","comment":"Referencing/indexing time is used for tracking, organizing versions and searching.","alias":["indexed"],"min":0,"max":"1","base":{"path":"DocumentReference.date","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.recorded"},{"identity":"fhircomposition","map":"Composition.date"},{"identity":"rim","map":".availabilityTime[type=\"TS\"]"}]},{"id":"DocumentReference.author","path":"DocumentReference.author","short":"Who and/or what authored the document","definition":"Identifies who is responsible for adding the information to the document.","comment":"Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant).","min":0,"max":"*","base":{"path":"DocumentReference.author","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Device","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"fhircomposition","map":"Composition.author"},{"identity":"v2","map":"TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)"},{"identity":"rim","map":".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"},{"identity":"xds","map":"DocumentEntry.author"},{"identity":"cda","map":"ClinicalDocument/author"}]},{"id":"DocumentReference.authenticator","path":"DocumentReference.authenticator","short":"Who/what authenticated the document","definition":"Which person or organization authenticates that this document is valid.","comment":"Represents a participant within the author institution who has legally authenticated or attested the document. Legal authentication implies that a document has been signed manually or electronically by the legal Authenticator.","min":0,"max":"1","base":{"path":"DocumentReference.authenticator","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.witness"},{"identity":"fhircomposition","map":"Composition.attester"},{"identity":"v2","map":"TXA-10"},{"identity":"rim","map":".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"},{"identity":"xds","map":"DocumentEntry.legalAuthenticator"},{"identity":"cda","map":"ClinicalDocument/legalAuthenticator"}]},{"id":"DocumentReference.custodian","path":"DocumentReference.custodian","short":"Organization which maintains the document","definition":"Identifies the organization or group who is responsible for ongoing maintenance of and access to the document.","comment":"Identifies the logical organization (software system, vendor, or department) to go to find the current version, where to report issues, etc. This is different from the physical location (URL, disk drive, or server) of the document, which is the technical location of the document, which host may be delegated to the management of some other organization.","min":0,"max":"1","base":{"path":"DocumentReference.custodian","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"fhircomposition","map":"Composition.custodian"},{"identity":"rim","map":".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]"}]},{"id":"DocumentReference.relatesTo","path":"DocumentReference.relatesTo","short":"Relationships to other documents","definition":"Relationships that this document has with other document references that already exist.","comment":"This element is labeled as a modifier because documents that append to other documents are incomplete on their own.","min":0,"max":"*","base":{"path":"DocumentReference.relatesTo","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"fhircomposition","map":"Composition.relatesTo"},{"identity":"rim","map":".outboundRelationship"},{"identity":"xds","map":"DocumentEntry Associations"}]},{"id":"DocumentReference.relatesTo.id","path":"DocumentReference.relatesTo.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.relatesTo.extension","path":"DocumentReference.relatesTo.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.relatesTo.modifierExtension","path":"DocumentReference.relatesTo.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.relatesTo.code","path":"DocumentReference.relatesTo.code","short":"replaces | transforms | signs | appends","definition":"The type of relationship that this document has with anther document.","comment":"If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.","min":1,"max":"1","base":{"path":"DocumentReference.relatesTo.code","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentRelationshipType"}],"strength":"required","description":"The type of relationship between documents.","valueSet":"http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1"},"mapping":[{"identity":"fhircomposition","map":"Composition.relatesTo.code"},{"identity":"rim","map":".outboundRelationship.typeCode"},{"identity":"xds","map":"DocumentEntry Associations type"}]},{"id":"DocumentReference.relatesTo.target","path":"DocumentReference.relatesTo.target","short":"Target of the relationship","definition":"The target document of this relationship.","min":1,"max":"1","base":{"path":"DocumentReference.relatesTo.target","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"fhircomposition","map":"Composition.relatesTo.target"},{"identity":"rim","map":".target[classCode=\"DOC\", moodCode=\"EVN\"].id"},{"identity":"xds","map":"DocumentEntry Associations reference"}]},{"id":"DocumentReference.description","path":"DocumentReference.description","short":"Human-readable description","definition":"Human-readable description of the source document.","comment":"What the document is about, a terse summary of the document.","requirements":"Helps humans to assess whether the document is of interest.","min":0,"max":"1","base":{"path":"DocumentReference.description","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"TXA-25"},{"identity":"rim","map":".outboundRelationship[typeCode=\"SUBJ\"].target.text"},{"identity":"xds","map":"DocumentEntry.comments"}]},{"id":"DocumentReference.securityLabel","path":"DocumentReference.securityLabel","short":"Document security-tags","definition":"A set of Security-Tag codes specifying the level of privacy/security of the Document. Note that DocumentReference.meta.security contains the security labels of the \"reference\" to the document, while DocumentReference.securityLabel contains a snapshot of the security labels on the document the reference refers to.","comment":"The confidentiality codes can carry multiple vocabulary items. HL7 has developed an understanding of security and privacy tags that might be desirable in a Document Sharing environment, called HL7 Healthcare Privacy and Security Classification System (HCS). The following specification is recommended but not mandated, as the vocabulary bindings are an administrative domain responsibility. The use of this method is up to the policy domain such as the XDS Affinity Domain or other Trust Domain where all parties including sender and recipients are trusted to appropriately tag and enforce. \n\nIn the HL7 Healthcare Privacy and Security Classification (HCS) there are code systems specific to Confidentiality, Sensitivity, Integrity, and Handling Caveats. Some values would come from a local vocabulary as they are related to workflow roles and special projects.","requirements":"Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended.","min":0,"max":"*","base":{"path":"DocumentReference.securityLabel","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SecurityLabels"}],"strength":"extensible","description":"Security Labels from the Healthcare Privacy and Security Classification System.","valueSet":"http://hl7.org/fhir/ValueSet/security-labels|4.0.1"},"mapping":[{"identity":"fhircomposition","map":"Composition.confidentiality, Composition.meta.security"},{"identity":"v2","map":"TXA-18"},{"identity":"rim","map":".confidentialityCode"},{"identity":"xds","map":"DocumentEntry.confidentialityCode"},{"identity":"cda","map":"ClinicalDocument/confidentialityCode/@code"}]},{"id":"DocumentReference.content","path":"DocumentReference.content","short":"Document referenced","definition":"The document and format referenced. There may be multiple content element repetitions, each with a different format.","min":1,"max":"*","base":{"path":"DocumentReference.content","min":1,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"fhircomposition","map":"Bundle(Composition+*)"},{"identity":"rim","map":"document.text"}]},{"id":"DocumentReference.content.id","path":"DocumentReference.content.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.content.extension","path":"DocumentReference.content.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.content.modifierExtension","path":"DocumentReference.content.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.content.attachment","path":"DocumentReference.content.attachment","short":"Where to access the document","definition":"The document or URL of the document along with critical metadata to prove content has integrity.","min":1,"max":"1","base":{"path":"DocumentReference.content.attachment","min":1,"max":"1"},"type":[{"code":"Attachment"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"fhircomposition","map":"Composition.language, \nComposition.title, \nComposition.date"},{"identity":"v2","map":"TXA-3 for mime type"},{"identity":"rim","map":"document.text"},{"identity":"xds","map":"DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title, DocumentEntry.creationTime"},{"identity":"cda","map":"ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/date"}]},{"id":"DocumentReference.content.format","path":"DocumentReference.content.format","short":"Format/content rules for the document","definition":"An identifier of the document encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.","comment":"Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI.","min":0,"max":"1","base":{"path":"DocumentReference.content.format","min":0,"max":"1"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentFormat"}],"strength":"preferred","description":"Document Format Codes.","valueSet":"http://hl7.org/fhir/ValueSet/formatcodes|4.0.1"},"mapping":[{"identity":"fhircomposition","map":"Composition.meta.profile"},{"identity":"rim","map":"document.text"},{"identity":"xds","map":"DocumentEntry.formatCode"},{"identity":"cda","map":"derived from the IHE Profile or Implementation Guide templateID"}]},{"id":"DocumentReference.context","path":"DocumentReference.context","short":"Clinical context of document","definition":"The clinical context in which the document was prepared.","comment":"These values are primarily added to help with searching for interesting/relevant documents.","min":0,"max":"1","base":{"path":"DocumentReference.context","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']"}]},{"id":"DocumentReference.context.id","path":"DocumentReference.context.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.context.extension","path":"DocumentReference.context.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"DocumentReference.context.modifierExtension","path":"DocumentReference.context.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"DocumentReference.context.encounter","path":"DocumentReference.context.encounter","short":"Context of the document content","definition":"Describes the clinical encounter or type of care that the document content is associated with.","min":0,"max":"*","base":{"path":"DocumentReference.context.encounter","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1","http://hl7.org/fhir/StructureDefinition/EpisodeOfCare|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"fhircomposition","map":"Composition.encounter"},{"identity":"rim","map":"unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"}]},{"id":"DocumentReference.context.event","path":"DocumentReference.context.event","short":"Main clinical acts documented","definition":"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.","comment":"An event can further specialize the act inherent in the type, such as where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more event codes are included, they shall not conflict with the values inherent in the class or type elements as such a conflict would create an ambiguous situation.","min":0,"max":"*","base":{"path":"DocumentReference.context.event","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentEventType"}],"strength":"example","description":"This list of codes represents the main clinical acts being documented.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActCode"},"mapping":[{"identity":"fhircomposition","map":"Composition.event.code"},{"identity":"rim","map":".code"},{"identity":"xds","map":"DocumentEntry.eventCodeList"}]},{"id":"DocumentReference.context.period","path":"DocumentReference.context.period","short":"Time of service that is being documented","definition":"The time period over which the service that is described by the document was provided.","min":0,"max":"1","base":{"path":"DocumentReference.context.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"fhircomposition","map":"Composition.event.period"},{"identity":"rim","map":".effectiveTime"},{"identity":"xds","map":"DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime"},{"identity":"cda","map":"ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/low/\n@value --> ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/high/\n@value"}]},{"id":"DocumentReference.context.facilityType","path":"DocumentReference.context.facilityType","short":"Kind of facility where patient was seen","definition":"The kind of facility where the patient was seen.","min":0,"max":"1","base":{"path":"DocumentReference.context.facilityType","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentC80FacilityType"}],"strength":"example","description":"XDS Facility Type.","valueSet":"http://hl7.org/fhir/ValueSet/c80-facilitycodes|4.0.1"},"mapping":[{"identity":"fhircomposition","map":"usually from a mapping to a local ValueSet"},{"identity":"rim","map":".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"},{"identity":"xds","map":"DocumentEntry.healthcareFacilityTypeCode"},{"identity":"cda","map":"usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code"}]},{"id":"DocumentReference.context.practiceSetting","path":"DocumentReference.context.practiceSetting","short":"Additional details about where the content was created (e.g. clinical specialty)","definition":"This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.","comment":"This element should be based on a coarse classification system for the class of specialty practice. Recommend the use of the classification system for Practice Setting, such as that described by the Subject Matter Domain in LOINC.","requirements":"This is an important piece of metadata that providers often rely upon to quickly sort and/or filter out to find specific content.","min":0,"max":"1","base":{"path":"DocumentReference.context.practiceSetting","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DocumentC80PracticeSetting"}],"strength":"example","description":"Additional details about where the content was created (e.g. clinical specialty).","valueSet":"http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1"},"mapping":[{"identity":"fhircomposition","map":"usually from a mapping to a local ValueSet"},{"identity":"rim","map":".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"},{"identity":"xds","map":"DocumentEntry.practiceSettingCode"},{"identity":"cda","map":"usually from a mapping to a local ValueSet"}]},{"id":"DocumentReference.context.sourcePatientInfo","path":"DocumentReference.context.sourcePatientInfo","short":"Patient demographics from source","definition":"The Patient Information as known when the document was published. May be a reference to a version specific, or contained.","min":0,"max":"1","base":{"path":"DocumentReference.context.sourcePatientInfo","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"fhircomposition","map":"Composition.subject"},{"identity":"rim","map":".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"},{"identity":"xds","map":"DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId"},{"identity":"cda","map":"ClinicalDocument/recordTarget/"}]},{"id":"DocumentReference.context.related","path":"DocumentReference.context.related","short":"Related identifiers or resources","definition":"Related identifiers or resources associated with the DocumentReference.","comment":"May be identifiers or resources that caused the DocumentReference or referenced Document to be created.","min":0,"max":"*","base":{"path":"DocumentReference.context.related","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"fhircomposition","map":"Composition.event.detail"},{"identity":"rim","map":"./outboundRelationship[typeCode=\"PERT\" and isNormalActRelationship()] / target[isNormalAct]"},{"identity":"xds","map":"DocumentEntry.referenceIdList"},{"identity":"cda","map":"ClinicalDocument/relatedDocument"}]}]},"differential":{"element":[{"id":"DocumentReference","path":"DocumentReference","short":"At APS DocumentReference"},{"id":"DocumentReference.subject","path":"DocumentReference.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/Device"]}]},{"id":"DocumentReference.author","path":"DocumentReference.author","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Device","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}]},{"id":"DocumentReference.context.sourcePatientInfo","path":"DocumentReference.context.sourcePatientInfo","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]}]}} package/StructureDefinition-at-aps-flagalert.json 0100644 0000000 0000000 00000102310 15112310072 021213 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-flagalert","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Flag-alert-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-flagalert","version":"0.2.0","name":"AtApsFlagAlert","title":"AT APS Flag Alert","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Flag-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"Flag","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Flag","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Flag","path":"Flag","short":"AT APS Flag Alert","definition":"Prospective warnings of potential issues when providing care to the patient.","alias":["Barriers to Care","Alert","Warning"],"min":0,"max":"*","base":{"path":"Flag","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Observation[classCode=ISSUE, moodCode=EVN]"}]},{"id":"Flag.id","path":"Flag.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Flag.meta","path":"Flag.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Flag.implicitRules","path":"Flag.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Flag.language","path":"Flag.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Flag.text","path":"Flag.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Flag.contained","path":"Flag.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Flag.extension","path":"Flag.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Flag.modifierExtension","path":"Flag.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Flag.identifier","path":"Flag.identifier","short":"Business identifier","definition":"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.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.","requirements":"Allows identification of the flag as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"Flag.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"}]},{"id":"Flag.status","path":"Flag.status","short":"active | inactive | entered-in-error","definition":"Supports basic workflow.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","min":1,"max":"1","base":{"path":"Flag.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FlagStatus"}],"strength":"required","description":"Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.","valueSet":"http://hl7.org/fhir/ValueSet/flag-status|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":".status"}]},{"id":"Flag.category","path":"Flag.category","short":"Clinical, administrative, etc.","definition":"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.","comment":"The value set will often need to be adjusted based on local business rules and usage context.","min":0,"max":"*","base":{"path":"Flag.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FlagCategory"}],"strength":"example","description":"A general category for flags for filtering/display purposes.","valueSet":"http://hl7.org/fhir/ValueSet/flag-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".code"}]},{"id":"Flag.code","path":"Flag.code","short":"Coded or textual message to display to user","definition":"The coded value or textual component of the flag to display to the user.","comment":"If non-coded, use CodeableConcept.text. This element should always be included in the narrative.","min":1,"max":"1","base":{"path":"Flag.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FlagCode"}],"strength":"example","description":"Detail codes identifying specific flagged issues.","valueSet":"http://hl7.org/fhir/ValueSet/flag-code|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".value"}]},{"id":"Flag.subject","path":"Flag.subject","short":"Who/What is flag about?","definition":"The patient, location, group, organization, or practitioner etc. this is about record this flag is associated with.","min":1,"max":"1","base":{"path":"Flag.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Location","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PlanDefinition","http://hl7.org/fhir/StructureDefinition/Medication","http://hl7.org/fhir/StructureDefinition/Procedure"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"rim","map":".participation[typeCode=SBJ].role[classCode=PAT | LOCE | ASSIGNED]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Flag.period","path":"Flag.period","short":"Time period when flag is active","definition":"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.","min":0,"max":"1","base":{"path":"Flag.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.context"}]},{"id":"Flag.encounter","path":"Flag.encounter","short":"Alert relevant during encounter","definition":"This alert is only relevant during the encounter.","comment":"If both Flag.encounter and Flag.period are valued, then Flag.period.start shall not be before Encounter.period.start and Flag.period.end shall not be after Encounter.period.end.","min":0,"max":"1","base":{"path":"Flag.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.context"}]},{"id":"Flag.author","path":"Flag.author","short":"Flag creator","definition":"The person, organization or device that created the flag.","min":0,"max":"1","base":{"path":"Flag.author","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"}]}]},"differential":{"element":[{"id":"Flag","path":"Flag","short":"AT APS Flag Alert"},{"id":"Flag.subject","path":"Flag.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Location","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PlanDefinition","http://hl7.org/fhir/StructureDefinition/Medication","http://hl7.org/fhir/StructureDefinition/Procedure"]}]}]}} package/StructureDefinition-at-aps-imagingstudy.json 0100644 0000000 0000000 00000234727 15112310072 022000 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-imagingstudy","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/ImagingStudy-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-imagingstudy","version":"0.2.0","name":"AtApsImagingStudy","title":"AT APS ImagingStudy","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die ImagingStudy-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"dicom","uri":"http://nema.org/dicom","name":"DICOM Tag Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"ImagingStudy","baseDefinition":"http://hl7.org/fhir/StructureDefinition/ImagingStudy","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"ImagingStudy","path":"ImagingStudy","short":"AT APS ImagingStudy","definition":"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 may have multiple series of different modalities.","min":0,"max":"*","base":{"path":"ImagingStudy","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"Act[classCode=COMPOSITION, moodCode=EVN]"},{"identity":"dicom","map":"Reference IHE radiology TF vol 2 table 4.14-1"}]},{"id":"ImagingStudy.id","path":"ImagingStudy.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"ImagingStudy.meta","path":"ImagingStudy.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ImagingStudy.implicitRules","path":"ImagingStudy.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"ImagingStudy.language","path":"ImagingStudy.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"ImagingStudy.text","path":"ImagingStudy.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"ImagingStudy.contained","path":"ImagingStudy.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"ImagingStudy.extension","path":"ImagingStudy.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"ImagingStudy.modifierExtension","path":"ImagingStudy.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"ImagingStudy.identifier","path":"ImagingStudy.identifier","short":"Identifiers for the whole study","definition":"Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.","comment":"See discussion under [Imaging Study Implementation Notes](http://hl7.org/fhir/R4/imagingstudy.html#notes) for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.","requirements":"If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see [DICOM PS 3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).","alias":["StudyInstanceUID","AccessionNumber"],"min":0,"max":"*","base":{"path":"ImagingStudy.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id"},{"identity":"dicom","map":"StudyInstanceUID (0020,000D) | Accession Number and Issuer (0080,0050)+(0080,0051) | Study ID (0020,0010)"}]},{"id":"ImagingStudy.status","path":"ImagingStudy.status","short":"registered | available | cancelled | entered-in-error | unknown","definition":"The current state of the ImagingStudy.","comment":"Unknown does not represent \"other\" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.","min":1,"max":"1","base":{"path":"ImagingStudy.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImagingStudyStatus"}],"strength":"required","description":"The status of the ImagingStudy.","valueSet":"http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".status"}]},{"id":"ImagingStudy.modality","path":"ImagingStudy.modality","short":"All series modality if actual acquisition modalities","definition":"A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).","alias":["ModalitiesInStudy"],"min":0,"max":"*","base":{"path":"ImagingStudy.modality","min":0,"max":"*"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImagingModality"}],"strength":"extensible","description":"Type of acquired data in the instance.","valueSet":"http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".code"},{"identity":"dicom","map":"(0008,0061)"}]},{"id":"ImagingStudy.subject","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html"}],"path":"ImagingStudy.subject","short":"Who or what is the subject of the study","definition":"The subject, typically a patient, of the imaging study.","comment":"QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.","min":1,"max":"1","base":{"path":"ImagingStudy.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"rim","map":".participation[typeCode=SBJ].role"},{"identity":"dicom","map":"(0010/*)"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"ImagingStudy.encounter","path":"ImagingStudy.encounter","short":"Encounter with which this imaging study is associated","definition":"The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).","min":0,"max":"1","base":{"path":"ImagingStudy.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.encounter"},{"identity":"w5","map":"FiveWs.context"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"ImagingStudy.started","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.7.2.1"}],"path":"ImagingStudy.started","short":"When the study was started","definition":"Date and time the study started.","alias":["StudyDate","StudyTime"],"min":0,"max":"1","base":{"path":"ImagingStudy.started","min":0,"max":"1"},"type":[{"code":"dateTime"}],"example":[{"label":"General","valueDateTime":"2011-01-01T11:01:20+03:00"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.init"},{"identity":"rim","map":".effectiveTime"},{"identity":"dicom","map":"(0008,0020)+(0008,0030)"}]},{"id":"ImagingStudy.basedOn","path":"ImagingStudy.basedOn","short":"Request fulfilled","definition":"A list of the diagnostic requests that resulted in this imaging study being performed.","requirements":"To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).","min":0,"max":"*","base":{"path":"ImagingStudy.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/Appointment|4.0.1","http://hl7.org/fhir/StructureDefinition/AppointmentResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/Task|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"w5","map":"FiveWs.cause"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]"},{"identity":"dicom","map":"(0032,1064)"}]},{"id":"ImagingStudy.referrer","path":"ImagingStudy.referrer","short":"Referring physician","definition":"The requesting/referring physician.","alias":["ReferringPhysiciansName"],"min":0,"max":"1","base":{"path":"ImagingStudy.referrer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.cause"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role"},{"identity":"dicom","map":"(0008,0090)+(0008,0096)"}]},{"id":"ImagingStudy.interpreter","path":"ImagingStudy.interpreter","short":"Who interpreted images","definition":"Who read the study and interpreted the images or other content.","alias":["Name of Physician(s) Reading Study"],"min":0,"max":"*","base":{"path":"ImagingStudy.interpreter","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.witness"},{"identity":"rim","map":".participation[typeCode=PRF].role"},{"identity":"dicom","map":"(0008,1060)"}]},{"id":"ImagingStudy.endpoint","path":"ImagingStudy.endpoint","short":"Study access endpoint","definition":"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.","comment":"Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer.","requirements":"Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type.","min":0,"max":"*","base":{"path":"ImagingStudy.endpoint","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Endpoint|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"Not supported"}]},{"id":"ImagingStudy.numberOfSeries","path":"ImagingStudy.numberOfSeries","short":"Number of Study Related Series","definition":"Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.","alias":["NumberOfStudyRelatedSeries"],"min":0,"max":"1","base":{"path":"ImagingStudy.numberOfSeries","min":0,"max":"1"},"type":[{"code":"unsignedInt"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber"},{"identity":"dicom","map":"(0020,1206)"}]},{"id":"ImagingStudy.numberOfInstances","path":"ImagingStudy.numberOfInstances","short":"Number of Study Related Instances","definition":"Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.","alias":["NumberOfStudyRelatedInstances"],"min":0,"max":"1","base":{"path":"ImagingStudy.numberOfInstances","min":0,"max":"1"},"type":[{"code":"unsignedInt"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber"},{"identity":"dicom","map":"(0020,1208)"}]},{"id":"ImagingStudy.procedureReference","path":"ImagingStudy.procedureReference","short":"The performed Procedure reference","definition":"The procedure which this ImagingStudy was part of.","min":0,"max":"1","base":{"path":"ImagingStudy.procedureReference","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]"},{"identity":"dicom","map":"(0008,1032)"}]},{"id":"ImagingStudy.procedureCode","path":"ImagingStudy.procedureCode","short":"The performed procedure code","definition":"The code for the performed procedure type.","alias":["ProcedureCodeSequence"],"min":0,"max":"*","base":{"path":"ImagingStudy.procedureCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImagingProcedureCode"}],"strength":"extensible","description":"The performed procedure type.","valueSet":"http://www.rsna.org/RadLex_Playbook.aspx"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]"},{"identity":"dicom","map":"(0008,1032)"}]},{"id":"ImagingStudy.location","path":"ImagingStudy.location","short":"Where ImagingStudy occurred","definition":"The principal physical location where the ImagingStudy was performed.","requirements":"Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).","min":0,"max":"1","base":{"path":"ImagingStudy.location","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.location"},{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"v2","map":"EVN.7"},{"identity":"rim","map":".participation[typeCode=LOC].role"},{"identity":"dicom","map":"(0008,1040) | (0040,0243)"}]},{"id":"ImagingStudy.reasonCode","path":"ImagingStudy.reasonCode","short":"Why the study was requested","definition":"Description of clinical condition indicating why the ImagingStudy was requested.","min":0,"max":"*","base":{"path":"ImagingStudy.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImagingReason"}],"strength":"example","description":"The reason for the study.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".reasonCode"},{"identity":"dicom","map":"(0040,1002)"}]},{"id":"ImagingStudy.reasonReference","path":"ImagingStudy.reasonReference","short":"Why was study performed","definition":"Indicates another resource whose existence justifies this Study.","min":0,"max":"*","base":{"path":"ImagingStudy.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1","http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1","http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.reasonReference"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"EVN.4 or by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=RSON].target"}]},{"id":"ImagingStudy.note","path":"ImagingStudy.note","short":"User-defined comments","definition":"Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element.","min":0,"max":"*","base":{"path":"ImagingStudy.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"rim","map":"unknown"}]},{"id":"ImagingStudy.description","path":"ImagingStudy.description","short":"Institution-generated description","definition":"The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.","alias":["StudyDescription"],"min":0,"max":"1","base":{"path":"ImagingStudy.description","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".text"},{"identity":"dicom","map":"(0008,1030)"}]},{"id":"ImagingStudy.series","path":"ImagingStudy.series","short":"Each study has one or more series of instances","definition":"Each study has one or more series of images or other content.","min":0,"max":"*","base":{"path":"ImagingStudy.series","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]"}]},{"id":"ImagingStudy.series.id","path":"ImagingStudy.series.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"ImagingStudy.series.extension","path":"ImagingStudy.series.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"ImagingStudy.series.modifierExtension","path":"ImagingStudy.series.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"ImagingStudy.series.uid","path":"ImagingStudy.series.uid","short":"DICOM Series Instance UID for the series","definition":"The DICOM Series Instance UID for the series.","comment":"See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).","requirements":"DICOM Series Instance UID.","alias":["SeriesInstanceUID"],"min":1,"max":"1","base":{"path":"ImagingStudy.series.uid","min":1,"max":"1"},"type":[{"code":"id"}],"example":[{"label":"General","valueId":"2.16.124.113543.6003.2588828330.45298.17418.2723805630"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".id"},{"identity":"dicom","map":"(0020,000E)"}]},{"id":"ImagingStudy.series.number","path":"ImagingStudy.series.number","short":"Numeric identifier of this series","definition":"The numeric identifier of this series in the study.","alias":["SeriesNumber"],"min":0,"max":"1","base":{"path":"ImagingStudy.series.number","min":0,"max":"1"},"type":[{"code":"unsignedInt"}],"example":[{"label":"General","valueUnsignedInt":3}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber"},{"identity":"dicom","map":"(0020,0011)"}]},{"id":"ImagingStudy.series.modality","path":"ImagingStudy.series.modality","short":"The modality of the instances in the series","definition":"The modality of this series sequence.","alias":["Modality"],"min":1,"max":"1","base":{"path":"ImagingStudy.series.modality","min":1,"max":"1"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImagingModality"}],"strength":"extensible","description":"Type of acquired data in the instance.","valueSet":"http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"},"mapping":[{"identity":"rim","map":".code"},{"identity":"dicom","map":"(0008,0060)"}]},{"id":"ImagingStudy.series.description","path":"ImagingStudy.series.description","short":"A short human readable summary of the series","definition":"A description of the series.","alias":["SeriesDescription"],"min":0,"max":"1","base":{"path":"ImagingStudy.series.description","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"CT Surview 180"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".text"},{"identity":"dicom","map":"(0008,103E)"}]},{"id":"ImagingStudy.series.numberOfInstances","path":"ImagingStudy.series.numberOfInstances","short":"Number of Series Related Instances","definition":"Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.","alias":["NumberOfSeriesRelatedInstances"],"min":0,"max":"1","base":{"path":"ImagingStudy.series.numberOfInstances","min":0,"max":"1"},"type":[{"code":"unsignedInt"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber"},{"identity":"dicom","map":"(0020,1209)"}]},{"id":"ImagingStudy.series.endpoint","path":"ImagingStudy.series.endpoint","short":"Series access endpoint","definition":"The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType.","comment":"Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances.","requirements":"Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level.","min":0,"max":"*","base":{"path":"ImagingStudy.series.endpoint","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Endpoint|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"Not supported"}]},{"id":"ImagingStudy.series.bodySite","path":"ImagingStudy.series.bodySite","short":"Body part examined","definition":"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 indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality.","alias":["BodyPartExamined"],"min":0,"max":"1","base":{"path":"ImagingStudy.series.bodySite","min":0,"max":"1"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site|4.0.1"},"mapping":[{"identity":"rim","map":".targetSiteCode"},{"identity":"dicom","map":"(0018,0015)"}]},{"id":"ImagingStudy.series.laterality","path":"ImagingStudy.series.laterality","short":"Body part laterality","definition":"The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite.","min":0,"max":"1","base":{"path":"ImagingStudy.series.laterality","min":0,"max":"1"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Laterality"}],"strength":"example","description":"Codes describing body site laterality (left, right, etc.).","valueSet":"http://hl7.org/fhir/ValueSet/bodysite-laterality|4.0.1"},"mapping":[{"identity":"rim","map":".targetSiteCode"},{"identity":"dicom","map":"(0020,0060)"}]},{"id":"ImagingStudy.series.specimen","path":"ImagingStudy.series.specimen","short":"Specimen imaged","definition":"The specimen imaged, e.g., for whole slide imaging of a biopsy.","min":0,"max":"*","base":{"path":"ImagingStudy.series.specimen","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"Role[classCode=SPEC]"},{"identity":"dicom","map":"(0040,0551) + (0040,0562)"}]},{"id":"ImagingStudy.series.started","path":"ImagingStudy.series.started","short":"When the series started","definition":"The date and time the series was started.","min":0,"max":"1","base":{"path":"ImagingStudy.series.started","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".effectiveTime"},{"identity":"dicom","map":"(0008,0021) + (0008,0031)"}]},{"id":"ImagingStudy.series.performer","path":"ImagingStudy.series.performer","short":"Who performed the series","definition":"Indicates who or what performed the series and how they were involved.","comment":"If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.","requirements":"The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers.","alias":["PerformingPhysicianName","OperatorName"],"min":0,"max":"*","base":{"path":"ImagingStudy.series.performer","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"rim","map":".participation[typeCode=PRF].role"},{"identity":"dicom","map":"(0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)"}]},{"id":"ImagingStudy.series.performer.id","path":"ImagingStudy.series.performer.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"ImagingStudy.series.performer.extension","path":"ImagingStudy.series.performer.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"ImagingStudy.series.performer.modifierExtension","path":"ImagingStudy.series.performer.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"ImagingStudy.series.performer.function","path":"ImagingStudy.series.performer.function","short":"Type of performance","definition":"Distinguishes the type of involvement of the performer in the series.","requirements":"Allows disambiguation of the types of involvement of different performers.","min":0,"max":"1","base":{"path":"ImagingStudy.series.performer.function","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EventPerformerFunction"}],"strength":"extensible","description":"The type of involvement of the performer.","valueSet":"http://hl7.org/fhir/ValueSet/series-performer-function|4.0.1"},"mapping":[{"identity":"rim","map":".participation[typeCode=PRF].role"}]},{"id":"ImagingStudy.series.performer.actor","path":"ImagingStudy.series.performer.actor","short":"Who performed the series","definition":"Indicates who or what performed the series.","min":1,"max":"1","base":{"path":"ImagingStudy.series.performer.actor","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"EVN.5 or by domain"},{"identity":"rim","map":".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"}]},{"id":"ImagingStudy.series.instance","path":"ImagingStudy.series.instance","short":"A single SOP instance from the series","definition":"A single SOP instance within the series, e.g. an image, or presentation state.","min":0,"max":"*","base":{"path":"ImagingStudy.series.instance","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]"}]},{"id":"ImagingStudy.series.instance.id","path":"ImagingStudy.series.instance.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"ImagingStudy.series.instance.extension","path":"ImagingStudy.series.instance.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"ImagingStudy.series.instance.modifierExtension","path":"ImagingStudy.series.instance.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"ImagingStudy.series.instance.uid","path":"ImagingStudy.series.instance.uid","short":"DICOM SOP Instance UID","definition":"The DICOM SOP Instance UID for this image or other DICOM content.","comment":"See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html#sect_C.12.1).","requirements":"DICOM SOP Instance UID.","alias":["SOPInstanceUID"],"min":1,"max":"1","base":{"path":"ImagingStudy.series.instance.uid","min":1,"max":"1"},"type":[{"code":"id"}],"example":[{"label":"General","valueId":"2.16.124.113543.6003.189642796.63084.16748.2599092903"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".id"},{"identity":"dicom","map":"(0008,0018)"}]},{"id":"ImagingStudy.series.instance.sopClass","path":"ImagingStudy.series.instance.sopClass","short":"DICOM class type","definition":"DICOM instance type.","alias":["SOPClassUID"],"min":1,"max":"1","base":{"path":"ImagingStudy.series.instance.sopClass","min":1,"max":"1"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"sopClass"}],"strength":"extensible","description":"The sopClass for the instance.","valueSet":"http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code=\"sop class\"].value"},{"identity":"dicom","map":"(0008,0016)"}]},{"id":"ImagingStudy.series.instance.number","path":"ImagingStudy.series.instance.number","short":"The number of this instance in the series","definition":"The number of instance in the series.","alias":["InstanceNumber"],"min":0,"max":"1","base":{"path":"ImagingStudy.series.instance.number","min":0,"max":"1"},"type":[{"code":"unsignedInt"}],"example":[{"label":"General","valueUnsignedInt":1}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber"},{"identity":"dicom","map":"(0020,0013)"}]},{"id":"ImagingStudy.series.instance.title","path":"ImagingStudy.series.instance.title","short":"Description of instance","definition":"The description of the instance.","comment":"Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.","min":0,"max":"1","base":{"path":"ImagingStudy.series.instance.title","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".title"},{"identity":"dicom","map":"(0008,0008) | (0007,0080) | (0040,A043) + (0008,0104) | (0042,0010)"}]}]},"differential":{"element":[{"id":"ImagingStudy","path":"ImagingStudy","short":"AT APS ImagingStudy"},{"id":"ImagingStudy.subject","path":"ImagingStudy.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]}]}} package/StructureDefinition-at-aps-immunization.json 0100644 0000000 0000000 00000320217 15112310072 022005 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-immunization","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-immunization","version":"0.2.0","name":"AtApsImmunization","title":"AT APS Immunization","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Immunization-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"cda","uri":"http://hl7.org/v3/cda","name":"CDA (R2)"}],"kind":"resource","abstract":false,"type":"Immunization","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Immunization","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Immunization","path":"Immunization","short":"AT APS Immunization","definition":"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.","min":0,"max":"*","base":{"path":"Immunization","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"v2","map":"VXU_V04"},{"identity":"rim","map":"SubstanceAdministration"}]},{"id":"Immunization.id","path":"Immunization.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Immunization.meta","path":"Immunization.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Immunization.implicitRules","path":"Immunization.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Immunization.language","path":"Immunization.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Immunization.text","path":"Immunization.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Immunization.contained","path":"Immunization.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.extension","path":"Immunization.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"ordered":false,"rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Immunization.extension:ImmunizationBasedOnR5","path":"Immunization.extension","sliceName":"ImmunizationBasedOnR5","short":"Authority that the immunization event is based on","definition":"This extension implements the R5 basedOn element. A plan, order or recommendation fulfilled in whole or in part by this immunization.","min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn"]}],"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.extension:ImmunizationBasedOnR5.id","path":"Immunization.extension.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.extension:ImmunizationBasedOnR5.extension","path":"Immunization.extension.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"0","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Immunization.extension:ImmunizationBasedOnR5.url","path":"Immunization.extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"uri"}],"code":"http://hl7.org/fhirpath/System.String"}],"fixedUri":"http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.extension:ImmunizationBasedOnR5.value[x]","path":"Immunization.extension.value[x]","short":"Value of extension","definition":"Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).","min":1,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-careplan","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationrequest","http://hl7.org/fhir/StructureDefinition/ServiceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.modifierExtension","path":"Immunization.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.identifier","path":"Immunization.identifier","short":"Business identifier","definition":"A unique identifier assigned to this immunization record.","min":0,"max":"*","base":{"path":"Immunization.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"}]},{"id":"Immunization.status","path":"Immunization.status","short":"completed | entered-in-error | not-done","definition":"Indicates the current status of the immunization event.","comment":"Will generally be set to show that the immunization has been completed or not done. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","min":1,"max":"1","base":{"path":"Immunization.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImmunizationStatus"}],"strength":"required","description":"A set of codes indicating the current status of an Immunization.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"statusCode"}]},{"id":"Immunization.statusReason","path":"Immunization.statusReason","short":"Reason not done","definition":"Indicates the reason the immunization event was not performed.","comment":"This is generally only used for the status of \"not-done\". The reason for performing the immunization event is captured in reasonCode, not here.","min":0,"max":"1","base":{"path":"Immunization.statusReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImmunizationStatusReason"}],"strength":"example","description":"The reason why a vaccine was not administered.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-status-reason|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.statusReason"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"}]},{"id":"Immunization.vaccineCode","path":"Immunization.vaccineCode","short":"Vaccine product administered","definition":"Vaccine that was administered or was to be administered.","min":1,"max":"1","base":{"path":"Immunization.vaccineCode","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"extension":[{"url":"key","valueId":"HistoricVaccines"},{"url":"purpose","valueCode":"candidate"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/eimpf-historischeimpfstoffe"}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-immunization-vaccine-codes"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"RXA-5"},{"identity":"rim","map":".code"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"}]},{"id":"Immunization.patient","path":"Immunization.patient","short":"Who was immunized","definition":"The patient who either received or did not receive the immunization.","min":1,"max":"1","base":{"path":"Immunization.patient","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":".partipication[ttypeCode=].role"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Immunization.encounter","path":"Immunization.encounter","short":"Encounter immunization was part of","definition":"The visit or admission or other contact between patient and health care provider the immunization was performed as part of.","min":0,"max":"1","base":{"path":"Immunization.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-19"},{"identity":"rim","map":"component->EncounterEvent"}]},{"id":"Immunization.occurrence[x]","path":"Immunization.occurrence[x]","short":"Vaccine administration date","definition":"Date vaccine administered or was to be administered.","comment":"When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.","min":1,"max":"1","base":{"path":"Immunization.occurrence[x]","min":1,"max":"1"},"type":[{"code":"dateTime"},{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"RXA-3"},{"identity":"rim","map":".effectiveTime"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"}]},{"id":"Immunization.recorded","path":"Immunization.recorded","short":"When the immunization was first captured in the subject's record","definition":"The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event.","min":0,"max":"1","base":{"path":"Immunization.recorded","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"rim","map":".participation[typeCode=AUT].time"}]},{"id":"Immunization.primarySource","path":"Immunization.primarySource","short":"Indicates context the data was recorded in","definition":"An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.","comment":"Reflects the “reliability” of the content.","min":0,"max":"1","base":{"path":"Immunization.primarySource","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"v2","map":"RXA-9"},{"identity":"rim","map":"immunization.uncertaintycode (if primary source=false, uncertainty=U)"}]},{"id":"Immunization.reportOrigin","path":"Immunization.reportOrigin","short":"Indicates the source of a secondarily reported record","definition":"The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine.","comment":"Should not be populated if primarySource = True, not required even if primarySource = False.","min":0,"max":"1","base":{"path":"Immunization.reportOrigin","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImmunizationReportOrigin"}],"strength":"example","description":"The source of the data for a record which is not from a primary source.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-origin|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"v2","map":"RXA-9"},{"identity":"rim","map":".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)"}]},{"id":"Immunization.location","path":"Immunization.location","short":"Where immunization occurred","definition":"The service delivery location where the vaccine administration occurred.","min":0,"max":"1","base":{"path":"Immunization.location","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.location"},{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"v2","map":"RXA-27 (or RXA-11, deprecated as of v2.7)"},{"identity":"rim","map":".participation[typeCode=LOC].COCT_MT240000UV"}]},{"id":"Immunization.manufacturer","path":"Immunization.manufacturer","short":"Vaccine manufacturer","definition":"Name of vaccine manufacturer.","min":0,"max":"1","base":{"path":"Immunization.manufacturer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXA-17"},{"identity":"rim","map":".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"}]},{"id":"Immunization.lotNumber","path":"Immunization.lotNumber","short":"Vaccine lot number","definition":"Lot number of the vaccine product.","min":0,"max":"1","base":{"path":"Immunization.lotNumber","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXA-15"},{"identity":"rim","map":".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"}]},{"id":"Immunization.expirationDate","path":"Immunization.expirationDate","short":"Vaccine expiration date","definition":"Date vaccine batch expires.","min":0,"max":"1","base":{"path":"Immunization.expirationDate","min":0,"max":"1"},"type":[{"code":"date"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXA-16"},{"identity":"rim","map":".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"}]},{"id":"Immunization.site","path":"Immunization.site","short":"Body site vaccine was administered","definition":"Body site where vaccine was administered.","min":0,"max":"1","base":{"path":"Immunization.site","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImmunizationSite"}],"strength":"example","description":"The site at which the vaccine was administered.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-site|4.0.1"},"mapping":[{"identity":"v2","map":"RXR-2"},{"identity":"rim","map":"observation.targetSiteCode"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"}]},{"id":"Immunization.route","path":"Immunization.route","short":"How vaccine entered body","definition":"The path by which the vaccine product is taken into the body.","min":0,"max":"1","base":{"path":"Immunization.route","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung"},"mapping":[{"identity":"v2","map":"RXR-1"},{"identity":"rim","map":".routeCode"},{"identity":"cda","map":"ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"}]},{"id":"Immunization.doseQuantity","path":"Immunization.doseQuantity","short":"Amount of vaccine administered","definition":"The quantity of vaccine product that was administered.","min":0,"max":"1","base":{"path":"Immunization.doseQuantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXA-6 / RXA-7"},{"identity":"rim","map":".doseQuantity"}]},{"id":"Immunization.performer","path":"Immunization.performer","short":"Who performed event","definition":"Indicates who performed the immunization event.","min":0,"max":"*","base":{"path":"Immunization.performer","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"v2","map":"ORC-12 / RXA-10"},{"identity":"rim","map":".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"}]},{"id":"Immunization.performer.id","path":"Immunization.performer.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.performer.extension","path":"Immunization.performer.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.performer.modifierExtension","path":"Immunization.performer.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.performer.function","path":"Immunization.performer.function","short":"What type of performance was done","definition":"Describes the type of performance (e.g. ordering provider, administering provider, etc.).","min":0,"max":"1","base":{"path":"Immunization.performer.function","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImmunizationFunction"}],"strength":"extensible","description":"The role a practitioner or organization plays in the immunization 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id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"rim","map":".player"}]},{"id":"Immunization.note","path":"Immunization.note","short":"Additional immunization notes","definition":"Extra information about the immunization that is not conveyed by the other attributes.","min":0,"max":"*","base":{"path":"Immunization.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"v2","map":"OBX-5 : OBX-3 = 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administered.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-reason|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"rim","map":"[actionNegationInd=false].reasonCode"}]},{"id":"Immunization.reasonReference","path":"Immunization.reasonReference","short":"Why immunization occurred","definition":"Condition, Observation or DiagnosticReport that supports why the immunization was administered.","min":0,"max":"*","base":{"path":"Immunization.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > 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By default, a dose should be considered to be potent.","comment":"Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.","min":0,"max":"1","base":{"path":"Immunization.isSubpotent","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"By default, a dose should be considered to be potent.","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.","isSummary":true,"mapping":[{"identity":"v2","map":"RXA-20 = PA (partial administration)"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.subpotentReason","path":"Immunization.subpotentReason","short":"Reason for being subpotent","definition":"Reason why a dose is considered to be subpotent.","min":0,"max":"*","base":{"path":"Immunization.subpotentReason","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SubpotentReason"}],"strength":"example","description":"The reason why a dose is considered to be subpotent.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-subpotent-reason|4.0.1"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education","path":"Immunization.education","short":"Educational material presented to patient","definition":"Educational material presented to the patient (or guardian) at the time of vaccine administration.","min":0,"max":"*","base":{"path":"Immunization.education","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"imm-1","severity":"error","human":"One of documentType or reference SHALL be present","expression":"documentType.exists() or reference.exists()","xpath":"exists(f:documentType) or exists(f:reference)","source":"http://hl7.org/fhir/StructureDefinition/Immunization"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education.id","path":"Immunization.education.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.education.extension","path":"Immunization.education.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.education.modifierExtension","path":"Immunization.education.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education.documentType","path":"Immunization.education.documentType","short":"Educational material document identifier","definition":"Identifier of the material presented to the patient.","min":0,"max":"1","base":{"path":"Immunization.education.documentType","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-5 : OBX-3 = 69764-9"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education.reference","path":"Immunization.education.reference","short":"Educational material reference pointer","definition":"Reference pointer to the educational material given to the patient if the information was on line.","min":0,"max":"1","base":{"path":"Immunization.education.reference","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education.publicationDate","path":"Immunization.education.publicationDate","short":"Educational material publication date","definition":"Date the educational material was published.","min":0,"max":"1","base":{"path":"Immunization.education.publicationDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-5 : OBX-3 = 29768-9"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.education.presentationDate","path":"Immunization.education.presentationDate","short":"Educational material presentation date","definition":"Date the educational material was given to the patient.","min":0,"max":"1","base":{"path":"Immunization.education.presentationDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-5 : OBX-3 = 29769-7"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.programEligibility","path":"Immunization.programEligibility","short":"Patient eligibility for a vaccination program","definition":"Indicates a patient's eligibility for a funding program.","min":0,"max":"*","base":{"path":"Immunization.programEligibility","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProgramEligibility"}],"strength":"example","description":"The patient's eligibility for a vaccation program.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-program-eligibility|4.0.1"},"mapping":[{"identity":"v2","map":"OBX-5 : OBX-3 = 64994-7"},{"identity":"rim","map":"N/A"}]},{"id":"Immunization.fundingSource","path":"Immunization.fundingSource","short":"Funding source for the vaccine","definition":"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 publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).","min":0,"max":"1","base":{"path":"Immunization.fundingSource","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FundingSource"}],"strength":"example","description":"The source of funding used to purchase the vaccine administered.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-funding-source|4.0.1"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.reaction","path":"Immunization.reaction","short":"Details of a reaction that follows immunization","definition":"Categorical data indicating that an adverse event is associated in time to an immunization.","comment":"A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.","min":0,"max":"*","base":{"path":"Immunization.reaction","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"Observation[classCode=obs].code"}]},{"id":"Immunization.reaction.id","path":"Immunization.reaction.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.reaction.extension","path":"Immunization.reaction.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.reaction.modifierExtension","path":"Immunization.reaction.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.reaction.date","path":"Immunization.reaction.date","short":"When reaction started","definition":"Date of reaction to the immunization.","min":0,"max":"1","base":{"path":"Immunization.reaction.date","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)"},{"identity":"rim","map":".effectiveTime"}]},{"id":"Immunization.reaction.detail","path":"Immunization.reaction.detail","short":"Additional information on reaction","definition":"Details of the reaction.","min":0,"max":"1","base":{"path":"Immunization.reaction.detail","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-5"},{"identity":"rim","map":".value"}]},{"id":"Immunization.reaction.reported","path":"Immunization.reaction.reported","short":"Indicates self-reported reaction","definition":"Self-reported indicator.","min":0,"max":"1","base":{"path":"Immunization.reaction.reported","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"(HL7 v2 doesn't seem to provide for this)"},{"identity":"rim","map":".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"}]},{"id":"Immunization.protocolApplied","path":"Immunization.protocolApplied","short":"Protocol followed by the provider","definition":"The protocol (set of recommendations) being followed by the provider who administered the dose.","min":1,"max":"*","base":{"path":"Immunization.protocolApplied","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.id","path":"Immunization.protocolApplied.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.protocolApplied.extension","path":"Immunization.protocolApplied.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Immunization.protocolApplied.modifierExtension","path":"Immunization.protocolApplied.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.series","path":"Immunization.protocolApplied.series","short":"Name of vaccine series","definition":"One possible path to achieve presumed immunity against a disease - within the context of an authority.","min":0,"max":"1","base":{"path":"Immunization.protocolApplied.series","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.authority","path":"Immunization.protocolApplied.authority","short":"Who is responsible for publishing the recommendations","definition":"Indicates the authority who published the protocol (e.g. ACIP) that is being followed.","min":0,"max":"1","base":{"path":"Immunization.protocolApplied.authority","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.targetDisease","path":"Immunization.protocolApplied.targetDisease","short":"Vaccine preventatable disease being targetted","definition":"The vaccine preventable disease the dose is being administered against.","min":1,"max":"*","base":{"path":"Immunization.protocolApplied.targetDisease","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.doseNumber[x]","path":"Immunization.protocolApplied.doseNumber[x]","short":"Dose number within series","definition":"Nominal position in a series.","comment":"The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).","min":1,"max":"1","base":{"path":"Immunization.protocolApplied.doseNumber[x]","min":1,"max":"1"},"type":[{"code":"positiveInt"},{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Immunization.protocolApplied.seriesDoses[x]","path":"Immunization.protocolApplied.seriesDoses[x]","short":"Recommended number of doses for immunity","definition":"The recommended number of doses to achieve immunity.","comment":"The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).","min":0,"max":"1","base":{"path":"Immunization.protocolApplied.seriesDoses[x]","min":0,"max":"1"},"type":[{"code":"positiveInt"},{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]}]},"differential":{"element":[{"id":"Immunization","path":"Immunization","short":"AT APS Immunization"},{"id":"Immunization.extension","path":"Immunization.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"ordered":false,"rules":"open"}},{"id":"Immunization.extension:ImmunizationBasedOnR5","path":"Immunization.extension","sliceName":"ImmunizationBasedOnR5","short":"Authority that the immunization event is based on","definition":"This extension implements the R5 basedOn element. A plan, order or recommendation fulfilled in whole or in part by this immunization.","min":0,"max":"*","type":[{"code":"Extension","profile":["http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.basedOn"]}]},{"id":"Immunization.extension:ImmunizationBasedOnR5.value[x]","path":"Immunization.extension.value[x]","min":1,"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-careplan","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationrequest","http://hl7.org/fhir/StructureDefinition/ServiceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]}]},{"id":"Immunization.vaccineCode","path":"Immunization.vaccineCode","binding":{"extension":[{"extension":[{"url":"key","valueId":"HistoricVaccines"},{"url":"purpose","valueCode":"candidate"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/eimpf-historischeimpfstoffe"}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-immunization-vaccine-codes"}},{"id":"Immunization.patient","path":"Immunization.patient","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]},{"id":"Immunization.route","path":"Immunization.route","binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung"}},{"id":"Immunization.protocolApplied","path":"Immunization.protocolApplied","min":1},{"id":"Immunization.protocolApplied.targetDisease","path":"Immunization.protocolApplied.targetDisease","min":1,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget"}}]}} package/StructureDefinition-at-aps-medication.json 0100644 0000000 0000000 00000154037 15112310072 021403 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-medication","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medication","version":"0.2.0","name":"AtApsMedication","title":"AT APS Medication","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Medication-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"script10.6","uri":"http://ncpdp.org/SCRIPT10_6","name":"Mapping to NCPDP SCRIPT 10.6"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"Medication","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Medication","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Medication","path":"Medication","short":"AT APS Medication","definition":"This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.","min":0,"max":"*","base":{"path":"Medication","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"script10.6","map":"NewRx/MedicationPrescribed\r-or-\rRxFill/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationPrescribed"},{"identity":"rim","map":"ManufacturedProduct[classCode=ADMM]"}]},{"id":"Medication.id","path":"Medication.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Medication.meta","path":"Medication.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Medication.implicitRules","path":"Medication.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Medication.language","path":"Medication.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Medication.text","path":"Medication.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Medication.contained","path":"Medication.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Medication.extension","path":"Medication.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Medication.modifierExtension","path":"Medication.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Medication.identifier","path":"Medication.identifier","short":"Business identifier for this medication","definition":"Business identifier for this medication.","comment":"The serial number could be included as an identifier.","min":0,"max":"*","base":{"path":"Medication.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"}]},{"id":"Medication.code","path":"Medication.code","short":"Codes that identify this medication","definition":"A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.","comment":"Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: \"A coding may be marked as a \"userSelected\" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).","min":0,"max":"1","base":{"path":"Medication.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationFormalRepresentation"}],"strength":"example","description":"A coded concept that defines the type of a medication.","valueSet":"http://hl7.org/fhir/ValueSet/medication-codes|4.0.1"},"mapping":[{"identity":"script10.6","map":"coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"},{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"},{"identity":"rim","map":".code"}]},{"id":"Medication.status","path":"Medication.status","short":"active | inactive | entered-in-error","definition":"A code to indicate if the medication is in active use.","comment":"This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product \"ABC Hospital Special Cream\" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to \"entered in error\". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.","min":0,"max":"1","base":{"path":"Medication.status","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element changes the interpretation of all descriptive attributes.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationStatus"}],"strength":"required","description":"A coded concept defining if the medication is in active use.","valueSet":"http://hl7.org/fhir/ValueSet/medication-status|4.0.1"},"mapping":[{"identity":"rim","map":".statusCode"}]},{"id":"Medication.manufacturer","path":"Medication.manufacturer","short":"Manufacturer of the item","definition":"Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.","min":0,"max":"1","base":{"path":"Medication.manufacturer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"script10.6","map":"no mapping"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name"},{"identity":"rim","map":".player.scopingRole[typeCode=MANU].scoper"}]},{"id":"Medication.form","path":"Medication.form","short":"powder | tablets | capsule +","definition":"Describes the form of the item. Powder; tablets; capsule.","comment":"When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.","min":0,"max":"1","base":{"path":"Medication.form","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationForm"}],"strength":"example","description":"A coded concept defining the form of a medication.","valueSet":"http://hl7.org/fhir/ValueSet/medication-form-codes|4.0.1"},"mapping":[{"identity":"script10.6","map":"coding.code = //element(*,DrugCodedType)/FormCode\r\rcoding.system = //element(*,DrugCodedType)/FormSourceCode"},{"identity":"v2","map":"RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form"},{"identity":"rim","map":".formCode"}]},{"id":"Medication.amount","path":"Medication.amount","short":"Amount of drug in package","definition":"Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).","min":0,"max":"1","base":{"path":"Medication.amount","min":0,"max":"1"},"type":[{"code":"Ratio"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".quantity"}]},{"id":"Medication.ingredient","path":"Medication.ingredient","short":"Active or inactive ingredient","definition":"Identifies a particular constituent of interest in the product.","comment":"The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.","min":0,"max":"*","base":{"path":"Medication.ingredient","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".scopesRole[typeCode=INGR]"}]},{"id":"Medication.ingredient.id","path":"Medication.ingredient.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Medication.ingredient.extension","path":"Medication.ingredient.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Medication.ingredient.modifierExtension","path":"Medication.ingredient.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Medication.ingredient.item[x]","path":"Medication.ingredient.item[x]","short":"The actual ingredient or content","definition":"The actual ingredient - either a substance (simple ingredient) or another medication of a medication.","requirements":"The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).","min":1,"max":"1","base":{"path":"Medication.ingredient.item[x]","min":1,"max":"1"},"type":[{"code":"CodeableConcept","profile":["http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"]},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Substance","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medication"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"},{"identity":"v2","map":"RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"},{"identity":"rim","map":".player"}]},{"id":"Medication.ingredient.isActive","path":"Medication.ingredient.isActive","short":"Active ingredient indicator","definition":"Indication of whether this ingredient affects the therapeutic action of the drug.","requirements":"True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).","min":0,"max":"1","base":{"path":"Medication.ingredient.isActive","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"NA"}]},{"id":"Medication.ingredient.strength","path":"Medication.ingredient.strength","short":"Quantity of ingredient present","definition":"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.","min":0,"max":"1","base":{"path":"Medication.ingredient.strength","min":0,"max":"1"},"type":[{"code":"Ratio"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"//element(*,DrugCodedType)/Strength"},{"identity":"v2","map":"RXC-3-Component Amount & RXC-4-Component Units if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units"},{"identity":"rim","map":".quantity"}]},{"id":"Medication.batch","path":"Medication.batch","short":"Details about packaged medications","definition":"Information that only applies to packages (not products).","min":0,"max":"1","base":{"path":"Medication.batch","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"no mapping"},{"identity":"rim","map":".player[classCode=CONT]"}]},{"id":"Medication.batch.id","path":"Medication.batch.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Medication.batch.extension","path":"Medication.batch.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Medication.batch.modifierExtension","path":"Medication.batch.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Medication.batch.lotNumber","path":"Medication.batch.lotNumber","short":"Identifier assigned to batch","definition":"The assigned lot number of a batch of the specified product.","min":0,"max":"1","base":{"path":"Medication.batch.lotNumber","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"no mapping"},{"identity":"v2","map":"RXA-15 Substance Lot Number / RXG-19 Substance Lot Number"},{"identity":"rim","map":".id"}]},{"id":"Medication.batch.expirationDate","path":"Medication.batch.expirationDate","short":"When batch will expire","definition":"When this specific batch of product will expire.","min":0,"max":"1","base":{"path":"Medication.batch.expirationDate","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"no mapping"},{"identity":"v2","map":"RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date"},{"identity":"rim","map":"participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"}]}]},"differential":{"element":[{"id":"Medication","path":"Medication","short":"AT APS Medication"},{"id":"Medication.ingredient.item[x]","path":"Medication.ingredient.item[x]","type":[{"code":"CodeableConcept","profile":["http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"]},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Substance","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medication"]}]}]}} package/StructureDefinition-at-aps-medicationadministration.json 0100644 0000000 0000000 00000203044 15112310072 024342 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-medicationadministration","text":{"status":"extensions","div":""},"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationadministration","version":"0.2.0","name":"AtApsMedicationAdministration","title":"AT APS MedicationAdministration","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die MedicationAdministration-Ressource berücksichtigt die österreichischen Vorgaben (z.B. Patient).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"w3c.prov","uri":"http://www.w3.org/ns/prov","name":"W3C PROV"}],"kind":"resource","abstract":false,"type":"MedicationAdministration","baseDefinition":"http://hl7.org/fhir/StructureDefinition/MedicationAdministration","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"MedicationAdministration","path":"MedicationAdministration","short":"At APS MedicationAdministration","definition":"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.","min":0,"max":"*","base":{"path":"MedicationAdministration","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"SubstanceAdministration"}]},{"id":"MedicationAdministration.id","path":"MedicationAdministration.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"MedicationAdministration.meta","path":"MedicationAdministration.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"MedicationAdministration.implicitRules","path":"MedicationAdministration.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"MedicationAdministration.language","path":"MedicationAdministration.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"MedicationAdministration.text","path":"MedicationAdministration.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"MedicationAdministration.contained","path":"MedicationAdministration.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationAdministration.extension","path":"MedicationAdministration.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationAdministration.modifierExtension","path":"MedicationAdministration.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationAdministration.identifier","path":"MedicationAdministration.identifier","short":"External identifier","definition":"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.","comment":"This is a business identifier, not a resource identifier.","min":0,"max":"*","base":{"path":"MedicationAdministration.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"}]},{"id":"MedicationAdministration.instantiates","path":"MedicationAdministration.instantiates","short":"Instantiates protocol or definition","definition":"A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.","min":0,"max":"*","base":{"path":"MedicationAdministration.instantiates","min":0,"max":"*"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.instantiates"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target[classCode=unspecified]"}]},{"id":"MedicationAdministration.partOf","path":"MedicationAdministration.partOf","short":"Part of referenced event","definition":"A larger event of which this particular event is a component or step.","min":0,"max":"*","base":{"path":"MedicationAdministration.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]"}]},{"id":"MedicationAdministration.status","path":"MedicationAdministration.status","short":"in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown","definition":"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.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","min":1,"max":"1","base":{"path":"MedicationAdministration.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationAdministrationStatus"}],"strength":"required","description":"A set of codes indicating the current status of a MedicationAdministration.","valueSet":"http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"RXA-20-Completion Status"},{"identity":"rim","map":".statusCode"}]},{"id":"MedicationAdministration.statusReason","path":"MedicationAdministration.statusReason","short":"Reason administration not performed","definition":"A code indicating why the administration was not performed.","min":0,"max":"*","base":{"path":"MedicationAdministration.statusReason","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationAdministrationNegationReason"}],"strength":"example","description":"A set of codes indicating the reason why the MedicationAdministration is negated.","valueSet":"http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.statusReason"},{"identity":"v2","map":"RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason"},{"identity":"rim","map":".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason not given\"].value"}]},{"id":"MedicationAdministration.category","path":"MedicationAdministration.category","short":"Type of medication usage","definition":"Indicates where the medication is expected to be consumed or administered.","min":0,"max":"1","base":{"path":"MedicationAdministration.category","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationAdministrationCategory"}],"strength":"preferred","description":"A coded concept describing where the medication administered is expected to occur.","valueSet":"http://hl7.org/fhir/ValueSet/medication-admin-category|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"}]},{"id":"MedicationAdministration.medication[x]","path":"MedicationAdministration.medication[x]","short":"What was administered","definition":"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.","comment":"If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.","min":1,"max":"1","base":{"path":"MedicationAdministration.medication[x]","min":1,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Medication|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationCode"}],"strength":"example","description":"Codes identifying substance or product that can be administered.","valueSet":"http://hl7.org/fhir/ValueSet/medication-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"RXA-5-Administered Code"},{"identity":"rim","map":".participation[typeCode=CSM].role[classCode=ADMM]"}]},{"id":"MedicationAdministration.subject","path":"MedicationAdministration.subject","short":"Who received medication","definition":"The person or animal or group receiving the medication.","min":1,"max":"1","base":{"path":"MedicationAdministration.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3-Patient ID List"},{"identity":"rim","map":".participation[typeCode=SBJ].role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"MedicationAdministration.context","path":"MedicationAdministration.context","short":"Encounter or Episode of Care administered as part of","definition":"The visit, admission, or other contact between patient and health care provider during which the medication administration was performed.","min":0,"max":"1","base":{"path":"MedicationAdministration.context","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1","http://hl7.org/fhir/StructureDefinition/EpisodeOfCare|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-19-Visit Number"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"}]},{"id":"MedicationAdministration.supportingInformation","path":"MedicationAdministration.supportingInformation","short":"Additional information to support administration","definition":"Additional information (for example, patient height and weight) that supports the administration of the medication.","min":0,"max":"*","base":{"path":"MedicationAdministration.supportingInformation","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.context"},{"identity":"rim","map":".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"}]},{"id":"MedicationAdministration.effective[x]","path":"MedicationAdministration.effective[x]","short":"Start and end time of administration","definition":"A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.","min":1,"max":"1","base":{"path":"MedicationAdministration.effective[x]","min":1,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration"},{"identity":"rim","map":".effectiveTime"}]},{"id":"MedicationAdministration.performer","path":"MedicationAdministration.performer","short":"Who performed the medication administration and what they did","definition":"Indicates who or what performed the medication administration and how they were involved.","min":0,"max":"*","base":{"path":"MedicationAdministration.performer","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)"},{"identity":"rim","map":".participation[typeCode=PRF]"}]},{"id":"MedicationAdministration.performer.id","path":"MedicationAdministration.performer.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationAdministration.performer.extension","path":"MedicationAdministration.performer.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationAdministration.performer.modifierExtension","path":"MedicationAdministration.performer.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationAdministration.performer.function","path":"MedicationAdministration.performer.function","short":"Type of performance","definition":"Distinguishes the type of involvement of the performer in the medication administration.","min":0,"max":"1","base":{"path":"MedicationAdministration.performer.function","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationAdministrationPerformerFunction"}],"strength":"example","description":"A code describing the role an individual played in administering the medication.","valueSet":"http://hl7.org/fhir/ValueSet/med-admin-perform-function|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"rim","map":"participation[typeCode=PRF].functionCode"}]},{"id":"MedicationAdministration.performer.actor","path":"MedicationAdministration.performer.actor","short":"Who performed the medication administration","definition":"Indicates who or what performed the medication administration.","min":1,"max":"1","base":{"path":"MedicationAdministration.performer.actor","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"rim","map":".role"}]},{"id":"MedicationAdministration.reasonCode","path":"MedicationAdministration.reasonCode","short":"Reason administration performed","definition":"A code indicating why the medication was given.","min":0,"max":"*","base":{"path":"MedicationAdministration.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationAdministrationReason"}],"strength":"example","description":"A set of codes indicating the reason why the MedicationAdministration was made.","valueSet":"http://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"v2","map":"RXE-27 Give Indication"},{"identity":"rim","map":".reasonCode"}]},{"id":"MedicationAdministration.reasonReference","path":"MedicationAdministration.reasonReference","short":"Condition or observation that supports why the medication was administered","definition":"Condition or observation that supports why the medication was administered.","comment":"This is a reference to a condition that is the reason for the medication request. If only a code exists, use reasonCode.","min":0,"max":"*","base":{"path":"MedicationAdministration.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.reasonReference"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason for use ASSERTION\"].value"},{"identity":"w3c.prov","map":"no mapping"}]},{"id":"MedicationAdministration.request","path":"MedicationAdministration.request","short":"Request administration performed against","definition":"The original request, instruction or authority to perform the administration.","comment":"This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value.","min":0,"max":"1","base":{"path":"MedicationAdministration.request","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC-2-Placer Order Number / ORC-3-Filler Order Number"},{"identity":"rim","map":"InFullfillmentOf->SubstanceAdministration"}]},{"id":"MedicationAdministration.device","path":"MedicationAdministration.device","short":"Device used to administer","definition":"The device used in administering the medication to the patient. For example, a particular infusion pump.","min":0,"max":"*","base":{"path":"MedicationAdministration.device","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PRT-10 Participation Device / RXR-3 Administrative Device"},{"identity":"rim","map":"device->Access OR device->AssignedDevice"}]},{"id":"MedicationAdministration.note","path":"MedicationAdministration.note","short":"Information about the administration","definition":"Extra information about the medication administration that is not conveyed by the other attributes.","min":0,"max":"*","base":{"path":"MedicationAdministration.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"}]},{"id":"MedicationAdministration.dosage","path":"MedicationAdministration.dosage","short":"Details of how medication was taken","definition":"Describes the medication dosage information details e.g. dose, rate, site, route, etc.","min":0,"max":"1","base":{"path":"MedicationAdministration.dosage","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"mad-1","severity":"error","human":"SHALL have at least one of dosage.dose or dosage.rate[x]","expression":"dose.exists() or rate.exists()","xpath":"exists(f:dose) or exists(f:*[starts-with(local-name(.), 'rate')])","source":"http://hl7.org/fhir/StructureDefinition/MedicationAdministration"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"component->SubstanceAdministrationEvent"}]},{"id":"MedicationAdministration.dosage.id","path":"MedicationAdministration.dosage.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationAdministration.dosage.extension","path":"MedicationAdministration.dosage.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationAdministration.dosage.modifierExtension","path":"MedicationAdministration.dosage.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationAdministration.dosage.text","path":"MedicationAdministration.dosage.text","short":"Free text dosage instructions e.g. SIG","definition":"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.\r\rThe dosage instructions should reflect the dosage of the medication that was administered.","min":0,"max":"1","base":{"path":"MedicationAdministration.dosage.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"}]},{"id":"MedicationAdministration.dosage.site","path":"MedicationAdministration.dosage.site","short":"Body site administered to","definition":"A coded specification of the anatomic site where the medication first entered the body. For example, \"left arm\".","comment":"If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.","min":0,"max":"1","base":{"path":"MedicationAdministration.dosage.site","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationAdministrationSite"}],"strength":"example","description":"A coded concept describing the site location the medicine enters into or onto the body.","valueSet":"http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1"},"mapping":[{"identity":"v2","map":"RXR-2 Administration Site / RXR-6 Administration Site Modifier"},{"identity":"rim","map":".approachSiteCode"}]},{"id":"MedicationAdministration.dosage.route","path":"MedicationAdministration.dosage.route","short":"Path of substance into body","definition":"A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc.","min":0,"max":"1","base":{"path":"MedicationAdministration.dosage.route","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RouteOfAdministration"}],"strength":"example","description":"A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.","valueSet":"http://hl7.org/fhir/ValueSet/route-codes|4.0.1"},"mapping":[{"identity":"v2","map":"RXR-1-Route"},{"identity":"rim","map":".routeCode"}]},{"id":"MedicationAdministration.dosage.method","path":"MedicationAdministration.dosage.method","short":"How drug was administered","definition":"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.","comment":"One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently.","min":0,"max":"1","base":{"path":"MedicationAdministration.dosage.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationAdministrationMethod"}],"strength":"example","description":"A coded concept describing the technique by which the medicine is administered.","valueSet":"http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1"},"mapping":[{"identity":"v2","map":"RXR-4-Administration Method"},{"identity":"rim","map":".methodCode"}]},{"id":"MedicationAdministration.dosage.dose","path":"MedicationAdministration.dosage.dose","short":"Amount of medication per dose","definition":"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.","comment":"If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.","min":0,"max":"1","base":{"path":"MedicationAdministration.dosage.dose","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXA-6 Administered Amount / RXA-7 Administered Units"},{"identity":"rim","map":".doseQuantity"}]},{"id":"MedicationAdministration.dosage.rate[x]","path":"MedicationAdministration.dosage.rate[x]","short":"Dose quantity per unit of time","definition":"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.","comment":"If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.","min":0,"max":"1","base":{"path":"MedicationAdministration.dosage.rate[x]","min":0,"max":"1"},"type":[{"code":"Ratio"},{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXA-12-Administered Per (Time Unit)"},{"identity":"rim","map":".rateQuantity"}]},{"id":"MedicationAdministration.eventHistory","path":"MedicationAdministration.eventHistory","short":"A list of events of interest in the lifecycle","definition":"A summary of the events of interest that have occurred, such as when the administration was verified.","comment":"This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.","min":0,"max":"*","base":{"path":"MedicationAdministration.eventHistory","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Provenance|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"MedicationAdministration","path":"MedicationAdministration","short":"At APS MedicationAdministration"},{"id":"MedicationAdministration.subject","path":"MedicationAdministration.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group"]}]}]}} package/StructureDefinition-at-aps-medicationdispense.json 0100644 0000000 0000000 00000206031 15112310072 023126 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-medicationdispense","text":{"status":"extensions","div":""},"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationdispense","version":"0.2.0","name":"AtApsMedicationDispense","title":"AT APS MedicationDispense","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die MedicationDispense-Ressource berücksichtigt die österreichischen Vorgaben (z.B. Patient).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"rx-dispense-rmim","uri":"http://www.hl7.org/v3/PORX_RM020070UV","name":"V3 Pharmacy Dispense RMIM"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"MedicationDispense","baseDefinition":"http://hl7.org/fhir/StructureDefinition/MedicationDispense","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"MedicationDispense","path":"MedicationDispense","short":"At APS MedicationDispense","definition":"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.","min":0,"max":"*","base":{"path":"MedicationDispense","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"mdd-1","severity":"error","human":"whenHandedOver cannot be before whenPrepared","expression":"whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared","xpath":"not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)","source":"http://hl7.org/fhir/StructureDefinition/MedicationDispense"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"Supply[moodCode=EVN]"}]},{"id":"MedicationDispense.id","path":"MedicationDispense.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"MedicationDispense.meta","path":"MedicationDispense.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"MedicationDispense.implicitRules","path":"MedicationDispense.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"MedicationDispense.language","path":"MedicationDispense.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"MedicationDispense.text","path":"MedicationDispense.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"MedicationDispense.contained","path":"MedicationDispense.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationDispense.extension","path":"MedicationDispense.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationDispense.modifierExtension","path":"MedicationDispense.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationDispense.identifier","path":"MedicationDispense.identifier","short":"External identifier","definition":"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.","comment":"This is a business identifier, not a resource identifier.","min":0,"max":"*","base":{"path":"MedicationDispense.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.id"}]},{"id":"MedicationDispense.partOf","path":"MedicationDispense.partOf","short":"Event that dispense is part of","definition":"The procedure that trigger the dispense.","min":0,"max":"*","base":{"path":"MedicationDispense.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]"}]},{"id":"MedicationDispense.status","path":"MedicationDispense.status","short":"preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown","definition":"A code specifying the state of the set of dispense events.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","min":1,"max":"1","base":{"path":"MedicationDispense.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationDispenseStatus"}],"strength":"required","description":"A coded concept specifying the state of the dispense event.","valueSet":"http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":".statusCode"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.SupplyEvent.statusCode"}]},{"id":"MedicationDispense.statusReason[x]","path":"MedicationDispense.statusReason[x]","short":"Why a dispense was not performed","definition":"Indicates the reason why a dispense was not performed.","min":0,"max":"1","base":{"path":"MedicationDispense.statusReason[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DetectedIssue|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationDispenseStatusReason"}],"strength":"example","description":"A code describing why a dispense was not performed.","valueSet":"http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.statusReason"},{"identity":"rim","map":".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"not done reason\"].value"}]},{"id":"MedicationDispense.category","path":"MedicationDispense.category","short":"Type of medication dispense","definition":"Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).","comment":"The category can be used to include where the medication is expected to be consumed or other types of dispenses. Invariants can be used to bind to different value sets when profiling to bind.","min":0,"max":"1","base":{"path":"MedicationDispense.category","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationDispenseCategory"}],"strength":"preferred","description":"A code describing where the dispensed medication is expected to be consumed or administered.","valueSet":"http://hl7.org/fhir/ValueSet/medicationdispense-category|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication dispense\"].value"}]},{"id":"MedicationDispense.medication[x]","path":"MedicationDispense.medication[x]","short":"What medication was supplied","definition":"Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.","comment":"If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.","min":1,"max":"1","base":{"path":"MedicationDispense.medication[x]","min":1,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Medication|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationCode"}],"strength":"example","description":"A coded concept identifying which substance or product can be dispensed.","valueSet":"http://hl7.org/fhir/ValueSet/medication-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"RXD-2-Dispense/Give Code"},{"identity":"rim","map":".participation[typeCode=PRD].role"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationRequest.component1.AdministrationRequest.consumable"}]},{"id":"MedicationDispense.subject","path":"MedicationDispense.subject","short":"Who the dispense is for","definition":"A link to a resource representing the person or the group to whom the medication will be given.","comment":"SubstanceAdministration->subject->Patient.","min":0,"max":"1","base":{"path":"MedicationDispense.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3-Patient ID List"},{"identity":"rim","map":".participation[typeCode=SBJ].role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"MedicationDispense.context","path":"MedicationDispense.context","short":"Encounter / Episode associated with event","definition":"The encounter or episode of care that establishes the context for this event.","min":0,"max":"1","base":{"path":"MedicationDispense.context","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1","http://hl7.org/fhir/StructureDefinition/EpisodeOfCare|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"}]},{"id":"MedicationDispense.supportingInformation","path":"MedicationDispense.supportingInformation","short":"Information that supports the dispensing of the medication","definition":"Additional information that supports the medication being dispensed.","min":0,"max":"*","base":{"path":"MedicationDispense.supportingInformation","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.context"},{"identity":"rim","map":".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"}]},{"id":"MedicationDispense.performer","path":"MedicationDispense.performer","short":"Who performed event","definition":"Indicates who or what performed the event.","min":0,"max":"*","base":{"path":"MedicationDispense.performer","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"rim","map":".participation[typeCode=PRF]"}]},{"id":"MedicationDispense.performer.id","path":"MedicationDispense.performer.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationDispense.performer.extension","path":"MedicationDispense.performer.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationDispense.performer.modifierExtension","path":"MedicationDispense.performer.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationDispense.performer.function","path":"MedicationDispense.performer.function","short":"Who performed the dispense and what they did","definition":"Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker.","requirements":"Allows disambiguation of the types of involvement of different performers.","min":0,"max":"1","base":{"path":"MedicationDispense.performer.function","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationDispensePerformerFunction"}],"strength":"example","description":"A code describing the role an individual played in dispensing a medication.","valueSet":"http://hl7.org/fhir/ValueSet/medicationdispense-performer-function|4.0.1"},"mapping":[{"identity":"rim","map":"participation[typeCode=PRF].functionCode"}]},{"id":"MedicationDispense.performer.actor","path":"MedicationDispense.performer.actor","short":"Individual who was performing","definition":"The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.","min":1,"max":"1","base":{"path":"MedicationDispense.performer.actor","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"rim","map":".role"}]},{"id":"MedicationDispense.location","path":"MedicationDispense.location","short":"Where the dispense occurred","definition":"The principal physical location where the dispense was performed.","min":0,"max":"1","base":{"path":"MedicationDispense.location","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=LOC].role"}]},{"id":"MedicationDispense.authorizingPrescription","path":"MedicationDispense.authorizingPrescription","short":"Medication order that authorizes the dispense","definition":"Indicates the medication order that is being dispensed against.","comment":"Maps to basedOn in Event logical model.","min":0,"max":"*","base":{"path":"MedicationDispense.authorizingPrescription","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC-2 Placer Order Number"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target[moodCode=RQO]"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.inFulfillmentOf"}]},{"id":"MedicationDispense.type","path":"MedicationDispense.type","short":"Trial fill, partial fill, emergency fill, etc.","definition":"Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.","min":0,"max":"1","base":{"path":"MedicationDispense.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationDispenseType"}],"strength":"example","description":"Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType"},"mapping":[{"identity":"v2","map":"RXD-33-Dispense Type"},{"identity":"rim","map":".code"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.SupplyEvent.code"}]},{"id":"MedicationDispense.quantity","path":"MedicationDispense.quantity","short":"Amount dispensed","definition":"The amount of medication that has been dispensed. Includes unit of measure.","min":0,"max":"1","base":{"path":"MedicationDispense.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"},{"identity":"rim","map":".quantity"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.SupplyEvent.quantity"}]},{"id":"MedicationDispense.daysSupply","path":"MedicationDispense.daysSupply","short":"Amount of medication expressed as a timing amount","definition":"The amount of medication expressed as a timing amount.","min":0,"max":"1","base":{"path":"MedicationDispense.daysSupply","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"TQ1.6 Timing/Quantity Segment Service Duration.\rPrior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component. This is a formatted string, first character for the time unit (e.g., D=days), followed by the value. For example, “D14” represents “14 days supply”\rFrom v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration. This is a CQ data type ( ^ ), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^\rFor backwards compatibility, ORC.7 was permitted through v2.6. Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6"},{"identity":"rim","map":"effectiveUseTime"}]},{"id":"MedicationDispense.whenPrepared","path":"MedicationDispense.whenPrepared","short":"When product was packaged and reviewed","definition":"The time when the dispensed product was packaged and reviewed.","min":0,"max":"1","base":{"path":"MedicationDispense.whenPrepared","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"RXD-3-Date/Time Dispensed"},{"identity":"rim","map":".effectiveTime[xmi:type=IVL_TS].low"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.SupplyEvent.effectiveTime"}]},{"id":"MedicationDispense.whenHandedOver","path":"MedicationDispense.whenHandedOver","short":"When product was given out","definition":"The time the dispensed product was provided to the patient or their representative.","min":0,"max":"1","base":{"path":"MedicationDispense.whenHandedOver","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"v2","map":"RXD-3-Date/Time Dispensed"},{"identity":"rim","map":".effectiveTime[xmi:type=IVL_TS].high"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.SupplyEvent.effectiveTime"}]},{"id":"MedicationDispense.destination","path":"MedicationDispense.destination","short":"Where the medication was sent","definition":"Identification of the facility/location where the medication was shipped to, as part of the dispense event.","min":0,"max":"1","base":{"path":"MedicationDispense.destination","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address"},{"identity":"rim","map":".participation[typeCode=DST].role"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.SupplyEvent.destination"}]},{"id":"MedicationDispense.receiver","path":"MedicationDispense.receiver","short":"Who collected the medication","definition":"Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional.","min":0,"max":"*","base":{"path":"MedicationDispense.receiver","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=RCV].role"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.SupplyEvent.receiver"}]},{"id":"MedicationDispense.note","path":"MedicationDispense.note","short":"Information about the dispense","definition":"Extra information about the dispense that could not be conveyed in the other attributes.","min":0,"max":"*","base":{"path":"MedicationDispense.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"v2","map":"RXD-9 Dispense Notes"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"}]},{"id":"MedicationDispense.dosageInstruction","path":"MedicationDispense.dosageInstruction","short":"How the medication is to be used by the patient or administered by the caregiver","definition":"Indicates how the medication is to be used by the patient.","comment":"When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates.\rThe pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.","min":0,"max":"*","base":{"path":"MedicationDispense.dosageInstruction","min":0,"max":"*"},"type":[{"code":"Dosage"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"}]},{"id":"MedicationDispense.substitution","path":"MedicationDispense.substitution","short":"Whether a substitution was performed on the dispense","definition":"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.","min":0,"max":"1","base":{"path":"MedicationDispense.substitution","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.substitutionMade"}]},{"id":"MedicationDispense.substitution.id","path":"MedicationDispense.substitution.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationDispense.substitution.extension","path":"MedicationDispense.substitution.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationDispense.substitution.modifierExtension","path":"MedicationDispense.substitution.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationDispense.substitution.wasSubstituted","path":"MedicationDispense.substitution.wasSubstituted","short":"Whether a substitution was or was not performed on the dispense","definition":"True if the dispenser dispensed a different drug or product from what was prescribed.","min":1,"max":"1","base":{"path":"MedicationDispense.substitution.wasSubstituted","min":1,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".actionNegationInd"}]},{"id":"MedicationDispense.substitution.type","path":"MedicationDispense.substitution.type","short":"Code signifying whether a different drug was dispensed from what was prescribed","definition":"A code signifying whether a different drug was dispensed from what was prescribed.","min":0,"max":"1","base":{"path":"MedicationDispense.substitution.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationIntendedSubstitutionType"}],"strength":"example","description":"A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"},"mapping":[{"identity":"v2","map":"RXO-9-Allow Substitutions / RXE-9-Substitution Status"},{"identity":"rim","map":".code"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.substitutionMade.code"}]},{"id":"MedicationDispense.substitution.reason","path":"MedicationDispense.substitution.reason","short":"Why was substitution made","definition":"Indicates the reason for the substitution (or lack of substitution) from what was prescribed.","min":0,"max":"*","base":{"path":"MedicationDispense.substitution.reason","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationIntendedSubstitutionReason"}],"strength":"example","description":"A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.","valueSet":"http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"},"mapping":[{"identity":"rim","map":".reasonCode"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.substitutionMade.reasonCode"}]},{"id":"MedicationDispense.substitution.responsibleParty","path":"MedicationDispense.substitution.responsibleParty","short":"Who is responsible for the substitution","definition":"The person or organization that has primary responsibility for the substitution.","min":0,"max":"*","base":{"path":"MedicationDispense.substitution.responsibleParty","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=PFM].role[classCode=ASSIGN]"},{"identity":"rx-dispense-rmim","map":"CombinedMedicationDispense.substitutionMade.ResponsibleParty"}]},{"id":"MedicationDispense.detectedIssue","path":"MedicationDispense.detectedIssue","short":"Clinical issue with action","definition":"Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc.","comment":"This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.","alias":["Contraindication","Drug Utilization Review (DUR)","Alert"],"min":0,"max":"*","base":{"path":"MedicationDispense.detectedIssue","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DetectedIssue|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"}]},{"id":"MedicationDispense.eventHistory","path":"MedicationDispense.eventHistory","short":"A list of relevant lifecycle events","definition":"A summary of the events of interest that have occurred, such as when the dispense was verified.","comment":"This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).","min":0,"max":"*","base":{"path":"MedicationDispense.eventHistory","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Provenance|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"MedicationDispense","path":"MedicationDispense","short":"At APS MedicationDispense"},{"id":"MedicationDispense.subject","path":"MedicationDispense.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group"]}]}]}} package/StructureDefinition-at-aps-medicationrequest.json 0100644 0000000 0000000 00000276072 15112310072 023020 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-medicationrequest","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationrequest","version":"0.2.0","name":"AtApsMedicationRequest","title":"AT APS MedicationRequest","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die MedicationRequest-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"script10.6","uri":"http://ncpdp.org/SCRIPT10_6","name":"Mapping to NCPDP SCRIPT 10.6"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"MedicationRequest","baseDefinition":"http://hl7.org/fhir/StructureDefinition/MedicationRequest","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"MedicationRequest","path":"MedicationRequest","short":"AT APS MedicationRequest","definition":"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.","alias":["Prescription","Order"],"min":0,"max":"*","base":{"path":"MedicationRequest","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Request"},{"identity":"script10.6","map":"Message/Body/NewRx"},{"identity":"rim","map":"CombinedMedicationRequest"}]},{"id":"MedicationRequest.id","path":"MedicationRequest.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"MedicationRequest.meta","path":"MedicationRequest.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"MedicationRequest.implicitRules","path":"MedicationRequest.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"MedicationRequest.language","path":"MedicationRequest.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"MedicationRequest.text","path":"MedicationRequest.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"MedicationRequest.contained","path":"MedicationRequest.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.extension","path":"MedicationRequest.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.modifierExtension","path":"MedicationRequest.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.identifier","path":"MedicationRequest.identifier","short":"External ids for this request","definition":"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.","comment":"This is a business identifier, not a resource identifier.","min":0,"max":"*","base":{"path":"MedicationRequest.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.identifier"},{"identity":"script10.6","map":"Message/Header/PrescriberOrderNumber"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"ORC-2-Placer Order Number / ORC-3-Filler Order Number"},{"identity":"rim","map":".id"}]},{"id":"MedicationRequest.status","path":"MedicationRequest.status","short":"active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown","definition":"A code specifying the current state of the order. Generally, this will be active or completed state.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","min":1,"max":"1","base":{"path":"MedicationRequest.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestStatus"}],"strength":"required","description":"A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.status"},{"identity":"script10.6","map":"no mapping"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":".statusCode"}]},{"id":"MedicationRequest.statusReason","path":"MedicationRequest.statusReason","short":"Reason for current status","definition":"Captures the reason for the current state of the MedicationRequest.","comment":"This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.","min":0,"max":"1","base":{"path":"MedicationRequest.statusReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestStatusReason"}],"strength":"example","description":"Identifies the reasons for a given status.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.statusReason"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"}]},{"id":"MedicationRequest.intent","path":"MedicationRequest.intent","short":"proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option","definition":"Whether the request is a proposal, plan, or an original order.","comment":"It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only.\r\rAn instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.\r\rThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable.","min":1,"max":"1","base":{"path":"MedicationRequest.intent","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestIntent"}],"strength":"required","description":"The kind of medication order.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.intent"},{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"}]},{"id":"MedicationRequest.category","path":"MedicationRequest.category","short":"Type of medication usage","definition":"Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).","comment":"The category can be used to include where the medication is expected to be consumed or other types of requests.","min":0,"max":"*","base":{"path":"MedicationRequest.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestCategory"}],"strength":"example","description":"A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-category|4.0.1"},"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Directions\r\ror \r\rMessage/Body/NewRx/MedicationPrescribed/StructuredSIG"},{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"}]},{"id":"MedicationRequest.priority","path":"MedicationRequest.priority","short":"routine | urgent | asap | stat","definition":"Indicates how quickly the Medication Request should be addressed with respect to other requests.","min":0,"max":"1","base":{"path":"MedicationRequest.priority","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestPriority"}],"strength":"required","description":"Identifies the level of importance to be assigned to actioning the request.","valueSet":"http://hl7.org/fhir/ValueSet/request-priority|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.priority"},{"identity":"w5","map":"FiveWs.grade"},{"identity":"rim","map":".priorityCode"}]},{"id":"MedicationRequest.doNotPerform","path":"MedicationRequest.doNotPerform","short":"True if request is prohibiting action","definition":"If true indicates that the provider is asking for the medication request not to occur.","comment":"If do not perform is not specified, the request is a positive request e.g. \"do perform\".","min":0,"max":"1","base":{"path":"MedicationRequest.doNotPerform","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)","isSummary":true,"mapping":[{"identity":"rim","map":"SubstanceAdministration.actionNegationInd"}]},{"id":"MedicationRequest.reported[x]","path":"MedicationRequest.reported[x]","short":"Reported rather than primary record","definition":"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.","min":0,"max":"1","base":{"path":"MedicationRequest.reported[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".participation[typeCode=INF].role"}]},{"id":"MedicationRequest.medication[x]","path":"MedicationRequest.medication[x]","short":"Medication to be taken","definition":"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.","comment":"If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.","min":1,"max":"1","base":{"path":"MedicationRequest.medication[x]","min":1,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medication"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationCode"}],"strength":"example","description":"A coded concept identifying substance or product that can be ordered.","valueSet":"http://hl7.org/fhir/ValueSet/medication-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.code"},{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code"},{"identity":"rim","map":"consumable.administrableMedication"}]},{"id":"MedicationRequest.subject","path":"MedicationRequest.subject","short":"Who or group medication request is for","definition":"A link to a resource representing the person or set of individuals to whom the medication will be given.","comment":"The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.","min":1,"max":"1","base":{"path":"MedicationRequest.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.subject"},{"identity":"script10.6","map":"Message/Body/NewRx/Patient\r\r(need detail to link to specific patient … Patient.Identification in SCRIPT)"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3-Patient ID List"},{"identity":"rim","map":".participation[typeCode=AUT].role"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"MedicationRequest.encounter","path":"MedicationRequest.encounter","short":"Encounter created as part of encounter/admission/stay","definition":"The Encounter during which this [x] was created or to which the creation of this record is tightly associated.","comment":"This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.\" If there is a need to link to episodes of care they will be handled with an extension.","min":0,"max":"1","base":{"path":"MedicationRequest.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.context"},{"identity":"script10.6","map":"no mapping"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-19-Visit Number"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"}]},{"id":"MedicationRequest.supportingInformation","path":"MedicationRequest.supportingInformation","short":"Information to support ordering of the medication","definition":"Include additional information (for example, patient height and weight) that supports the ordering of the medication.","min":0,"max":"*","base":{"path":"MedicationRequest.supportingInformation","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.supportingInfo"},{"identity":"w5","map":"FiveWs.context"},{"identity":"rim","map":".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"}]},{"id":"MedicationRequest.authoredOn","path":"MedicationRequest.authoredOn","short":"When request was initially authored","definition":"The date (and perhaps time) when the prescription was initially written or authored on.","min":0,"max":"1","base":{"path":"MedicationRequest.authoredOn","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.authoredOn"},{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/WrittenDate"},{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"},{"identity":"rim","map":"author.time"}]},{"id":"MedicationRequest.requester","path":"MedicationRequest.requester","short":"Who/What requested the Request","definition":"The individual, organization, or device that initiated the request and has responsibility for its activation.","min":0,"max":"1","base":{"path":"MedicationRequest.requester","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.requester"},{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"}]},{"id":"MedicationRequest.performer","path":"MedicationRequest.performer","short":"Intended performer of administration","definition":"The specified desired performer of the medication treatment (e.g. the performer of the medication administration).","min":0,"max":"1","base":{"path":"MedicationRequest.performer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.performer"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"rim","map":".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"}]},{"id":"MedicationRequest.performerType","path":"MedicationRequest.performerType","short":"Desired kind of performer of the medication administration","definition":"Indicates the type of performer of the administration of the medication.","comment":"If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.","min":0,"max":"1","base":{"path":"MedicationRequest.performerType","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestPerformerType"}],"strength":"example","description":"Identifies the type of individual that is desired to administer the medication.","valueSet":"http://hl7.org/fhir/ValueSet/performer-role|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.performerType"},{"identity":"rim","map":".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"}]},{"id":"MedicationRequest.recorder","path":"MedicationRequest.recorder","short":"Person who entered the request","definition":"The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.","min":0,"max":"1","base":{"path":"MedicationRequest.recorder","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.who"},{"identity":"rim","map":".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"}]},{"id":"MedicationRequest.reasonCode","path":"MedicationRequest.reasonCode","short":"Reason or indication for ordering or not ordering the medication","definition":"The reason or the indication for ordering or not ordering the medication.","comment":"This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.","min":0,"max":"*","base":{"path":"MedicationRequest.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestReason"}],"strength":"example","description":"A coded concept indicating why the medication was ordered.","valueSet":"http://hl7.org/fhir/ValueSet/condition-code|4.0.1"},"mapping":[{"identity":"workflow","map":"Request.reasonCode"},{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication"},{"identity":"rim","map":"reason.observation.reasonCode"}]},{"id":"MedicationRequest.reasonReference","path":"MedicationRequest.reasonReference","short":"Condition or observation that supports why the prescription is being written","definition":"Condition or observation that supports why the medication was ordered.","comment":"This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.","min":0,"max":"*","base":{"path":"MedicationRequest.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.reasonReference"},{"identity":"script10.6","map":"no mapping"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":"reason.observation[code=ASSERTION].value"}]},{"id":"MedicationRequest.instantiatesCanonical","path":"MedicationRequest.instantiatesCanonical","short":"Instantiates FHIR protocol or definition","definition":"The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.","min":0,"max":"*","base":{"path":"MedicationRequest.instantiatesCanonical","min":0,"max":"*"},"type":[{"code":"canonical"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.instantiates"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"MedicationRequest.instantiatesUri","path":"MedicationRequest.instantiatesUri","short":"Instantiates external protocol or definition","definition":"The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.","min":0,"max":"*","base":{"path":"MedicationRequest.instantiatesUri","min":0,"max":"*"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"MedicationRequest.basedOn","path":"MedicationRequest.basedOn","short":"What request fulfills","definition":"A plan or request that is fulfilled in whole or in part by this medication request.","min":0,"max":"*","base":{"path":"MedicationRequest.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.basedOn"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"}]},{"id":"MedicationRequest.groupIdentifier","path":"MedicationRequest.groupIdentifier","short":"Composite request this is part of","definition":"A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.","requirements":"Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.","min":0,"max":"1","base":{"path":"MedicationRequest.groupIdentifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.groupIdentifier"},{"identity":"rim","map":".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id"}]},{"id":"MedicationRequest.courseOfTherapyType","path":"MedicationRequest.courseOfTherapyType","short":"Overall pattern of medication administration","definition":"The description of the overall patte3rn of the administration of the medication to the patient.","comment":"This attribute should not be confused with the protocol of the medication.","min":0,"max":"1","base":{"path":"MedicationRequest.courseOfTherapyType","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestCourseOfTherapy"}],"strength":"example","description":"Identifies the overall pattern of medication administratio.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy|4.0.1"},"mapping":[{"identity":"rim","map":"Act.code where classCode = LIST and moodCode = EVN"}]},{"id":"MedicationRequest.insurance","path":"MedicationRequest.insurance","short":"Associated insurance coverage","definition":"Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.","min":0,"max":"*","base":{"path":"MedicationRequest.insurance","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Coverage|4.0.1","http://hl7.org/fhir/StructureDefinition/ClaimResponse|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.insurance"},{"identity":"rim","map":".outboundRelationship[typeCode=COVBY].target"}]},{"id":"MedicationRequest.note","path":"MedicationRequest.note","short":"Information about the prescription","definition":"Extra information about the prescription that could not be conveyed by the other attributes.","min":0,"max":"*","base":{"path":"MedicationRequest.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.note"},{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Note"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"}]},{"id":"MedicationRequest.dosageInstruction","path":"MedicationRequest.dosageInstruction","short":"How the medication should be taken","definition":"Indicates how the medication is to be used by the patient.","comment":"There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, \"Ondansetron 8mg orally or IV twice a day as needed for nausea\" or \"Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting\". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.","min":0,"max":"*","base":{"path":"MedicationRequest.dosageInstruction","min":0,"max":"*"},"type":[{"code":"Dosage"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.occurrence[x]"},{"identity":"rim","map":"see dosageInstruction mapping"}]},{"id":"MedicationRequest.dispenseRequest","path":"MedicationRequest.dispenseRequest","short":"Medication supply authorization","definition":"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.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/ExpirationDate"},{"identity":"rim","map":"component.supplyEvent"}]},{"id":"MedicationRequest.dispenseRequest.id","path":"MedicationRequest.dispenseRequest.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dispenseRequest.extension","path":"MedicationRequest.dispenseRequest.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dispenseRequest.modifierExtension","path":"MedicationRequest.dispenseRequest.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.dispenseRequest.initialFill","path":"MedicationRequest.dispenseRequest.initialFill","short":"First fill details","definition":"Indicates the quantity or duration for the first dispense of the medication.","comment":"If populating this element, either the quantity or the duration must be included.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.initialFill","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply"}]},{"id":"MedicationRequest.dispenseRequest.initialFill.id","path":"MedicationRequest.dispenseRequest.initialFill.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dispenseRequest.initialFill.extension","path":"MedicationRequest.dispenseRequest.initialFill.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.dispenseRequest.initialFill.modifierExtension","path":"MedicationRequest.dispenseRequest.initialFill.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.dispenseRequest.initialFill.quantity","path":"MedicationRequest.dispenseRequest.initialFill.quantity","short":"First fill quantity","definition":"The amount or quantity to provide as part of the first dispense.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.initialFill.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Supply.quantity[moodCode=RQO]"}]},{"id":"MedicationRequest.dispenseRequest.initialFill.duration","path":"MedicationRequest.dispenseRequest.initialFill.duration","short":"First fill duration","definition":"The length of time that the first dispense is expected to last.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.initialFill.duration","min":0,"max":"1"},"type":[{"code":"Duration"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Supply.effectivetime[moodCode=RQO]"}]},{"id":"MedicationRequest.dispenseRequest.dispenseInterval","path":"MedicationRequest.dispenseRequest.dispenseInterval","short":"Minimum period of time between dispenses","definition":"The minimum period of time that must occur between dispenses of the medication.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.dispenseInterval","min":0,"max":"1"},"type":[{"code":"Duration"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Supply.effectivetime[moodCode=RQO]"}]},{"id":"MedicationRequest.dispenseRequest.validityPeriod","path":"MedicationRequest.dispenseRequest.validityPeriod","short":"Time period supply is authorized for","definition":"This indicates the validity period of a prescription (stale dating the Prescription).","comment":"It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.","requirements":"Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.validityPeriod","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Refills"},{"identity":"rim","map":"effectiveTime"}]},{"id":"MedicationRequest.dispenseRequest.numberOfRepeatsAllowed","path":"MedicationRequest.dispenseRequest.numberOfRepeatsAllowed","short":"Number of refills authorized","definition":"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.","comment":"If displaying \"number of authorized fills\", add 1 to this number.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.numberOfRepeatsAllowed","min":0,"max":"1"},"type":[{"code":"unsignedInt"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Quantity"},{"identity":"v2","map":"RXE-12-Number of Refills"},{"identity":"rim","map":"repeatNumber"}]},{"id":"MedicationRequest.dispenseRequest.quantity","path":"MedicationRequest.dispenseRequest.quantity","short":"Amount of medication to supply per dispense","definition":"The amount that is to be dispensed for one fill.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/DaysSupply"},{"identity":"v2","map":"RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"},{"identity":"rim","map":"quantity"}]},{"id":"MedicationRequest.dispenseRequest.expectedSupplyDuration","path":"MedicationRequest.dispenseRequest.expectedSupplyDuration","short":"Number of days supply per dispense","definition":"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.","comment":"In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.expectedSupplyDuration","min":0,"max":"1"},"type":[{"code":"Duration"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"Message/Body/NewRx/MedicationPrescribed/Substitutions"},{"identity":"rim","map":"expectedUseTime"}]},{"id":"MedicationRequest.dispenseRequest.performer","path":"MedicationRequest.dispenseRequest.performer","short":"Intended dispenser","definition":"Indicates the intended dispensing Organization specified by the prescriber.","min":0,"max":"1","base":{"path":"MedicationRequest.dispenseRequest.performer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.who"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"}]},{"id":"MedicationRequest.substitution","path":"MedicationRequest.substitution","short":"Any restrictions on medication substitution","definition":"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.","min":0,"max":"1","base":{"path":"MedicationRequest.substitution","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"script10.6","map":"specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"},{"identity":"rim","map":"subjectOf.substitutionPersmission"}]},{"id":"MedicationRequest.substitution.id","path":"MedicationRequest.substitution.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.substitution.extension","path":"MedicationRequest.substitution.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"MedicationRequest.substitution.modifierExtension","path":"MedicationRequest.substitution.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationRequest.substitution.allowed[x]","path":"MedicationRequest.substitution.allowed[x]","short":"Whether substitution is allowed or not","definition":"True if the prescriber allows a different drug to be dispensed from what was prescribed.","comment":"This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.","min":1,"max":"1","base":{"path":"MedicationRequest.substitution.allowed[x]","min":1,"max":"1"},"type":[{"code":"boolean"},{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationRequestSubstitution"}],"strength":"example","description":"Identifies the type of substitution allowed.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"},"mapping":[{"identity":"script10.6","map":"specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"},{"identity":"v2","map":"RXO-9-Allow Substitutions / RXE-9-Substitution Status"},{"identity":"rim","map":"code"}]},{"id":"MedicationRequest.substitution.reason","path":"MedicationRequest.substitution.reason","short":"Why should (not) substitution be made","definition":"Indicates the reason for the substitution, or why substitution must or must not be performed.","min":0,"max":"1","base":{"path":"MedicationRequest.substitution.reason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationIntendedSubstitutionReason"}],"strength":"example","description":"A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.","valueSet":"http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"},"mapping":[{"identity":"script10.6","map":"not mapped"},{"identity":"v2","map":"RXE-9 Substition status"},{"identity":"rim","map":"reasonCode"}]},{"id":"MedicationRequest.priorPrescription","path":"MedicationRequest.priorPrescription","short":"An order/prescription that is being replaced","definition":"A link to a resource representing an earlier order related order or prescription.","min":0,"max":"1","base":{"path":"MedicationRequest.priorPrescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.replaces"},{"identity":"script10.6","map":"not mapped"},{"identity":"rim","map":".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"}]},{"id":"MedicationRequest.detectedIssue","path":"MedicationRequest.detectedIssue","short":"Clinical Issue with action","definition":"Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.","comment":"This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.","alias":["Contraindication","Drug Utilization Review (DUR)","Alert"],"min":0,"max":"*","base":{"path":"MedicationRequest.detectedIssue","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DetectedIssue|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"}]},{"id":"MedicationRequest.eventHistory","path":"MedicationRequest.eventHistory","short":"A list of events of interest in the lifecycle","definition":"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.","comment":"This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).","min":0,"max":"*","base":{"path":"MedicationRequest.eventHistory","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Provenance|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.relevantHistory"},{"identity":"rim","map":".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"MedicationRequest","path":"MedicationRequest","short":"AT APS MedicationRequest"},{"id":"MedicationRequest.medication[x]","path":"MedicationRequest.medication[x]","type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medication"]}]},{"id":"MedicationRequest.subject","path":"MedicationRequest.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]}]}} package/StructureDefinition-at-aps-medicationstatement.json 0100644 0000000 0000000 00000150514 15112310073 023325 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-medicationstatement","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationstatement","version":"0.2.0","name":"AtApsMedicationStatement","title":"AT APS MedicationStatement","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die MedicationStatement-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"MedicationStatement","baseDefinition":"http://hl7.org/fhir/StructureDefinition/MedicationStatement","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"MedicationStatement","path":"MedicationStatement","short":"AT APS MedicationStatement","definition":"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. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement 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.","comment":"When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\rMedicationStatement.status + MedicationStatement.wasNotTaken\rStatus=Active + NotTaken=T = Not currently taking\rStatus=Completed + NotTaken=T = Not taken in the past\rStatus=Intended + NotTaken=T = No intention of taking\rStatus=Active + NotTaken=F = Taking, but not as prescribed\rStatus=Active + NotTaken=F = Taking\rStatus=Intended +NotTaken= F = Will be taking (not started)\rStatus=Completed + NotTaken=F = Taken in past\rStatus=In Error + NotTaken=N/A = In Error.","min":0,"max":"*","base":{"path":"MedicationStatement","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"SubstanceAdministration"}]},{"id":"MedicationStatement.id","path":"MedicationStatement.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"MedicationStatement.meta","path":"MedicationStatement.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"MedicationStatement.implicitRules","path":"MedicationStatement.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"MedicationStatement.language","path":"MedicationStatement.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"MedicationStatement.text","path":"MedicationStatement.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"MedicationStatement.contained","path":"MedicationStatement.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationStatement.extension","path":"MedicationStatement.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationStatement.modifierExtension","path":"MedicationStatement.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"MedicationStatement.identifier","path":"MedicationStatement.identifier","short":"External identifier","definition":"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.","comment":"This is a business identifier, not a resource identifier.","min":0,"max":"*","base":{"path":"MedicationStatement.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id"}]},{"id":"MedicationStatement.basedOn","path":"MedicationStatement.basedOn","short":"Fulfils plan, proposal or order","definition":"A plan, proposal or order that is fulfilled in whole or in part by this event.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","min":0,"max":"*","base":{"path":"MedicationStatement.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"}]},{"id":"MedicationStatement.partOf","path":"MedicationStatement.partOf","short":"Part of referenced event","definition":"A larger event of which this particular event is a component or step.","requirements":"This should not be used when indicating which resource a MedicationStatement has been derived from. If that is the use case, then MedicationStatement.derivedFrom should be used.","min":0,"max":"*","base":{"path":"MedicationStatement.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]"}]},{"id":"MedicationStatement.status","path":"MedicationStatement.status","short":"active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken","definition":"A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed.","comment":"MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).\r\rThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","min":1,"max":"1","base":{"path":"MedicationStatement.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationStatementStatus"}],"strength":"required","description":"A coded concept indicating the current status of a MedicationStatement.","valueSet":"http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":".statusCode"}]},{"id":"MedicationStatement.statusReason","path":"MedicationStatement.statusReason","short":"Reason for current status","definition":"Captures the reason for the current state of the MedicationStatement.","comment":"This is generally only used for \"exception\" statuses such as \"not-taken\", \"on-hold\", \"cancelled\" or \"entered-in-error\". The reason for performing the event at all is captured in reasonCode, not here.","min":0,"max":"*","base":{"path":"MedicationStatement.statusReason","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationStatementStatusReason"}],"strength":"example","description":"A coded concept indicating the reason for the status of the statement.","valueSet":"http://hl7.org/fhir/ValueSet/reason-medication-status-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.statusReason"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"}]},{"id":"MedicationStatement.category","path":"MedicationStatement.category","short":"Type of medication usage","definition":"Indicates where the medication is expected to be consumed or administered.","min":0,"max":"1","base":{"path":"MedicationStatement.category","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationStatementCategory"}],"strength":"preferred","description":"A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.","valueSet":"http://hl7.org/fhir/ValueSet/medication-statement-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"}]},{"id":"MedicationStatement.medication[x]","path":"MedicationStatement.medication[x]","short":"What medication was taken","definition":"Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.","comment":"If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.","min":1,"max":"1","base":{"path":"MedicationStatement.medication[x]","min":1,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medication"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationCode"}],"strength":"example","description":"A coded concept identifying the substance or product being taken.","valueSet":"http://hl7.org/fhir/ValueSet/medication-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".participation[typeCode=CSM].role[classCode=ADMM or MANU]"}]},{"id":"MedicationStatement.subject","path":"MedicationStatement.subject","short":"Who is/was taking the medication","definition":"The person, animal or group who is/was taking the medication.","min":1,"max":"1","base":{"path":"MedicationStatement.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3-Patient ID List"},{"identity":"rim","map":".participation[typeCode=SBJ].role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"MedicationStatement.context","path":"MedicationStatement.context","short":"Encounter / Episode associated with MedicationStatement","definition":"The encounter or episode of care that establishes the context for this MedicationStatement.","min":0,"max":"1","base":{"path":"MedicationStatement.context","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1","http://hl7.org/fhir/StructureDefinition/EpisodeOfCare|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"}]},{"id":"MedicationStatement.effective[x]","path":"MedicationStatement.effective[x]","short":"The date/time or interval when the medication is/was/will be taken","definition":"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.taken element is No).","comment":"This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the \"end\" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.","min":0,"max":"1","base":{"path":"MedicationStatement.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"rim","map":".effectiveTime"}]},{"id":"MedicationStatement.dateAsserted","path":"MedicationStatement.dateAsserted","short":"When the statement was asserted?","definition":"The date when the medication statement was asserted by the information source.","min":0,"max":"1","base":{"path":"MedicationStatement.dateAsserted","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"rim","map":".participation[typeCode=AUT].time"}]},{"id":"MedicationStatement.informationSource","path":"MedicationStatement.informationSource","short":"Person or organization that provided the information about the taking of this medication","definition":"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.","min":0,"max":"1","base":{"path":"MedicationStatement.informationSource","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"rim","map":".participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)"}]},{"id":"MedicationStatement.derivedFrom","path":"MedicationStatement.derivedFrom","short":"Additional supporting information","definition":"Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement.","comment":"Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers. The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from.","min":0,"max":"*","base":{"path":"MedicationStatement.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]"}]},{"id":"MedicationStatement.reasonCode","path":"MedicationStatement.reasonCode","short":"Reason for why the medication is being/was taken","definition":"A reason for why the medication is being/was taken.","comment":"This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.","min":0,"max":"*","base":{"path":"MedicationStatement.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationReason"}],"strength":"example","description":"A coded concept identifying why the medication is being taken.","valueSet":"http://hl7.org/fhir/ValueSet/condition-code|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".reasonCode"}]},{"id":"MedicationStatement.reasonReference","path":"MedicationStatement.reasonReference","short":"Condition or observation that supports why the medication is being/was taken","definition":"Condition or observation that supports why the medication is being/was taken.","comment":"This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode.","min":0,"max":"*","base":{"path":"MedicationStatement.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.reasonReference"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason for use\"].value"}]},{"id":"MedicationStatement.note","path":"MedicationStatement.note","short":"Further information about the statement","definition":"Provides extra information about the medication statement that is not conveyed by the other attributes.","min":0,"max":"*","base":{"path":"MedicationStatement.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"}]},{"id":"MedicationStatement.dosage","path":"MedicationStatement.dosage","short":"Details of how medication is/was taken or should be taken","definition":"Indicates how the medication is/was or should be taken by the patient.","comment":"The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, \"from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily.\" It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.","min":0,"max":"*","base":{"path":"MedicationStatement.dosage","min":0,"max":"*"},"type":[{"code":"Dosage"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"refer dosageInstruction mapping"}]}]},"differential":{"element":[{"id":"MedicationStatement","path":"MedicationStatement","short":"AT APS MedicationStatement"},{"id":"MedicationStatement.medication[x]","path":"MedicationStatement.medication[x]","type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medication"]}]},{"id":"MedicationStatement.subject","path":"MedicationStatement.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]}]}} package/StructureDefinition-at-aps-observation.json 0100644 0000000 0000000 00000253466 15112310073 021631 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-observation","text":{"status":"extensions","div":""},"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","version":"0.2.0","name":"AtApsObservation","title":"AT APS Observation","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Observation-Ressource berücksichtigt die österreichischen Vorgaben (z.B. Patient).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Observation","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"http://hl7.org/fhir/StructureDefinition/Observation"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"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.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/Immunization|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationStatus"}],"strength":"required","description":"Codes providing the status of an observation.","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","short":"Classification of type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":0,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.code","path":"Observation.code","short":"Type of observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"name\".","comment":"*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","alias":["Name"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose 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.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":0,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Location"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient 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.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Clinically relevant time/time-period for observation","definition":"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.","comment":"At least a date should be present unless this observation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":0,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"},{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods|4.0.1"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceMetric|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"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.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"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.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"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.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"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\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Related resource that belongs to the Observation group","definition":"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.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"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.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Component results","definition":"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.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Actual component result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation"},{"id":"Observation.subject","path":"Observation.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Location"]}]}]}} package/StructureDefinition-at-aps-observationalcoholuse.json 0100644 0000000 0000000 00000254360 15112310073 023702 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-observationalcoholuse","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationalcoholuse","version":"0.2.0","name":"AtApsObservationAlcoholUse","title":"AT APS Observation Alcohol Use","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Observation-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"0.2.0"}],"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Alcohol Use","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"http://hl7.org/fhir/StructureDefinition/Observation"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"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.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/Immunization|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationStatus"}],"strength":"required","description":"Codes providing the status of an observation.","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","short":"Classification of type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":0,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.code","path":"Observation.code","short":"Type of observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"name\".","comment":"*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","alias":["Name"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose 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.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":0,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient 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.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Clinically relevant time/time-period for observation","definition":"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.","comment":"At least a date should be present unless this observation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":0,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"},{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods|4.0.1"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceMetric|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"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.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"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.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"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.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"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\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Related resource that belongs to the Observation group","definition":"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.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"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.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Component results","definition":"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.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Actual component result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Alcohol Use"},{"id":"Observation.subject","path":"Observation.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]}]}} package/StructureDefinition-at-aps-observationpregnancyedd.json 0100644 0000000 0000000 00000254540 15112310073 024207 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-observationpregnancyedd","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-edd-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyedd","version":"0.2.0","name":"AtApsObservationPregnancyEdd","title":"AT APS Observation Pregnancy Expected Delivery Date","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Observation-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"0.2.0"}],"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Pregnancy Expected Delivery Date","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"http://hl7.org/fhir/StructureDefinition/Observation"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"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.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/Immunization|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationStatus"}],"strength":"required","description":"Codes providing the status of an observation.","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","short":"Classification of type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":0,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.code","path":"Observation.code","short":"Type of observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"name\".","comment":"*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","alias":["Name"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose 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.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":0,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient 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.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Clinically relevant time/time-period for observation","definition":"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.","comment":"At least a date should be present unless this observation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":0,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"},{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods|4.0.1"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceMetric|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"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.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"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.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"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.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"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\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Related resource that belongs to the Observation group","definition":"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.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"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.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Component results","definition":"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.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Actual component result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Pregnancy Expected Delivery Date"},{"id":"Observation.subject","path":"Observation.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]}]}} package/StructureDefinition-at-aps-observationpregnancyoutcome.json 0100644 0000000 0000000 00000254475 15112310073 025135 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-observationpregnancyoutcome","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyoutcome","version":"0.2.0","name":"AtApsObservationPregnancyOutcome","title":"AT APS Observation Pregnancy Outcome","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Observation-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"0.2.0"}],"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Pregnancy Outcome","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"http://hl7.org/fhir/StructureDefinition/Observation"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"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.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/Immunization|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationStatus"}],"strength":"required","description":"Codes providing the status of an observation.","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","short":"Classification of type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":0,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.code","path":"Observation.code","short":"Type of observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"name\".","comment":"*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","alias":["Name"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose 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.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":0,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient 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.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Clinically relevant time/time-period for observation","definition":"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.","comment":"At least a date should be present unless this observation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":0,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"},{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods|4.0.1"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceMetric|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"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.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"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.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"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.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"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\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Related resource that belongs to the Observation group","definition":"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.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"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.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Component results","definition":"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.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Actual component result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Pregnancy Outcome"},{"id":"Observation.subject","path":"Observation.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]}]}} package/StructureDefinition-at-aps-observationpregnancystatus.json 0100644 0000000 0000000 00000302107 15112310073 024767 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-observationpregnancystatus","text":{"status":"extensions","div":" | Name | Flags | Card. | Type | Description & Constraints |
|---|
| Observation | | 0..* | AtApsObservation | AT APS Observation Pregnancy Status
This profile also imposes the profile Observation Pregnancy - Status (IPS) |
\r\n| subject | | 0..1 | Reference(AT APS Patient) | Who and/or what the observation is about |
\r\n| Slices for value[x] | | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
Slice: Unordered, Open by type:$this |
\r\n| value[x]:valueCodeableConcept | | 0..1 | CodeableConcept | Actual result
Binding: https://termgit.elga.gv.at/ValueSet/elga-pregnancystatus (extensible) |
\r\n| hasMember | | 0..* | Reference(AT APS Observation Pregnancy Expected Delivery Date) | Related resource that belongs to the Observation group |
\r\n
Documentation for this format |
"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancystatus","version":"0.2.0","name":"AtApsObservationPregnancyStatus","title":"AT APS Observation Pregnancy Status","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Observation-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"0.2.0"}],"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Pregnancy Status","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"http://hl7.org/fhir/StructureDefinition/Observation"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"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.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/Immunization|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationStatus"}],"strength":"required","description":"Codes providing the status of an observation.","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","short":"Classification of type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":0,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.code","path":"Observation.code","short":"Type of observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"name\".","comment":"*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","alias":["Name"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose 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.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":0,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient 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.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Clinically relevant time/time-period for observation","definition":"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.","comment":"At least a date should be present unless this observation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":0,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"},{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"open"},"short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.value[x]:valueCodeableConcept","path":"Observation.value[x]","sliceName":"valueCodeableConcept","short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-pregnancystatus"},"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods|4.0.1"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceMetric|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"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.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"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.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"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.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"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\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Related resource that belongs to the Observation group","definition":"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.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyedd"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"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.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Component results","definition":"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.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Actual component result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Pregnancy Status"},{"id":"Observation.subject","path":"Observation.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]},{"id":"Observation.value[x]","path":"Observation.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"open"}},{"id":"Observation.value[x]:valueCodeableConcept","path":"Observation.value[x]","sliceName":"valueCodeableConcept","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-pregnancystatus"}},{"id":"Observation.hasMember","path":"Observation.hasMember","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationpregnancyedd"]}]}]}} package/StructureDefinition-at-aps-observationresultslaboratorypathology.json 0100644 0000000 0000000 00000420715 15112310073 027272 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-observationresultslaboratorypathology","text":{"status":"extensions","div":" | Name | Flags | Card. | Type | Description & Constraints |
|---|
| Observation | | 0..* | AtApsObservation | AT APS Observation Results Laboratory Pathology
This profile also imposes the profile Observation Results - Laboratory/Pathology (IPS) |
\r\n| category | | 0..* | CodeableConcept | Classification of type of observation
Binding: https://termgit.elga.gv.at/ValueSet/elga-laborstruktur (extensible) |
\r\n| code | | 1..1 | CodeableConceptIPS | Type of observation (code / type)
Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible) |
\r\n| performer | | 0..* | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Organization | CareTeam | AT APS Patient | RelatedPerson) | Who is responsible for the observation |
\r\n| Slices for value[x] | | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
Slice: Unordered, Open by type:$this |
\r\n| value[x]:valueString | | 0..1 | string | Actual result |
\r\n| value[x]:valueQuantity | | 0..1 | Quantity | Actual result |
\r\n| value[x]:valueCodeableConcept | | 0..1 | CodeableConcept | Actual result
Binding: Results Coded Values Laboratory/Pathology - IPS (extensible) |
\r\n| interpretation | | 0..* | CodeableConcept | High, low, normal, etc.
Binding: AT APS ObservationInterpretation (extensible) |
\r\n| specimen | | 0..1 | Reference(AT APS Specimen) | Specimen used for this observation |
\r\n| hasMember | | 0..* | Reference(AT APS Observation Results Laboratory Pathology) | Related resource that belongs to the Observation group |
\r\n| component | | | | |
\r\n| code | | 1..1 | CodeableConceptIPS | Type of component observation (code / type)
Binding: https://termgit.elga.gv.at/ValueSet/elga-laborparameter (extensible) |
\r\n| Slices for value[x] | | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result
Slice: Unordered, Open by type:$this |
\r\n| value[x]:valueCodeableConcept | | 0..1 | CodeableConcept | Actual component result
Binding: Results Coded Values Laboratory/Pathology - IPS (extensible) |
\r\n| interpretation | | 0..* | CodeableConcept | High, low, normal, etc.
Binding: AT APS ObservationInterpretation (extensible) |
\r\n
Documentation for this format |
"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-laboratory-pathology-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology","version":"0.2.0","name":"AtApsObservationResultsLaboratoryPathology","title":"AT APS Observation Results Laboratory Pathology","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Observation-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"0.2.0"}],"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Results Laboratory Pathology","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"http://hl7.org/fhir/StructureDefinition/Observation"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"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.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/Immunization|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationStatus"}],"strength":"required","description":"Codes providing the status of an observation.","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","short":"Classification of type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":0,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-laborstruktur"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.code","path":"Observation.code","short":"Type of observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"name\".","comment":"*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","alias":["Name"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept","profile":["http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"extension":[{"url":"key","valueId":"Antibiogram"},{"url":"purpose","valueCode":"extensible"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-antibiogramm"},{"url":"documentation","valueMarkdown":"Additional binding in case of antibiotic susceptibility testing."}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-laborparameter"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose 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.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":0,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Location"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient 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.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Clinically relevant time/time-period for observation","definition":"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.","comment":"At least a date should be present unless this observation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":0,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"},{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization","http://hl7.org/fhir/StructureDefinition/CareTeam","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"open"},"short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.value[x]:valueString","path":"Observation.value[x]","sliceName":"valueString","short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.value[x]:valueQuantity","path":"Observation.value[x]","sliceName":"valueQuantity","short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.value[x]:valueCodeableConcept","path":"Observation.value[x]","sliceName":"valueCodeableConcept","short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"extension":[{"url":"key","valueId":"ProofValue"},{"url":"purpose","valueCode":"candidate"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis"},{"url":"documentation","valueMarkdown":"An additional binding to the ELGA Valueset \"Nachweisergebnis\" - to include missing values of the IPS ValueSet."}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips"},"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-observationinterpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods|4.0.1"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-specimen"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceMetric|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"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.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"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.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"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.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"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\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Related resource that belongs to the Observation group","definition":"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.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"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.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Component results","definition":"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.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept","profile":["http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"extension":[{"url":"key","valueId":"ComponentAntibiogram"},{"url":"purpose","valueCode":"extensible"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-antibiogramm"},{"url":"documentation","valueMarkdown":"Additional binding in case of antibiotic susceptibility testing."}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-laborparameter"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"open"},"short":"Actual component result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.value[x]:valueCodeableConcept","path":"Observation.component.value[x]","sliceName":"valueCodeableConcept","short":"Actual component result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"extension":[{"url":"key","valueId":"ComponentProofValue"},{"url":"purpose","valueCode":"candidate"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis"},{"url":"documentation","valueMarkdown":"An additional binding to the ELGA Valueset \"Nachweisergebnis\" - to include missing values of the IPS ValueSet."}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips"},"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-observationinterpretation"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Results Laboratory Pathology"},{"id":"Observation.category","path":"Observation.category","binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-laborstruktur"}},{"id":"Observation.code","path":"Observation.code","type":[{"code":"CodeableConcept","profile":["http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"]}],"binding":{"extension":[{"extension":[{"url":"key","valueId":"Antibiogram"},{"url":"purpose","valueCode":"extensible"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-antibiogramm"},{"url":"documentation","valueMarkdown":"Additional binding in case of antibiotic susceptibility testing."}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-laborparameter"}},{"id":"Observation.performer","path":"Observation.performer","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization","http://hl7.org/fhir/StructureDefinition/CareTeam","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}]},{"id":"Observation.value[x]","path":"Observation.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"rules":"open"}},{"id":"Observation.value[x]:valueString","path":"Observation.value[x]","sliceName":"valueString","min":0,"max":"1","type":[{"code":"string"}]},{"id":"Observation.value[x]:valueQuantity","path":"Observation.value[x]","sliceName":"valueQuantity","min":0,"max":"1","type":[{"code":"Quantity"}]},{"id":"Observation.value[x]:valueCodeableConcept","path":"Observation.value[x]","sliceName":"valueCodeableConcept","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"binding":{"extension":[{"extension":[{"url":"key","valueId":"ProofValue"},{"url":"purpose","valueCode":"candidate"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis"},{"url":"documentation","valueMarkdown":"An additional binding to the ELGA Valueset \"Nachweisergebnis\" - to include missing values of the IPS ValueSet."}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips"}},{"id":"Observation.interpretation","path":"Observation.interpretation","binding":{"strength":"extensible","valueSet":"https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-observationinterpretation"}},{"id":"Observation.specimen","path":"Observation.specimen","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-specimen"]}]},{"id":"Observation.hasMember","path":"Observation.hasMember","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultslaboratorypathology"]}]},{"id":"Observation.component.code","path":"Observation.component.code","type":[{"code":"CodeableConcept","profile":["http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"]}],"binding":{"extension":[{"extension":[{"url":"key","valueId":"ComponentAntibiogram"},{"url":"purpose","valueCode":"extensible"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-antibiogramm"},{"url":"documentation","valueMarkdown":"Additional binding in case of antibiotic susceptibility testing."}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-laborparameter"}},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"rules":"open"}},{"id":"Observation.component.value[x]:valueCodeableConcept","path":"Observation.component.value[x]","sliceName":"valueCodeableConcept","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"binding":{"extension":[{"extension":[{"url":"key","valueId":"ComponentProofValue"},{"url":"purpose","valueCode":"candidate"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis"},{"url":"documentation","valueMarkdown":"An additional binding to the ELGA Valueset \"Nachweisergebnis\" - to include missing values of the IPS ValueSet."}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"http://hl7.org/fhir/uv/ips/ValueSet/results-coded-values-laboratory-pathology-uv-ips"}},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","binding":{"strength":"extensible","valueSet":"https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-observationinterpretation"}}]}} package/StructureDefinition-at-aps-observationresultsradiology.json 0100644 0000000 0000000 00000271244 15112310073 025157 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-observationresultsradiology","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-radiology-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultsradiology","version":"0.2.0","name":"AtApsObservationResultsRadiology","title":"AT APS Observation Results Radiology","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Observation-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"0.2.0"}],"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Results Radiology","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"http://hl7.org/fhir/StructureDefinition/Observation"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"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.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-imagingstudy"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationStatus"}],"strength":"required","description":"Codes providing the status of an observation.","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","short":"Classification of type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":0,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.code","path":"Observation.code","short":"Type of observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"name\".","comment":"*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","alias":["Name"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose 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.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":0,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient 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.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Clinically relevant time/time-period for observation","definition":"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.","comment":"At least a date should be present unless this observation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":0,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"},{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization","http://hl7.org/fhir/StructureDefinition/CareTeam","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods|4.0.1"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceMetric|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"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.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"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.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"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.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"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\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Related resource that belongs to the Observation group","definition":"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.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultsradiology"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"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.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Component results","definition":"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.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Actual component result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Results Radiology"},{"id":"Observation.partOf","path":"Observation.partOf","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-imagingstudy"]}]},{"id":"Observation.subject","path":"Observation.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]},{"id":"Observation.performer","path":"Observation.performer","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization","http://hl7.org/fhir/StructureDefinition/CareTeam","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}]},{"id":"Observation.hasMember","path":"Observation.hasMember","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationresultsradiology"]}]}]}} package/StructureDefinition-at-aps-observationtobaccouse.json 0100644 0000000 0000000 00000276104 15112310073 023673 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-observationtobaccouse","text":{"status":"extensions","div":" | Name | Flags | Card. | Type | Description & Constraints |
|---|
| Observation | | 0..* | AtApsObservation | AT APS Observation Tobacco Use
This profile also imposes the profile Observation Social History - Tobacco Use (IPS) |
\r\n| subject | | 0..1 | Reference(AT APS Patient) | Who and/or what the observation is about |
\r\n| Slices for value[x] | | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
Slice: Unordered, Open by type:$this |
\r\n| value[x]:valueCodeableConcept | | 0..1 | CodeableConcept | Actual result
Binding: https://termgit.elga.gv.at/ValueSet/elga-currentsmokingstatus (extensible) |
\r\n
Documentation for this format |
"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-tobaccouse-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationtobaccouse","version":"0.2.0","name":"AtApsObservationTobaccoUse","title":"AT APS Observation Tobacco Use","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Observation-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"0.2.0"}],"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Tobacco Use","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"http://hl7.org/fhir/StructureDefinition/Observation"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"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.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/Immunization|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationStatus"}],"strength":"required","description":"Codes providing the status of an observation.","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","short":"Classification of type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":0,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.code","path":"Observation.code","short":"Type of observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"name\".","comment":"*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","alias":["Name"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose 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.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":0,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient 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.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Clinically relevant time/time-period for observation","definition":"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.","comment":"At least a date should be present unless this observation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":0,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"},{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"open"},"short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.value[x]:valueCodeableConcept","path":"Observation.value[x]","sliceName":"valueCodeableConcept","short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-currentsmokingstatus"},"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods|4.0.1"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceMetric|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"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.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"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.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"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.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"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\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Related resource that belongs to the Observation group","definition":"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.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"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.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Component results","definition":"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.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Actual component result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Tobacco Use"},{"id":"Observation.subject","path":"Observation.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]},{"id":"Observation.value[x]","path":"Observation.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"open"}},{"id":"Observation.value[x]:valueCodeableConcept","path":"Observation.value[x]","sliceName":"valueCodeableConcept","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-currentsmokingstatus"}}]}} package/StructureDefinition-at-aps-observationvitalsigns.json 0100644 0000000 0000000 00000341310 15112310074 023720 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-observationvitalsigns","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/StructureDefinition/vitalsigns"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observationvitalsigns","version":"0.2.0","name":"AtApsObservationVitalSigns","title":"AT APS Observation Vital Signs","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Abbildung der Vitalparameter ist abgeleitet vom allgemeinen [\"Vital Signs\"-Profil](http://hl7.org/fhir/StructureDefinition/vitalsigns) und berücksichtigt die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"sct-concept","uri":"http://snomed.info/conceptdomain","name":"SNOMED CT Concept Domain Binding"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"sct-attr","uri":"http://snomed.org/attributebinding","name":"SNOMED CT Attribute Binding"}],"kind":"resource","abstract":false,"type":"Observation","baseDefinition":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"0.2.0"}],"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Vital Signs","definition":"Measurements and simple assertions made about a patient, device or other subject.","comment":"Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.","alias":["Vital Signs","Measurement","Results","Tests"],"min":0,"max":"*","base":{"path":"Observation","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"obs-6","severity":"error","human":"dataAbsentReason SHALL only be present if Observation.value[x] is not present","expression":"dataAbsentReason.empty() or value.empty()","xpath":"not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))","source":"http://hl7.org/fhir/StructureDefinition/Observation"},{"key":"obs-7","severity":"error","human":"If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present","expression":"value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()","xpath":"not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"sct-concept","map":"< 363787002 |Observable entity|"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.id","path":"Observation.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Observation.meta","path":"Observation.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Observation.implicitRules","path":"Observation.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Observation.language","path":"Observation.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Observation.text","path":"Observation.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Observation.contained","path":"Observation.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.extension","path":"Observation.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.modifierExtension","path":"Observation.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.identifier","path":"Observation.identifier","short":"Business Identifier for observation","definition":"A unique identifier assigned to this observation.","requirements":"Allows observations to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Observation.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."},{"identity":"rim","map":"id"}]},{"id":"Observation.basedOn","path":"Observation.basedOn","short":"Fulfills plan, proposal or order","definition":"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.","requirements":"Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.","alias":["Fulfills"],"min":0,"max":"*","base":{"path":"Observation.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1","http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}]},{"id":"Observation.partOf","path":"Observation.partOf","short":"Part of referenced event","definition":"A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.","comment":"To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.","alias":["Container"],"min":0,"max":"*","base":{"path":"Observation.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationDispense|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/Immunization|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"}]},{"id":"Observation.status","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"default: final"}],"path":"Observation.status","short":"registered | preliminary | final | amended +","definition":"The status of the result value.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","requirements":"Need to track the status of individual results. Some results are finalized before the whole report is finalized.","min":1,"max":"1","base":{"path":"Observation.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationStatus"}],"strength":"required","description":"Codes providing the status of an observation.","valueSet":"http://hl7.org/fhir/ValueSet/observation-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"sct-concept","map":"< 445584004 |Report by finality status|"},{"identity":"v2","map":"OBX-11"},{"identity":"rim","map":"status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""}]},{"id":"Observation.category","path":"Observation.category","slicing":{"discriminator":[{"type":"value","path":"coding.code"},{"type":"value","path":"coding.system"}],"ordered":false,"rules":"open"},"short":"Classification of type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":1,"max":"*","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.category:VSCat","path":"Observation.category","sliceName":"VSCat","short":"Classification of type of observation","definition":"A code that classifies the general type of observation being made.","comment":"In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.","requirements":"Used for filtering what observations are retrieved and displayed.","min":1,"max":"1","base":{"path":"Observation.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCategory"}],"strength":"preferred","description":"Codes for high level observation categories.","valueSet":"http://hl7.org/fhir/ValueSet/observation-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Observation.category:VSCat.id","path":"Observation.category.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.extension","path":"Observation.category.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding","path":"Observation.category.coding","short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":1,"max":"*","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Observation.category:VSCat.coding.id","path":"Observation.category.coding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding.extension","path":"Observation.category.coding.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.category:VSCat.coding.system","path":"Observation.category.coding.system","short":"Identity of the terminology system","definition":"The identification of the code system that defines the meaning of the symbol in the code.","comment":"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","requirements":"Need to be unambiguous about the source of the definition of the symbol.","min":1,"max":"1","base":{"path":"Coding.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://terminology.hl7.org/CodeSystem/observation-category","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.3"},{"identity":"rim","map":"./codeSystem"},{"identity":"orim","map":"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}]},{"id":"Observation.category:VSCat.coding.version","path":"Observation.category.coding.version","short":"Version of the system - if relevant","definition":"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.","comment":"Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","min":0,"max":"1","base":{"path":"Coding.version","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.7"},{"identity":"rim","map":"./codeSystemVersion"},{"identity":"orim","map":"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}]},{"id":"Observation.category:VSCat.coding.code","path":"Observation.category.coding.code","short":"Symbol in syntax defined by the system","definition":"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).","requirements":"Need to refer to a particular code in the system.","min":1,"max":"1","base":{"path":"Coding.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"vital-signs","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1"},{"identity":"rim","map":"./code"},{"identity":"orim","map":"fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}]},{"id":"Observation.category:VSCat.coding.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.category.coding.display","short":"Representation defined by the system","definition":"A representation of the meaning of the code in the system, following the rules of the system.","requirements":"Need to be able to carry a human-readable meaning of the code for readers that do not know the system.","min":0,"max":"1","base":{"path":"Coding.display","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.2 - but note this is not well followed"},{"identity":"rim","map":"CV.displayName"},{"identity":"orim","map":"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}]},{"id":"Observation.category:VSCat.coding.userSelected","path":"Observation.category.coding.userSelected","short":"If this coding was chosen directly by the user","definition":"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","comment":"Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","requirements":"This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","min":0,"max":"1","base":{"path":"Coding.userSelected","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Sometimes implied by being first"},{"identity":"rim","map":"CD.codingRationale"},{"identity":"orim","map":"fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"}]},{"id":"Observation.category:VSCat.text","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.category.text","short":"Plain text representation of the concept","definition":"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.","comment":"Very often the text is the same as a displayName of one of the codings.","requirements":"The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","min":0,"max":"1","base":{"path":"CodeableConcept.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.9. But note many systems use C*E.2 for this"},{"identity":"rim","map":"./originalText[mediaType/code=\"text/plain\"]/data"},{"identity":"orim","map":"fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"}]},{"id":"Observation.code","path":"Observation.code","short":"Type of observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"name\".","comment":"*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","alias":["Name"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"},{"identity":"sct-attr","map":"116680003 |Is a|"}]},{"id":"Observation.subject","path":"Observation.subject","short":"Who and/or what the observation is about","definition":"The patient, or group of patients, location, or device this observation is about and into whose 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.","comment":"One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.","requirements":"Observations have no value if you don't know who or what they're about.","min":0,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"participation[typeCode=RTGT]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.focus","path":"Observation.focus","short":"What the observation is about, when it is not about the subject of record","definition":"The actual focus of an observation when it is not the patient 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.","comment":"Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"participation[typeCode=SBJ]"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Observation.encounter","path":"Observation.encounter","short":"Healthcare event during which this observation is made","definition":"The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.","comment":"This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).","requirements":"For some observations it may be important to know the link between an observation and a particular encounter.","alias":["Context"],"min":0,"max":"1","base":{"path":"Observation.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1"},{"identity":"rim","map":"inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","short":"Clinically relevant time/time-period for observation","definition":"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.","comment":"At least a date should be present unless this observation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](http://hl7.org/fhir/R4/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.","requirements":"Knowing when an observation was deemed true is important to its relevance as well as determining trends.","alias":["Occurrence"],"min":0,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"},{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"},{"identity":"rim","map":"effectiveTime"}]},{"id":"Observation.issued","path":"Observation.issued","short":"Date/Time this version was made available","definition":"The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.","comment":"For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.","min":0,"max":"1","base":{"path":"Observation.issued","min":0,"max":"1"},"type":[{"code":"instant"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"},{"identity":"rim","map":"participation[typeCode=AUT].time"}]},{"id":"Observation.performer","path":"Observation.performer","short":"Who is responsible for the observation","definition":"Who was responsible for asserting the observed value as \"true\".","requirements":"May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.","min":0,"max":"*","base":{"path":"Observation.performer","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1","http://hl7.org/fhir/StructureDefinition/Organization|4.0.1","http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1","http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"},{"identity":"rim","map":"participation[typeCode=PRF]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","short":"Actual result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"condition":["obs-7"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"< 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","short":"Why the result is missing","definition":"Provides a reason why the expected value in the element Observation.value[x] is missing.","comment":"Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.interpretation","path":"Observation.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.note","path":"Observation.note","short":"Comments about the observation","definition":"Comments about the observation or the results.","comment":"May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.","requirements":"Need to be able to provide free text additional information.","min":0,"max":"*","base":{"path":"Observation.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"},{"identity":"rim","map":"subjectOf.observationEvent[code=\"annotation\"].value"}]},{"id":"Observation.bodySite","path":"Observation.bodySite","short":"Observed body part","definition":"Indicates the site on the subject's body where the observation was made (i.e. the target site).","comment":"Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Observation.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 123037004 |Body structure|"},{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":"targetSiteCode"},{"identity":"sct-attr","map":"718497002 |Inherent location|"}]},{"id":"Observation.method","path":"Observation.method","short":"How it was done","definition":"Indicates the mechanism used to perform the observation.","comment":"Only used if not implicit in code for Observation.code.","requirements":"In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.","min":0,"max":"1","base":{"path":"Observation.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationMethod"}],"strength":"example","description":"Methods for simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-methods|4.0.1"},"mapping":[{"identity":"v2","map":"OBX-17"},{"identity":"rim","map":"methodCode"}]},{"id":"Observation.specimen","path":"Observation.specimen","short":"Specimen used for this observation","definition":"The specimen that was used when this observation was made.","comment":"Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).","min":0,"max":"1","base":{"path":"Observation.specimen","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 123038009 |Specimen|"},{"identity":"v2","map":"SPM segment"},{"identity":"rim","map":"participation[typeCode=SPC].specimen"},{"identity":"sct-attr","map":"704319004 |Inherent in|"}]},{"id":"Observation.device","path":"Observation.device","short":"(Measurement) Device","definition":"The device used to generate the observation data.","comment":"Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.","min":0,"max":"1","base":{"path":"Observation.device","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/DeviceMetric|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"sct-concept","map":"< 49062001 |Device|"},{"identity":"v2","map":"OBX-17 / PRT -10"},{"identity":"rim","map":"participation[typeCode=DEV]"},{"identity":"sct-attr","map":"424226004 |Using device|"}]},{"id":"Observation.referenceRange","path":"Observation.referenceRange","short":"Provides guide for interpretation","definition":"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.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.referenceRange","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"obs-3","severity":"error","human":"Must have at least a low or a high or text","expression":"low.exists() or high.exists() or text.exists()","xpath":"(exists(f:low) or exists(f:high)or exists(f:text))","source":"http://hl7.org/fhir/StructureDefinition/Observation"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]},{"id":"Observation.referenceRange.id","path":"Observation.referenceRange.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.extension","path":"Observation.referenceRange.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.referenceRange.modifierExtension","path":"Observation.referenceRange.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.referenceRange.low","path":"Observation.referenceRange.low","short":"Low Range, if relevant","definition":"The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.low","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.low"}]},{"id":"Observation.referenceRange.high","path":"Observation.referenceRange.high","short":"High Range, if relevant","definition":"The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).","min":0,"max":"1","base":{"path":"Observation.referenceRange.high","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"condition":["obs-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:IVL_PQ.high"}]},{"id":"Observation.referenceRange.type","path":"Observation.referenceRange.type","short":"Reference range qualifier","definition":"Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.","requirements":"Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.","min":0,"max":"1","base":{"path":"Observation.referenceRange.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeMeaning"}],"strength":"preferred","description":"Code for the meaning of a reference range.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-meaning|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.appliesTo","path":"Observation.referenceRange.appliesTo","short":"Reference range population","definition":"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.","comment":"This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.","requirements":"Need to be able to identify the target population for proper interpretation.","min":0,"max":"*","base":{"path":"Observation.referenceRange.appliesTo","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationRangeType"}],"strength":"example","description":"Codes identifying the population the reference range applies to.","valueSet":"http://hl7.org/fhir/ValueSet/referencerange-appliesto|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"},{"identity":"v2","map":"OBX-10"},{"identity":"rim","map":"interpretationCode"}]},{"id":"Observation.referenceRange.age","path":"Observation.referenceRange.age","short":"Applicable age range, if relevant","definition":"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.","requirements":"Some analytes vary greatly over age.","min":0,"max":"1","base":{"path":"Observation.referenceRange.age","min":0,"max":"1"},"type":[{"code":"Range"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"}]},{"id":"Observation.referenceRange.text","path":"Observation.referenceRange.text","short":"Text based reference range in an observation","definition":"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\".","min":0,"max":"1","base":{"path":"Observation.referenceRange.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX-7"},{"identity":"rim","map":"value:ST"}]},{"id":"Observation.hasMember","path":"Observation.hasMember","short":"Related resource that belongs to the Observation group","definition":"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.","comment":"When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/R4/questionnaireresponse.html) into a final score and represent the score as an Observation.","min":0,"max":"*","base":{"path":"Observation.hasMember","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":"outBoundRelationship"}]},{"id":"Observation.derivedFrom","path":"Observation.derivedFrom","short":"Related measurements the observation is made from","definition":"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.","comment":"All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1","http://hl7.org/fhir/StructureDefinition/Media|4.0.1","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/MolecularSequence|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Relationships established by OBX-4 usage"},{"identity":"rim","map":".targetObservation"}]},{"id":"Observation.component","path":"Observation.component","short":"Component results","definition":"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.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.","min":0,"max":"*","base":{"path":"Observation.component","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component.id","path":"Observation.component.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.extension","path":"Observation.component.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Observation.component.modifierExtension","path":"Observation.component.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Observation.component.code","path":"Observation.component.code","short":"Type of component observation (code / type)","definition":"Describes what was observed. Sometimes this is called the observation \"code\".","comment":"*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","min":1,"max":"1","base":{"path":"Observation.component.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationCode"}],"strength":"example","description":"Codes identifying names of simple observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"sct-concept","map":"< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"},{"identity":"v2","map":"OBX-3"},{"identity":"rim","map":"code"}]},{"id":"Observation.component.value[x]","path":"Observation.component.value[x]","short":"Actual component result","definition":"The information determined as a result of making the observation, if the information has a simple value.","comment":"Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.","requirements":"An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Range"},{"code":"Ratio"},{"code":"SampledData"},{"code":"time"},{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"sct-concept","map":"363714003 |Interprets| < 441742003 |Evaluation finding|"},{"identity":"v2","map":"OBX.2, OBX.5, OBX.6"},{"identity":"rim","map":"value"},{"identity":"sct-attr","map":"363714003 |Interprets|"}]},{"id":"Observation.component.dataAbsentReason","path":"Observation.component.dataAbsentReason","short":"Why the component result is missing","definition":"Provides a reason why the expected value in the element Observation.component.value[x] is missing.","comment":"\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.","requirements":"For many results it is necessary to handle exceptional values in measurements.","min":0,"max":"1","base":{"path":"Observation.component.dataAbsentReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["obs-6"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationValueAbsentReason"}],"strength":"extensible","description":"Codes specifying why the result (`Observation.value[x]`) is missing.","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component.interpretation","path":"Observation.component.interpretation","short":"High, low, normal, etc.","definition":"A categorical assessment of an observation value. For example, high, low, normal.","comment":"Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.","requirements":"For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.","alias":["Abnormal Flag"],"min":0,"max":"*","base":{"path":"Observation.component.interpretation","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ObservationInterpretation"}],"strength":"extensible","description":"Codes identifying interpretations of observations.","valueSet":"http://hl7.org/fhir/ValueSet/observation-interpretation|4.0.1"},"mapping":[{"identity":"sct-concept","map":"< 260245000 |Findings values|"},{"identity":"v2","map":"OBX-8"},{"identity":"rim","map":"interpretationCode"},{"identity":"sct-attr","map":"363713009 |Has interpretation|"}]},{"id":"Observation.component.referenceRange","path":"Observation.component.referenceRange","short":"Provides guide for interpretation of component result","definition":"Guidance on how to interpret the value by comparison to a normal or recommended range.","comment":"Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.","requirements":"Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.","min":0,"max":"*","base":{"path":"Observation.component.referenceRange","min":0,"max":"*"},"contentReference":"http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX.7"},{"identity":"rim","map":"outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Observation","path":"Observation","short":"AT APS Observation Vital Signs"},{"id":"Observation.category","path":"Observation.category","slicing":{"discriminator":[{"type":"value","path":"coding.code"},{"type":"value","path":"coding.system"}],"ordered":false,"rules":"open"},"min":1,"mustSupport":true},{"id":"Observation.category:VSCat","path":"Observation.category","sliceName":"VSCat","min":1,"max":"1","mustSupport":true},{"id":"Observation.category:VSCat.coding","path":"Observation.category.coding","min":1,"mustSupport":true},{"id":"Observation.category:VSCat.coding.system","path":"Observation.category.coding.system","min":1,"fixedUri":"http://terminology.hl7.org/CodeSystem/observation-category","mustSupport":true},{"id":"Observation.category:VSCat.coding.code","path":"Observation.category.coding.code","min":1,"fixedCode":"vital-signs","mustSupport":true},{"id":"Observation.subject","path":"Observation.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]}]}} package/StructureDefinition-at-aps-organization.json 0100644 0000000 0000000 00000372346 15112310074 022002 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-organization","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization","version":"0.2.0","name":"AtApsOrganization","title":"AT APS Organization","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Organization-Ressource ist vom entsprechenden Profil aus dem HL7® Austria FHIR® Core IG abgeleitet und stellt zusätzlich die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"servd","uri":"http://www.omg.org/spec/ServD/1.0/","name":"ServD"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"Organization","baseDefinition":"http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-organization","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"2.0.0"}],"element":[{"id":"Organization","path":"Organization","short":"AT APS Organization","definition":"A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.","min":0,"max":"*","base":{"path":"Organization","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"org-1","severity":"error","human":"The organization SHALL at least have a name or an identifier, and possibly more than one","expression":"(identifier.count() + name.count()) > 0","xpath":"count(f:identifier | f:name) > 0","source":"http://hl7.org/fhir/StructureDefinition/Organization"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"(also see master files messages)"},{"identity":"rim","map":"Organization(classCode=ORG, determinerCode=INST)"},{"identity":"servd","map":"Organization"}]},{"id":"Organization.id","path":"Organization.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Organization.meta","path":"Organization.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Organization.implicitRules","path":"Organization.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Organization.language","path":"Organization.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Organization.text","path":"Organization.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Organization.contained","path":"Organization.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.extension","path":"Organization.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.modifierExtension","path":"Organization.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier","path":"Organization.identifier","slicing":{"discriminator":[{"type":"value","path":"system"}],"ordered":false,"rules":"open"},"short":"Identifies this organization across multiple systems","definition":"Identifier for the organization that is used to identify the organization across multiple disparate systems.","requirements":"Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","min":0,"max":"*","base":{"path":"Organization.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"condition":["org-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"XON.10 / XON.3"},{"identity":"rim","map":".scopes[Role](classCode=IDENT)"},{"identity":"servd","map":"./Identifiers"}]},{"id":"Organization.identifier:GDA-OID","path":"Organization.identifier","sliceName":"GDA-OID","short":"Identifies this organization across multiple systems","definition":"Identifier for the organization that is used to identify the organization across multiple disparate systems.","requirements":"Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","min":0,"max":"1","base":{"path":"Organization.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"condition":["org-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"XON.10 / XON.3"},{"identity":"rim","map":".scopes[Role](classCode=IDENT)"},{"identity":"servd","map":"./Identifiers"}]},{"id":"Organization.identifier:GDA-OID.id","path":"Organization.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:GDA-OID.extension","path":"Organization.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:GDA-OID.use","path":"Organization.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Organization.identifier:GDA-OID.type","path":"Organization.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"}],"strength":"extensible","description":"A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","valueSet":"http://hl7.org/fhir/ValueSet/identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Organization.identifier:GDA-OID.system","path":"Organization.identifier.system","short":"A GDA in Austria is represented via an URI (OID)","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"urn:ietf:rfc:3986","example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Organization.identifier:GDA-OID.value","path":"Organization.identifier.value","short":"OID for the GDA in Austria","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":1,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Organization.identifier:GDA-OID.period","path":"Organization.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Organization.identifier:GDA-OID.assigner","path":"Organization.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Organization.identifier:GDA-OID.assigner.id","path":"Organization.identifier.assigner.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:GDA-OID.assigner.extension","path":"Organization.identifier.assigner.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:GDA-OID.assigner.reference","path":"Organization.identifier.assigner.reference","short":"Literal reference, Relative, internal or absolute URL","definition":"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.","comment":"Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.","min":0,"max":"1","base":{"path":"Reference.reference","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["ref-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier:GDA-OID.assigner.type","path":"Organization.identifier.assigner.type","short":"Type the reference refers to (e.g. \"Patient\")","definition":"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.\n\nThe 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).","comment":"This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","min":0,"max":"1","base":{"path":"Reference.type","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRResourceTypeExt"}],"strength":"extensible","description":"Aa resource (or, for logical models, the URI of the logical model).","valueSet":"http://hl7.org/fhir/ValueSet/resource-types"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier:GDA-OID.assigner.identifier","path":"Organization.identifier.assigner.identifier","short":"Logical reference, when literal reference is not known","definition":"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.","comment":"When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","min":0,"max":"1","base":{"path":"Reference.identifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".identifier"}]},{"id":"Organization.identifier:GDA-OID.assigner.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Organization.identifier.assigner.display","short":"Text alternative for the resource","definition":"Plain text narrative that identifies the resource in addition to the resource reference.","comment":"This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.","min":0,"max":"1","base":{"path":"Reference.display","min":0,"max":"1"},"type":[{"code":"string"}],"fixedString":"Bundesministerium für Gesundheit","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier:VPNR","path":"Organization.identifier","sliceName":"VPNR","short":"Identifies this organization across multiple systems","definition":"Identifier for the organization that is used to identify the organization across multiple disparate systems.","requirements":"Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","min":0,"max":"*","base":{"path":"Organization.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"condition":["org-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"XON.10 / XON.3"},{"identity":"rim","map":".scopes[Role](classCode=IDENT)"},{"identity":"servd","map":"./Identifiers"}]},{"id":"Organization.identifier:VPNR.id","path":"Organization.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:VPNR.extension","path":"Organization.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:VPNR.use","path":"Organization.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Organization.identifier:VPNR.type","path":"Organization.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"}],"strength":"extensible","description":"A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","valueSet":"http://hl7.org/fhir/ValueSet/identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Organization.identifier:VPNR.system","path":"Organization.identifier.system","short":"OID for the Vertragspartnernummer (VPNR) in Austria","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"urn:oid:1.2.40.0.10.1.4.3.2","example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Organization.identifier:VPNR.value","path":"Organization.identifier.value","short":"The value that is unique","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":1,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Organization.identifier:VPNR.period","path":"Organization.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Organization.identifier:VPNR.assigner","path":"Organization.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Organization.identifier:VPNR.assigner.id","path":"Organization.identifier.assigner.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:VPNR.assigner.extension","path":"Organization.identifier.assigner.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:VPNR.assigner.reference","path":"Organization.identifier.assigner.reference","short":"Literal reference, Relative, internal or absolute URL","definition":"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.","comment":"Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.","min":0,"max":"1","base":{"path":"Reference.reference","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["ref-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier:VPNR.assigner.type","path":"Organization.identifier.assigner.type","short":"Type the reference refers to (e.g. \"Patient\")","definition":"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.\n\nThe 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).","comment":"This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","min":0,"max":"1","base":{"path":"Reference.type","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRResourceTypeExt"}],"strength":"extensible","description":"Aa resource (or, for logical models, the URI of the logical model).","valueSet":"http://hl7.org/fhir/ValueSet/resource-types"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier:VPNR.assigner.identifier","path":"Organization.identifier.assigner.identifier","short":"Logical reference, when literal reference is not known","definition":"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.","comment":"When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","min":0,"max":"1","base":{"path":"Reference.identifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".identifier"}]},{"id":"Organization.identifier:VPNR.assigner.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Organization.identifier.assigner.display","short":"Text alternative for the resource","definition":"Plain text narrative that identifies the resource in addition to the resource reference.","comment":"This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.","min":0,"max":"1","base":{"path":"Reference.display","min":0,"max":"1"},"type":[{"code":"string"}],"fixedString":"Dachverband der österreichischen Sozialversicherungsträger","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier:VKZ","path":"Organization.identifier","sliceName":"VKZ","short":"Identifies this organization across multiple systems","definition":"Identifier for the organization that is used to identify the organization across multiple disparate systems.","requirements":"Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","min":0,"max":"1","base":{"path":"Organization.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"condition":["org-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"XON.10 / XON.3"},{"identity":"rim","map":".scopes[Role](classCode=IDENT)"},{"identity":"servd","map":"./Identifiers"}]},{"id":"Organization.identifier:VKZ.id","path":"Organization.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:VKZ.extension","path":"Organization.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:VKZ.use","path":"Organization.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Organization.identifier:VKZ.type","path":"Organization.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"}],"strength":"extensible","description":"A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","valueSet":"http://hl7.org/fhir/ValueSet/identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Organization.identifier:VKZ.system","path":"Organization.identifier.system","short":"OID for the Verwaltungskennzeichen (VKZ) in Austria","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"urn:oid:1.2.40.0.10.2.1.1.71","example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Organization.identifier:VKZ.value","path":"Organization.identifier.value","short":"The value that is unique","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":1,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Organization.identifier:VKZ.period","path":"Organization.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Organization.identifier:VKZ.assigner","path":"Organization.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Organization.identifier:VKZ.assigner.id","path":"Organization.identifier.assigner.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:VKZ.assigner.extension","path":"Organization.identifier.assigner.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:VKZ.assigner.reference","path":"Organization.identifier.assigner.reference","short":"Literal reference, Relative, internal or absolute URL","definition":"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.","comment":"Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.","min":0,"max":"1","base":{"path":"Reference.reference","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["ref-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier:VKZ.assigner.type","path":"Organization.identifier.assigner.type","short":"Type the reference refers to (e.g. \"Patient\")","definition":"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.\n\nThe 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).","comment":"This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","min":0,"max":"1","base":{"path":"Reference.type","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRResourceTypeExt"}],"strength":"extensible","description":"Aa resource (or, for logical models, the URI of the logical model).","valueSet":"http://hl7.org/fhir/ValueSet/resource-types"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier:VKZ.assigner.identifier","path":"Organization.identifier.assigner.identifier","short":"Logical reference, when literal reference is not known","definition":"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.","comment":"When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","min":0,"max":"1","base":{"path":"Reference.identifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".identifier"}]},{"id":"Organization.identifier:VKZ.assigner.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Organization.identifier.assigner.display","short":"Text alternative for the resource","definition":"Plain text narrative that identifies the resource in addition to the resource reference.","comment":"This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.","min":0,"max":"1","base":{"path":"Reference.display","min":0,"max":"1"},"type":[{"code":"string"}],"fixedString":"Bundesministerium für Finanzen","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier:KANR","path":"Organization.identifier","sliceName":"KANR","short":"Identifies this organization across multiple systems","definition":"Identifier for the organization that is used to identify the organization across multiple disparate systems.","requirements":"Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.","min":0,"max":"1","base":{"path":"Organization.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"condition":["org-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"XON.10 / XON.3"},{"identity":"rim","map":".scopes[Role](classCode=IDENT)"},{"identity":"servd","map":"./Identifiers"}]},{"id":"Organization.identifier:KANR.id","path":"Organization.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:KANR.extension","path":"Organization.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:KANR.use","path":"Organization.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Organization.identifier:KANR.type","path":"Organization.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"}],"strength":"extensible","description":"A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","valueSet":"http://hl7.org/fhir/ValueSet/identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Organization.identifier:KANR.system","path":"Organization.identifier.system","short":"OID for the Krankenanstaltennummer (KA-Nr) in Austria","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"urn:oid:1.2.40.0.34.4.10","example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Organization.identifier:KANR.value","path":"Organization.identifier.value","short":"Krankenanstaltennummer according to Krankenanstaltenkataster. Virtual KANRs are suffixed with '+' (e.g. 'K101+')","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":1,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Organization.identifier:KANR.period","path":"Organization.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Organization.identifier:KANR.assigner","path":"Organization.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Organization.identifier:KANR.assigner.id","path":"Organization.identifier.assigner.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:KANR.assigner.extension","path":"Organization.identifier.assigner.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.identifier:KANR.assigner.reference","path":"Organization.identifier.assigner.reference","short":"Literal reference, Relative, internal or absolute URL","definition":"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.","comment":"Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.","min":0,"max":"1","base":{"path":"Reference.reference","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["ref-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier:KANR.assigner.type","path":"Organization.identifier.assigner.type","short":"Type the reference refers to (e.g. \"Patient\")","definition":"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.\n\nThe 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).","comment":"This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","min":0,"max":"1","base":{"path":"Reference.type","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRResourceTypeExt"}],"strength":"extensible","description":"Aa resource (or, for logical models, the URI of the logical model).","valueSet":"http://hl7.org/fhir/ValueSet/resource-types"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.identifier:KANR.assigner.identifier","path":"Organization.identifier.assigner.identifier","short":"Logical reference, when literal reference is not known","definition":"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.","comment":"When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","min":0,"max":"1","base":{"path":"Reference.identifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".identifier"}]},{"id":"Organization.identifier:KANR.assigner.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Organization.identifier.assigner.display","short":"Text alternative for the resource","definition":"Plain text narrative that identifies the resource in addition to the resource reference.","comment":"This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.","min":0,"max":"1","base":{"path":"Reference.display","min":0,"max":"1"},"type":[{"code":"string"}],"fixedString":"Österreichisches Bundesministerium für Gesundheit","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.active","path":"Organization.active","short":"Whether the organization's record is still in active use","definition":"Whether the organization's record is still in active use.","comment":"This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.\n\nThis element is labeled as a modifier because it may be used to mark that the resource was created in error.","requirements":"Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.","min":0,"max":"1","base":{"path":"Organization.active","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"This resource is generally assumed to be active if no value is provided for the active element","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid","isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"No equivalent in HL7 v2"},{"identity":"rim","map":".status"},{"identity":"servd","map":"./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date."}]},{"id":"Organization.type","path":"Organization.type","short":"Kind of organization","definition":"The kind(s) of organization that this is.","comment":"Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes\n\nWhen considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.\n\nWe expect that some jurisdictions will profile this optionality to be a single cardinality.","requirements":"Need to be able to track the kind of organization that this is - different organization types have different uses.","min":0,"max":"*","base":{"path":"Organization.type","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/hl7-at-organizationtype"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"No equivalent in v2"},{"identity":"rim","map":".code"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.name","path":"Organization.name","short":"Name used for the organization","definition":"A name associated with the organization.","comment":"If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.","requirements":"Need to use the name as the label of the organization.","min":0,"max":"1","base":{"path":"Organization.name","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["org-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XON.1"},{"identity":"rim","map":".name"},{"identity":"servd","map":".PreferredName/Name"}]},{"id":"Organization.alias","path":"Organization.alias","short":"A list of alternate names that the organization is known as, or was known as in the past","definition":"A list of alternate names that the organization is known as, or was known as in the past.","comment":"There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.","requirements":"Over time locations and organizations go through many changes and can be known by different names.\n\nFor searching knowing previous names that the organization was known by can be very useful.","min":0,"max":"*","base":{"path":"Organization.alias","min":0,"max":"*"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".name"}]},{"id":"Organization.telecom","path":"Organization.telecom","short":"A contact detail for the organization","definition":"A contact detail for the organization.","comment":"The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.","requirements":"Human contact for the organization.","min":0,"max":"*","base":{"path":"Organization.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"condition":["org-3"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"org-3","severity":"error","human":"The telecom of an organization can never be of use 'home'","expression":"where(use = 'home').empty()","xpath":"count(f:use[@value='home']) = 0","source":"http://hl7.org/fhir/StructureDefinition/Organization"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"ORC-22?"},{"identity":"rim","map":".telecom"},{"identity":"servd","map":"./ContactPoints"}]},{"id":"Organization.address","path":"Organization.address","short":"An address for the organization","definition":"An address for the organization.","comment":"Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used.","requirements":"May need to keep track of the organization's addresses for contacting, billing or reporting requirements.","min":0,"max":"*","base":{"path":"Organization.address","min":0,"max":"*"},"type":[{"code":"Address","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-address"]}],"condition":["org-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"org-2","severity":"error","human":"An address of an organization can never be of use 'home'","expression":"where(use = 'home').empty()","xpath":"count(f:use[@value='home']) = 0","source":"http://hl7.org/fhir/StructureDefinition/Organization"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"ORC-23?"},{"identity":"rim","map":".address"},{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"}]},{"id":"Organization.partOf","path":"Organization.partOf","short":"The organization of which this organization forms a part","definition":"The organization of which this organization forms a part.","requirements":"Need to be able to track the hierarchy of organizations within an organization.","min":0,"max":"1","base":{"path":"Organization.partOf","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"No equivalent in HL7 v2"},{"identity":"rim","map":".playedBy[classCode=Part].scoper"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.contact","path":"Organization.contact","short":"Contact for the organization for a certain purpose","definition":"Contact for the organization for a certain purpose.","comment":"Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.","requirements":"Need to keep track of assigned contact points within bigger organization.","min":0,"max":"*","base":{"path":"Organization.contact","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".contactParty"}]},{"id":"Organization.contact.id","path":"Organization.contact.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.contact.extension","path":"Organization.contact.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Organization.contact.modifierExtension","path":"Organization.contact.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Organization.contact.purpose","path":"Organization.contact.purpose","short":"The type of contact","definition":"Indicates a purpose for which the contact can be reached.","requirements":"Need to distinguish between multiple contact persons.","min":0,"max":"1","base":{"path":"Organization.contact.purpose","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContactPartyType"}],"strength":"extensible","description":"The purpose for which you would contact a contact party.","valueSet":"http://hl7.org/fhir/ValueSet/contactentity-type"},"mapping":[{"identity":"rim","map":"./type"}]},{"id":"Organization.contact.name","path":"Organization.contact.name","short":"A name associated with the contact","definition":"A name associated with the contact.","requirements":"Need to be able to track the person by name.","min":0,"max":"1","base":{"path":"Organization.contact.name","min":0,"max":"1"},"type":[{"code":"HumanName"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PID-5, PID-9"},{"identity":"rim","map":"./name"}]},{"id":"Organization.contact.telecom","path":"Organization.contact.telecom","short":"Contact details (telephone, email, etc.) for a contact","definition":"A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.","requirements":"People have (primary) ways to contact them in some way such as phone, email.","min":0,"max":"*","base":{"path":"Organization.contact.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PID-13, PID-14"},{"identity":"rim","map":"./telecom"}]},{"id":"Organization.contact.address","path":"Organization.contact.address","short":"Visiting or postal addresses for the contact","definition":"Visiting or postal addresses for the contact.","requirements":"May need to keep track of a contact party's address for contacting, billing or reporting requirements.","min":0,"max":"1","base":{"path":"Organization.contact.address","min":0,"max":"1"},"type":[{"code":"Address","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-address"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PID-11"},{"identity":"rim","map":"./addr"}]},{"id":"Organization.endpoint","path":"Organization.endpoint","short":"Technical endpoints providing access to services operated for the organization","definition":"Technical endpoints providing access to services operated for the organization.","requirements":"Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.","min":0,"max":"*","base":{"path":"Organization.endpoint","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Endpoint"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]}]},"differential":{"element":[{"id":"Organization","path":"Organization","short":"AT APS Organization"}]}} package/StructureDefinition-at-aps-patient.json 0100644 0000000 0000000 00001145152 15112310074 020734 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-patient","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","version":"0.2.0","name":"AtApsPatient","title":"AT APS Patient","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Patientendaten, inkl. Angabe von Kontaktpersonen, Hausarzt bzw. primäre Ansprechpartner.\n\nUm die Vorgaben aus dem Umfeld von MyHealth@EU zu erfüllen, muss ein Vor- und Nachname angegeben werden.\n\nDas AT APS-Profil für die Patient-Ressource ist vom entsprechenden Profil aus dem HL7® Austria FHIR® Core IG abgeleitet und stellt zusätzlich die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird. \nDeshalb ist die Angabe des Geburtsdatums erforderlich.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"at-core-mapping-patient2cdaatv3","uri":"https://wiki.hl7.at/index.php?title=ILF:Allgemeiner_Implementierungsleitfaden_(Version_3)","name":"Allgemeiner Implementierungsleitfaden v3"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"cda","uri":"http://hl7.org/v3/cda","name":"CDA (R2)"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"loinc","uri":"http://loinc.org","name":"LOINC code for the element"}],"kind":"resource","abstract":false,"type":"Patient","baseDefinition":"http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-patient","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"2.0.0"}],"element":[{"id":"Patient","path":"Patient","short":"AT APS Patient","definition":"Demographics and other administrative information about an individual or animal receiving care or other health-related services.","alias":["SubjectOfCare Client Resident"],"min":0,"max":"*","base":{"path":"Patient","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.recordTarget.patientRole"},{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Patient[classCode=PAT]"},{"identity":"cda","map":"ClinicalDocument.recordTarget.patientRole"}]},{"id":"Patient.id","path":"Patient.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Patient.meta","path":"Patient.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Patient.implicitRules","path":"Patient.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Patient.language","path":"Patient.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Patient.text","path":"Patient.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Patient.contained","path":"Patient.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.extension","path":"Patient.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"ordered":false,"rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.extension:citizenship","path":"Patient.extension","sliceName":"citizenship","short":"Nation(s) where the patient claims citizenship","definition":"The patient's legal status as citizen of a country.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/StructureDefinition/patient-citizenship"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false},{"id":"Patient.extension:citizenship.id","path":"Patient.extension.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"condition":["ele-1"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.extension:citizenship.extension","path":"Patient.extension.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.extension:citizenship.extension:code","path":"Patient.extension.extension","sliceName":"code","short":"Extension","definition":"An Extension","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.extension:citizenship.extension:code.id","path":"Patient.extension.extension.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"condition":["ele-1"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.extension:citizenship.extension:code.extension","path":"Patient.extension.extension.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"0","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.extension:citizenship.extension:code.url","path":"Patient.extension.extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"code","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.extension:citizenship.extension:code.value[x]","path":"Patient.extension.extension.value[x]","short":"Value of extension","definition":"Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).","min":1,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["ext-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-laendercodes"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.extension:citizenship.extension:period","path":"Patient.extension.extension","sliceName":"period","short":"Time period of citizenship","definition":"Period when citizenship was effective.","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.extension:citizenship.extension:period.id","path":"Patient.extension.extension.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"condition":["ele-1"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.extension:citizenship.extension:period.extension","path":"Patient.extension.extension.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"0","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.extension:citizenship.extension:period.url","path":"Patient.extension.extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"period","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.extension:citizenship.extension:period.value[x]","path":"Patient.extension.extension.value[x]","short":"Value of extension","definition":"Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).","min":1,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"Period"}],"condition":["ext-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.extension:citizenship.url","path":"Patient.extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"uri"}],"code":"http://hl7.org/fhirpath/System.String"}],"fixedUri":"http://hl7.org/fhir/StructureDefinition/patient-citizenship","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.extension:citizenship.value[x]","path":"Patient.extension.value[x]","short":"Value of extension","definition":"Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).","min":0,"max":"0","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"base64Binary"},{"code":"boolean"},{"code":"canonical"},{"code":"code"},{"code":"date"},{"code":"dateTime"},{"code":"decimal"},{"code":"id"},{"code":"instant"},{"code":"integer"},{"code":"markdown"},{"code":"oid"},{"code":"positiveInt"},{"code":"string"},{"code":"time"},{"code":"unsignedInt"},{"code":"uri"},{"code":"url"},{"code":"uuid"},{"code":"Address"},{"code":"Age"},{"code":"Annotation"},{"code":"Attachment"},{"code":"CodeableConcept"},{"code":"Coding"},{"code":"ContactPoint"},{"code":"Count"},{"code":"Distance"},{"code":"Duration"},{"code":"HumanName"},{"code":"Identifier"},{"code":"Money"},{"code":"Period"},{"code":"Quantity"},{"code":"Range"},{"code":"Ratio"},{"code":"Reference"},{"code":"SampledData"},{"code":"Signature"},{"code":"Timing"},{"code":"ContactDetail"},{"code":"DataRequirement"},{"code":"Expression"},{"code":"ParameterDefinition"},{"code":"RelatedArtifact"},{"code":"TriggerDefinition"},{"code":"UsageContext"},{"code":"Dosage"},{"code":"Meta"}],"condition":["ext-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.extension:PatientReligion","path":"Patient.extension","sliceName":"PatientReligion","short":"Patient Religion","definition":"HL7® Austria FHIR® Core Extension for the religion (registered in Austria) of a patient.\r\nThe extension is used to encode the religious confession of a patient (only confessions registered in Austria). Furthermore, it uses the official [HL7 AT CodeSystem](http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/2.0.0/https://termpub.gesundheit.gv.at:443/TermBrowser/gui/main/main.zul?loadType=CodeSystem&loadName=HL7 AT ReligionAustria) for religion and is therefore aligned with the ELGA ValueSet, respectively.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-patient-religion"]}],"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false},{"id":"Patient.extension:birthPlace","path":"Patient.extension","sliceName":"birthPlace","short":"Place of Birth for patient","definition":"The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/StructureDefinition/patient-birthPlace"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false},{"id":"Patient.extension:birthPlace.id","path":"Patient.extension.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"condition":["ele-1"],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.extension:birthPlace.extension","path":"Patient.extension.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"0","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.extension:birthPlace.url","path":"Patient.extension.url","representation":["xmlAttr"],"short":"identifies the meaning of the extension","definition":"Source of the definition for the extension code - a logical name or a URL.","comment":"The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.","min":1,"max":"1","base":{"path":"Extension.url","min":1,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"uri"}],"code":"http://hl7.org/fhirpath/System.String"}],"fixedUri":"http://hl7.org/fhir/StructureDefinition/patient-birthPlace","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.extension:birthPlace.value[x]","path":"Patient.extension.value[x]","short":"Value of extension","definition":"Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).","min":1,"max":"1","base":{"path":"Extension.value[x]","min":0,"max":"1"},"type":[{"code":"Address","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-address"]}],"condition":["ext-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.modifierExtension","path":"Patient.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.identifier","path":"Patient.identifier","slicing":{"discriminator":[{"type":"value","path":"type.coding.code"}],"ordered":false,"rules":"open"},"short":"An identifier for this patient","definition":"An identifier for this patient.","requirements":"Patients are almost always assigned specific numerical identifiers.","min":1,"max":"*","base":{"path":"Patient.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"id"},{"identity":"cda","map":".id"}]},{"id":"Patient.identifier:socialSecurityNumber","path":"Patient.identifier","sliceName":"socialSecurityNumber","short":"An identifier for this patient","definition":"An identifier for this patient.","requirements":"Patients are almost always assigned specific numerical identifiers.","min":0,"max":"1","base":{"path":"Patient.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"id"},{"identity":"cda","map":".id"}]},{"id":"Patient.identifier:socialSecurityNumber.id","path":"Patient.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:socialSecurityNumber.extension","path":"Patient.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:socialSecurityNumber.use","path":"Patient.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Patient.identifier:socialSecurityNumber.type","path":"Patient.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"strength":"required","valueSet":"https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Patient.identifier:socialSecurityNumber.type.id","path":"Patient.identifier.type.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:socialSecurityNumber.type.extension","path":"Patient.identifier.type.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:socialSecurityNumber.type.coding","path":"Patient.identifier.type.coding","short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":0,"max":"*","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Patient.identifier:socialSecurityNumber.type.coding.id","path":"Patient.identifier.type.coding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:socialSecurityNumber.type.coding.extension","path":"Patient.identifier.type.coding.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:socialSecurityNumber.type.coding.system","path":"Patient.identifier.type.coding.system","short":"Identity of the terminology system","definition":"The identification of the code system that defines the meaning of the symbol in the code.","comment":"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","requirements":"Need to be unambiguous about the source of the definition of the symbol.","min":0,"max":"1","base":{"path":"Coding.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://terminology.hl7.org/CodeSystem/v2-0203","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.3"},{"identity":"rim","map":"./codeSystem"},{"identity":"orim","map":"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}]},{"id":"Patient.identifier:socialSecurityNumber.type.coding.version","path":"Patient.identifier.type.coding.version","short":"Version of the system - if relevant","definition":"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.","comment":"Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","min":0,"max":"1","base":{"path":"Coding.version","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.7"},{"identity":"rim","map":"./codeSystemVersion"},{"identity":"orim","map":"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}]},{"id":"Patient.identifier:socialSecurityNumber.type.coding.code","path":"Patient.identifier.type.coding.code","short":"Symbol in syntax defined by the system","definition":"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).","requirements":"Need to refer to a particular code in the system.","min":1,"max":"1","base":{"path":"Coding.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"SS","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1"},{"identity":"rim","map":"./code"},{"identity":"orim","map":"fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}]},{"id":"Patient.identifier:socialSecurityNumber.type.coding.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.identifier.type.coding.display","short":"Representation defined by the system","definition":"A representation of the meaning of the code in the system, following the rules of the system.","requirements":"Need to be able to carry a human-readable meaning of the code for readers that do not know the system.","min":0,"max":"1","base":{"path":"Coding.display","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.2 - but note this is not well followed"},{"identity":"rim","map":"CV.displayName"},{"identity":"orim","map":"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}]},{"id":"Patient.identifier:socialSecurityNumber.type.coding.userSelected","path":"Patient.identifier.type.coding.userSelected","short":"If this coding was chosen directly by the user","definition":"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","comment":"Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","requirements":"This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","min":0,"max":"1","base":{"path":"Coding.userSelected","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Sometimes implied by being first"},{"identity":"rim","map":"CD.codingRationale"},{"identity":"orim","map":"fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"}]},{"id":"Patient.identifier:socialSecurityNumber.type.text","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.identifier.type.text","short":"Plain text representation of the concept","definition":"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.","comment":"Very often the text is the same as a displayName of one of the codings.","requirements":"The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","min":0,"max":"1","base":{"path":"CodeableConcept.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.9. But note many systems use C*E.2 for this"},{"identity":"rim","map":"./originalText[mediaType/code=\"text/plain\"]/data"},{"identity":"orim","map":"fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"}]},{"id":"Patient.identifier:socialSecurityNumber.system","path":"Patient.identifier.system","short":"OID for the Social Security Number in Austria","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"urn:oid:1.2.40.0.10.1.4.3.1","example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".id[1].root"},{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Patient.identifier:socialSecurityNumber.value","path":"Patient.identifier.value","short":"The value that is unique","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":0,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".id[1].extension"},{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Patient.identifier:socialSecurityNumber.period","path":"Patient.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.identifier:socialSecurityNumber.assigner","path":"Patient.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Patient.identifier:socialSecurityNumber.assigner.id","path":"Patient.identifier.assigner.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:socialSecurityNumber.assigner.extension","path":"Patient.identifier.assigner.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:socialSecurityNumber.assigner.reference","path":"Patient.identifier.assigner.reference","short":"Literal reference, Relative, internal or absolute URL","definition":"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.","comment":"Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.","min":0,"max":"1","base":{"path":"Reference.reference","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["ref-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.identifier:socialSecurityNumber.assigner.type","path":"Patient.identifier.assigner.type","short":"Type the reference refers to (e.g. \"Patient\")","definition":"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.\n\nThe 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).","comment":"This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","min":0,"max":"1","base":{"path":"Reference.type","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRResourceTypeExt"}],"strength":"extensible","description":"Aa resource (or, for logical models, the URI of the logical model).","valueSet":"http://hl7.org/fhir/ValueSet/resource-types"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.identifier:socialSecurityNumber.assigner.identifier","path":"Patient.identifier.assigner.identifier","short":"Logical reference, when literal reference is not known","definition":"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.","comment":"When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","min":0,"max":"1","base":{"path":"Reference.identifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".identifier"}]},{"id":"Patient.identifier:socialSecurityNumber.assigner.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.identifier.assigner.display","short":"Text alternative for the resource","definition":"Plain text narrative that identifies the resource in addition to the resource reference.","comment":"This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.","min":0,"max":"1","base":{"path":"Reference.display","min":0,"max":"1"},"type":[{"code":"string"}],"fixedString":"Dachverband der österreichischen Sozialversicherungsträger","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.identifier:bPK","path":"Patient.identifier","sliceName":"bPK","short":"An identifier for this patient","definition":"An identifier for this patient.","requirements":"Patients are almost always assigned specific numerical identifiers.","min":0,"max":"*","base":{"path":"Patient.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"id"},{"identity":"cda","map":".id"}]},{"id":"Patient.identifier:bPK.id","path":"Patient.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:bPK.extension","path":"Patient.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:bPK.use","path":"Patient.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Patient.identifier:bPK.type","path":"Patient.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"strength":"required","valueSet":"https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Patient.identifier:bPK.type.id","path":"Patient.identifier.type.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:bPK.type.extension","path":"Patient.identifier.type.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:bPK.type.coding","path":"Patient.identifier.type.coding","short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":0,"max":"*","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Patient.identifier:bPK.type.coding.id","path":"Patient.identifier.type.coding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:bPK.type.coding.extension","path":"Patient.identifier.type.coding.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:bPK.type.coding.system","path":"Patient.identifier.type.coding.system","short":"Identity of the terminology system","definition":"The identification of the code system that defines the meaning of the symbol in the code.","comment":"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","requirements":"Need to be unambiguous about the source of the definition of the symbol.","min":0,"max":"1","base":{"path":"Coding.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://terminology.hl7.org/CodeSystem/v2-0203","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.3"},{"identity":"rim","map":"./codeSystem"},{"identity":"orim","map":"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}]},{"id":"Patient.identifier:bPK.type.coding.version","path":"Patient.identifier.type.coding.version","short":"Version of the system - if relevant","definition":"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.","comment":"Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","min":0,"max":"1","base":{"path":"Coding.version","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.7"},{"identity":"rim","map":"./codeSystemVersion"},{"identity":"orim","map":"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}]},{"id":"Patient.identifier:bPK.type.coding.code","path":"Patient.identifier.type.coding.code","short":"Symbol in syntax defined by the system","definition":"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).","requirements":"Need to refer to a particular code in the system.","min":1,"max":"1","base":{"path":"Coding.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"NI","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1"},{"identity":"rim","map":"./code"},{"identity":"orim","map":"fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}]},{"id":"Patient.identifier:bPK.type.coding.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.identifier.type.coding.display","short":"Representation defined by the system","definition":"A representation of the meaning of the code in the system, following the rules of the system.","requirements":"Need to be able to carry a human-readable meaning of the code for readers that do not know the system.","min":0,"max":"1","base":{"path":"Coding.display","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.2 - but note this is not well followed"},{"identity":"rim","map":"CV.displayName"},{"identity":"orim","map":"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}]},{"id":"Patient.identifier:bPK.type.coding.userSelected","path":"Patient.identifier.type.coding.userSelected","short":"If this coding was chosen directly by the user","definition":"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","comment":"Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","requirements":"This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","min":0,"max":"1","base":{"path":"Coding.userSelected","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Sometimes implied by being first"},{"identity":"rim","map":"CD.codingRationale"},{"identity":"orim","map":"fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"}]},{"id":"Patient.identifier:bPK.type.text","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.identifier.type.text","short":"Plain text representation of the concept","definition":"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.","comment":"Very often the text is the same as a displayName of one of the codings.","requirements":"The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","min":0,"max":"1","base":{"path":"CodeableConcept.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.9. But note many systems use C*E.2 for this"},{"identity":"rim","map":"./originalText[mediaType/code=\"text/plain\"]/data"},{"identity":"orim","map":"fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"}]},{"id":"Patient.identifier:bPK.system","path":"Patient.identifier.system","short":"OID for the bPK in Austria","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"urn:oid:1.2.40.0.10.2.1.1.149","example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".id.where(root='1.2.40.0.10.2.1.1.149').root"},{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Patient.identifier:bPK.value","path":"Patient.identifier.value","short":"The value that is unique","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":0,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".id.where(root='1.2.40.0.10.2.1.1.149').extension"},{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Patient.identifier:bPK.period","path":"Patient.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.identifier:bPK.assigner","path":"Patient.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Patient.identifier:bPK.assigner.id","path":"Patient.identifier.assigner.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:bPK.assigner.extension","path":"Patient.identifier.assigner.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:bPK.assigner.reference","path":"Patient.identifier.assigner.reference","short":"Literal reference, Relative, internal or absolute URL","definition":"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.","comment":"Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.","min":0,"max":"1","base":{"path":"Reference.reference","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["ref-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.identifier:bPK.assigner.type","path":"Patient.identifier.assigner.type","short":"Type the reference refers to (e.g. \"Patient\")","definition":"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.\n\nThe 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).","comment":"This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","min":0,"max":"1","base":{"path":"Reference.type","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRResourceTypeExt"}],"strength":"extensible","description":"Aa resource (or, for logical models, the URI of the logical model).","valueSet":"http://hl7.org/fhir/ValueSet/resource-types"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.identifier:bPK.assigner.identifier","path":"Patient.identifier.assigner.identifier","short":"Logical reference, when literal reference is not known","definition":"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.","comment":"When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","min":0,"max":"1","base":{"path":"Reference.identifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".identifier"}]},{"id":"Patient.identifier:bPK.assigner.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.identifier.assigner.display","short":"Text alternative for the resource","definition":"Plain text narrative that identifies the resource in addition to the resource reference.","comment":"This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.","min":0,"max":"1","base":{"path":"Reference.display","min":0,"max":"1"},"type":[{"code":"string"}],"fixedString":"Bundesministerium für Inneres","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.identifier:localPatientId","path":"Patient.identifier","sliceName":"localPatientId","short":"An identifier for this patient","definition":"An identifier for this patient.","requirements":"Patients are almost always assigned specific numerical identifiers.","min":1,"max":"1","base":{"path":"Patient.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"id"},{"identity":"cda","map":".id"}]},{"id":"Patient.identifier:localPatientId.id","path":"Patient.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:localPatientId.extension","path":"Patient.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:localPatientId.use","path":"Patient.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Patient.identifier:localPatientId.type","path":"Patient.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"strength":"required","valueSet":"https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Patient.identifier:localPatientId.type.id","path":"Patient.identifier.type.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:localPatientId.type.extension","path":"Patient.identifier.type.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:localPatientId.type.coding","path":"Patient.identifier.type.coding","short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":0,"max":"*","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Patient.identifier:localPatientId.type.coding.id","path":"Patient.identifier.type.coding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:localPatientId.type.coding.extension","path":"Patient.identifier.type.coding.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.identifier:localPatientId.type.coding.system","path":"Patient.identifier.type.coding.system","short":"Identity of the terminology system","definition":"The identification of the code system that defines the meaning of the symbol in the code.","comment":"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","requirements":"Need to be unambiguous about the source of the definition of the symbol.","min":0,"max":"1","base":{"path":"Coding.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://terminology.hl7.org/CodeSystem/v2-0203","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.3"},{"identity":"rim","map":"./codeSystem"},{"identity":"orim","map":"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}]},{"id":"Patient.identifier:localPatientId.type.coding.version","path":"Patient.identifier.type.coding.version","short":"Version of the system - if relevant","definition":"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.","comment":"Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","min":0,"max":"1","base":{"path":"Coding.version","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.7"},{"identity":"rim","map":"./codeSystemVersion"},{"identity":"orim","map":"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}]},{"id":"Patient.identifier:localPatientId.type.coding.code","path":"Patient.identifier.type.coding.code","short":"Symbol in syntax defined by the system","definition":"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).","requirements":"Need to refer to a particular code in the system.","min":1,"max":"1","base":{"path":"Coding.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"PI","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1"},{"identity":"rim","map":"./code"},{"identity":"orim","map":"fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}]},{"id":"Patient.identifier:localPatientId.type.coding.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.identifier.type.coding.display","short":"Representation defined by the system","definition":"A representation of the meaning of the code in the system, following the rules of the system.","requirements":"Need to be able to carry a human-readable meaning of the code for readers that do not know the system.","min":0,"max":"1","base":{"path":"Coding.display","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.2 - but note this is not well followed"},{"identity":"rim","map":"CV.displayName"},{"identity":"orim","map":"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}]},{"id":"Patient.identifier:localPatientId.type.coding.userSelected","path":"Patient.identifier.type.coding.userSelected","short":"If this coding was chosen directly by the user","definition":"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","comment":"Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","requirements":"This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","min":0,"max":"1","base":{"path":"Coding.userSelected","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Sometimes implied by being first"},{"identity":"rim","map":"CD.codingRationale"},{"identity":"orim","map":"fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"}]},{"id":"Patient.identifier:localPatientId.type.text","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.identifier.type.text","short":"Plain text representation of the concept","definition":"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.","comment":"Very often the text is the same as a displayName of one of the codings.","requirements":"The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","min":0,"max":"1","base":{"path":"CodeableConcept.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.9. But note many systems use C*E.2 for this"},{"identity":"rim","map":"./originalText[mediaType/code=\"text/plain\"]/data"},{"identity":"orim","map":"fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"}]},{"id":"Patient.identifier:localPatientId.system","path":"Patient.identifier.system","short":"Namespace that assigned the localPatientId.","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".id[0].root"},{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Patient.identifier:localPatientId.value","path":"Patient.identifier.value","short":"The value that is unique","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":0,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".id[0].extension"},{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Patient.identifier:localPatientId.period","path":"Patient.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.identifier:localPatientId.assigner","path":"Patient.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Patient.active","path":"Patient.active","short":"Whether this patient's record is in active use","definition":"Whether this patient record is in active use. \nMany 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.\n\nIt is often used to filter patient lists to exclude inactive patients\n\nDeceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.","comment":"If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.","requirements":"Need to be able to mark a patient record as not to be used because it was created in error.","min":0,"max":"1","base":{"path":"Patient.active","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"This resource is generally assumed to be active if no value is provided for the active element","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid","isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"n/a"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"statusCode"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.name","path":"Patient.name","short":"A name associated with the patient","definition":"A name associated with the individual.","comment":"A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.","requirements":"Need to be able to track the patient by multiple names. Examples are your official name and a partner name.","min":1,"max":"*","base":{"path":"Patient.name","min":0,"max":"*"},"type":[{"code":"HumanName"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.name"},{"identity":"v2","map":"PID-5, PID-9"},{"identity":"rim","map":"name"},{"identity":"cda","map":".patient.name"}]},{"id":"Patient.name.id","path":"Patient.name.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.name.extension","path":"Patient.name.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.name.use","path":"Patient.name.use","short":"usual | official | temp | nickname | anonymous | old | maiden","definition":"Identifies the purpose for this name.","comment":"Applications can assume that a name is current unless it explicitly says that it is temporary or old.","requirements":"Allows the appropriate name for a particular context of use to be selected from among a set of names.","min":0,"max":"1","base":{"path":"HumanName.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"NameUse"}],"strength":"required","description":"The use of a human name.","valueSet":"http://hl7.org/fhir/ValueSet/name-use|4.0.1"},"mapping":[{"identity":"v2","map":"XPN.7, but often indicated by which field contains the name"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./NamePurpose"}]},{"id":"Patient.name.text","path":"Patient.name.text","short":"Text representation of the full name","definition":"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.","comment":"Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.","requirements":"A renderable, unencoded form.","min":0,"max":"1","base":{"path":"HumanName.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"implied by XPN.11"},{"identity":"rim","map":"./formatted"}]},{"id":"Patient.name.family","path":"Patient.name.family","short":"Family name (often called 'Surname')","definition":"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.","comment":"Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).","alias":["surname"],"min":1,"max":"1","base":{"path":"HumanName.family","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.name.family.dataString"},{"identity":"v2","map":"XPN.1/FN.1"},{"identity":"rim","map":"./part[partType = FAM]"},{"identity":"servd","map":"./FamilyName"}]},{"id":"Patient.name.given","path":"Patient.name.given","short":"Given names (not always 'first'). Includes middle names","definition":"Given name.","comment":"If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called \"first name\" since given names do not always come first.","alias":["first name","middle name"],"min":1,"max":"*","base":{"path":"HumanName.given","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Given Names appear in the correct order for presenting the name","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.name.given.dataString"},{"identity":"v2","map":"XPN.2 + XPN.3"},{"identity":"rim","map":"./part[partType = GIV]"},{"identity":"servd","map":"./GivenNames"}]},{"id":"Patient.name.prefix","path":"Patient.name.prefix","short":"Parts that come before the name","definition":"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.","min":0,"max":"*","base":{"path":"HumanName.prefix","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Prefixes appear in the correct order for presenting the name","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.name.prefix.dataString"},{"identity":"v2","map":"XPN.5"},{"identity":"rim","map":"./part[partType = PFX]"},{"identity":"servd","map":"./TitleCode"}]},{"id":"Patient.name.suffix","path":"Patient.name.suffix","short":"Parts that come after the name","definition":"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.","min":0,"max":"*","base":{"path":"HumanName.suffix","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Suffixes appear in the correct order for presenting the name","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.name.suffix.dataString"},{"identity":"v2","map":"XPN/4"},{"identity":"rim","map":"./part[partType = SFX]"}]},{"id":"Patient.name.period","path":"Patient.name.period","short":"Time period when name was/is in use","definition":"Indicates the period of time when this name was valid for the named person.","requirements":"Allows names to be placed in historical context.","min":0,"max":"1","base":{"path":"HumanName.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.13 + XPN.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.telecom","path":"Patient.telecom","short":"A contact detail for the individual","definition":"A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.","comment":"A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).","requirements":"People have (primary) ways to contact them in some way such as phone, email.","min":0,"max":"*","base":{"path":"Patient.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PID-13, PID-14, PID-40"},{"identity":"rim","map":"telecom"},{"identity":"cda","map":".telecom"}]},{"id":"Patient.telecom.id","path":"Patient.telecom.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.telecom.extension","path":"Patient.telecom.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.telecom.system","path":"Patient.telecom.system","short":"phone | fax | email | pager | url | sms | other","definition":"Telecommunications form for contact point - what communications system is required to make use of the contact.","min":0,"max":"1","base":{"path":"ContactPoint.system","min":0,"max":"1"},"type":[{"code":"code"}],"condition":["cpt-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContactPointSystem"}],"strength":"required","description":"Telecommunications form for contact point.","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1"},"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".telecom.value"},{"identity":"v2","map":"XTN.3"},{"identity":"rim","map":"./scheme"},{"identity":"servd","map":"./ContactPointType"}]},{"id":"Patient.telecom.value","path":"Patient.telecom.value","short":"The actual contact point details","definition":"The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).","comment":"Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.","requirements":"Need to support legacy numbers that are not in a tightly controlled format.","min":0,"max":"1","base":{"path":"ContactPoint.value","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".telecom.value"},{"identity":"v2","map":"XTN.1 (or XTN.12)"},{"identity":"rim","map":"./url"},{"identity":"servd","map":"./Value"}]},{"id":"Patient.telecom.use","path":"Patient.telecom.use","short":"home | work | temp | old | mobile - purpose of this contact point","definition":"Identifies the purpose for the contact point.","comment":"Applications can assume that a contact is current unless it explicitly says that it is temporary or old.","requirements":"Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.","min":0,"max":"1","base":{"path":"ContactPoint.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old contact etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContactPointUse"}],"strength":"required","description":"Use of contact point.","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1"},"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".telecom.use"},{"identity":"v2","map":"XTN.2 - but often indicated by field"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./ContactPointPurpose"}]},{"id":"Patient.telecom.rank","path":"Patient.telecom.rank","short":"Specify preferred order of use (1 = highest)","definition":"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.","comment":"Note that rank does not necessarily follow the order in which the contacts are represented in the instance.","min":0,"max":"1","base":{"path":"ContactPoint.rank","min":0,"max":"1"},"type":[{"code":"positiveInt"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"n/a"},{"identity":"rim","map":"n/a"}]},{"id":"Patient.telecom.period","path":"Patient.telecom.period","short":"Time period when the contact point was/is in use","definition":"Time period when the contact point was/is in use.","min":0,"max":"1","base":{"path":"ContactPoint.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"./usablePeriod[type=\"IVL\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.gender","path":"Patient.gender","short":"male | female | other | unknown","definition":"Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.","comment":"The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a \"hard\" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.","requirements":"Needed for identification of the individual, in combination with (at least) name and birth date.","min":1,"max":"1","base":{"path":"Patient.gender","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AdministrativeGender"}],"strength":"required","description":"The gender of a person used for administrative purposes.","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1"},"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.administrativeGenderCode.displayName"},{"identity":"v2","map":"PID-8"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"cda","map":".patient.administrativeGenderCode"}]},{"id":"Patient.gender.id","path":"Patient.gender.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references)","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false},{"id":"Patient.gender.extension","path":"Patient.gender.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"ordered":false,"rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.gender.extension:AdministrativeGenderAddition","path":"Patient.gender.extension","sliceName":"AdministrativeGenderAddition","short":"Administrative Gender Addition","definition":"HL7® Austria FHIR® Core Extension for the administrative gender of a person (Patient, Practitioner, ...). \r\nThe extension is used to add the missing codes and is applied in case the code for administrative gender itself is set to 'other'.","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-gender-administrativeGenderAddition"]}],"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false},{"id":"Patient.gender.value","path":"Patient.gender.value","representation":["xmlAttr"],"short":"Primitive value for code","definition":"Primitive value for code","min":0,"max":"1","base":{"path":"string.value","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"},{"url":"http://hl7.org/fhir/StructureDefinition/regex","valueString":"[^\\s]+(\\s[^\\s]+)*"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false},{"id":"Patient.birthDate","path":"Patient.birthDate","short":"The date of birth for the individual","definition":"The date of birth for the individual.","comment":"At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternity/infant care systems).","requirements":"Age of the individual drives many clinical processes.","min":1,"max":"1","base":{"path":"Patient.birthDate","min":0,"max":"1"},"type":[{"code":"date"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.birthTime.value"},{"identity":"v2","map":"PID-7"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"},{"identity":"cda","map":".patient.birthTime"},{"identity":"loinc","map":"21112-8"}]},{"id":"Patient.deceased[x]","path":"Patient.deceased[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"closed"},"short":"Indicates if the individual is deceased or not","definition":"Indicates if the individual is deceased or not.","comment":"If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.","requirements":"The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.","min":0,"max":"1","base":{"path":"Patient.deceased[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.","isSummary":true,"mapping":[{"identity":"v2","map":"PID-30 (bool) and PID-29 (datetime)"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.deceased[x]:deceasedBoolean","path":"Patient.deceased[x]","sliceName":"deceasedBoolean","short":"Indicates if the individual is deceased or not","definition":"Indicates if the individual is deceased or not.","comment":"If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.","requirements":"The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.","min":0,"max":"1","base":{"path":"Patient.deceased[x]","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.","isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.deceasedInd"},{"identity":"v2","map":"PID-30 (bool) and PID-29 (datetime)"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.deceased[x]:deceasedDateTime","path":"Patient.deceased[x]","sliceName":"deceasedDateTime","short":"Indicates if the individual is deceased or not","definition":"Indicates if the individual is deceased or not.","comment":"If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.","requirements":"The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.","min":0,"max":"1","base":{"path":"Patient.deceased[x]","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.","isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.deceasedTime"},{"identity":"v2","map":"PID-30 (bool) and PID-29 (datetime)"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.address","path":"Patient.address","short":"An address for the individual","definition":"An address for the individual.","comment":"Patient may have multiple addresses with different uses or applicable periods.","requirements":"May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.","min":0,"max":"*","base":{"path":"Patient.address","min":0,"max":"*"},"type":[{"code":"Address","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-address"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PID-11"},{"identity":"rim","map":"addr"},{"identity":"cda","map":".addr"}]},{"id":"Patient.address.id","path":"Patient.address.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.address.extension","path":"Patient.address.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.address.extension:municipalityCode","path":"Patient.address.extension","sliceName":"municipalityCode","short":"Address Municipality Code","definition":"HL7® Austria FHIR® Core Extension for the municipality code part of the Austrian address","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-address-municipalityCode"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.address.use","path":"Patient.address.use","short":"home | work | temp | old | billing - purpose of this address","definition":"The purpose of this address.","comment":"Applications can assume that an address is current unless it explicitly says that it is temporary or old.","requirements":"Allows an appropriate address to be chosen from a list of many.","min":0,"max":"1","base":{"path":"Address.use","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"home"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AddressUse"}],"strength":"required","description":"The use of an address.","valueSet":"http://hl7.org/fhir/ValueSet/address-use|4.0.1"},"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".addr.use"},{"identity":"v2","map":"XAD.7"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./AddressPurpose"}]},{"id":"Patient.address.type","path":"Patient.address.type","short":"postal | physical | both","definition":"Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.","comment":"The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource).","min":0,"max":"1","base":{"path":"Address.type","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"both"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AddressType"}],"strength":"required","description":"The type of an address (physical / postal).","valueSet":"http://hl7.org/fhir/ValueSet/address-type|4.0.1"},"mapping":[{"identity":"v2","map":"XAD.18"},{"identity":"rim","map":"unique(./use)"},{"identity":"vcard","map":"address type parameter"}]},{"id":"Patient.address.text","path":"Patient.address.text","short":"Text representation of the address","definition":"Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.","comment":"Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.","requirements":"A renderable, unencoded form.","min":0,"max":"1","base":{"path":"Address.text","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"137 Nowhere Street, Erewhon 9132"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".addr.select(streetAddressLine.dataString + ' ' + postalCode.dataString + ' ' + city.dataString + ' ' + country.dataString)"},{"identity":"v2","map":"XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"},{"identity":"rim","map":"./formatted"},{"identity":"vcard","map":"address label parameter"}]},{"id":"Patient.address.line","path":"Patient.address.line","short":"Street name, number, direction & P.O. Box etc.","definition":"This component contains the street name, street number, floor and/or door number or additonal information (e.g. street direction, P.O. Box number, delivery hints, and similar address information). This information can be split into structured values in the line-components each defined by international ISO extensions. If these extensions are used then the information they contain has to be written in a concatenated way in the line element itself as well. This makes the usage easier for systems which don't use address data in a structured way.","min":0,"max":"*","base":{"path":"Address.line","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"The order in which lines should appear in an address label","example":[{"label":"General","valueString":"137 Nowhere Street"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".addr.streetAddressLine"},{"identity":"v2","map":"XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"},{"identity":"rim","map":"AD.part[parttype = AL]"},{"identity":"vcard","map":"street"},{"identity":"servd","map":"./StreetAddress (newline delimitted)"}]},{"id":"Patient.address.line.id","path":"Patient.address.line.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references)","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false},{"id":"Patient.address.line.extension","path":"Patient.address.line.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"ordered":false,"rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.address.line.extension:street","path":"Patient.address.line.extension","sliceName":"street","short":"Name of the street","definition":"Name of the street without the street number","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"mapping":[{"identity":"rim","map":"ADXP[partType=STR]"}]},{"id":"Patient.address.line.extension:streetNumber","path":"Patient.address.line.extension","sliceName":"streetNumber","short":"Number of the street","definition":"Number of the street without the street name","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"mapping":[{"identity":"rim","map":"ADXP[partType=BNR]"}]},{"id":"Patient.address.line.extension:floorDoorNumber","path":"Patient.address.line.extension","sliceName":"floorDoorNumber","short":"Floor and/or door number","definition":"Floor and/or door number","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"mapping":[{"identity":"rim","map":"ADXP[partType=ADL]"}]},{"id":"Patient.address.line.extension:additionalInformation","path":"Patient.address.line.extension","sliceName":"additionalInformation","short":"Additional Information","definition":"Additional information about the street address","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-address-additionalInformation"]}],"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false},{"id":"Patient.address.line.value","path":"Patient.address.line.value","representation":["xmlAttr"],"short":"Primitive value for string","definition":"The actual value","min":0,"max":"1","base":{"path":"string.value","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"},{"url":"http://hl7.org/fhir/StructureDefinition/regex","valueString":"[ \\r\\n\\t\\S]+"}],"code":"http://hl7.org/fhirpath/System.String"}],"maxLength":1048576,"isModifier":false,"isSummary":false},{"id":"Patient.address.city","path":"Patient.address.city","short":"Name of city, town etc.","definition":"The name of the city, town, suburb, village or other community or delivery center.","alias":["Municpality"],"min":0,"max":"1","base":{"path":"Address.city","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Erewhon"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".addr.city.dataString"},{"identity":"v2","map":"XAD.3"},{"identity":"rim","map":"AD.part[parttype = CTY]"},{"identity":"vcard","map":"locality"},{"identity":"servd","map":"./Jurisdiction"}]},{"id":"Patient.address.district","path":"Patient.address.district","short":"District name (aka county)","definition":"The name of the administrative area (county).","comment":"District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.","alias":["County"],"min":0,"max":"0","base":{"path":"Address.district","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Madison"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.9"},{"identity":"rim","map":"AD.part[parttype = CNT | CPA]"}]},{"id":"Patient.address.state","path":"Patient.address.state","short":"Sub-unit of country (abbreviations ok)","definition":"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).","alias":["Province","Territory"],"min":0,"max":"1","base":{"path":"Address.state","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".addr.state.dataString"},{"identity":"v2","map":"XAD.4"},{"identity":"rim","map":"AD.part[parttype = STA]"},{"identity":"vcard","map":"region"},{"identity":"servd","map":"./Region"}]},{"id":"Patient.address.postalCode","path":"Patient.address.postalCode","short":"Postal code for area","definition":"A postal code designating a region defined by the postal service.","alias":["Zip"],"min":0,"max":"1","base":{"path":"Address.postalCode","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"9132"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".addr.postalCode.dataString"},{"identity":"v2","map":"XAD.5"},{"identity":"rim","map":"AD.part[parttype = ZIP]"},{"identity":"vcard","map":"code"},{"identity":"servd","map":"./PostalIdentificationCode"}]},{"id":"Patient.address.country","path":"Patient.address.country","short":"Country (e.g. can be ISO 3166 2 or 3 letter code)","definition":"Country - a nation as commonly understood or generally accepted.","comment":"ISO 3166 3 letter codes can be used in place of a human readable country name.","min":0,"max":"1","base":{"path":"Address.country","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".addr.country.dataString"},{"identity":"v2","map":"XAD.6"},{"identity":"rim","map":"AD.part[parttype = CNT]"},{"identity":"vcard","map":"country"},{"identity":"servd","map":"./Country"}]},{"id":"Patient.address.period","path":"Patient.address.period","short":"Time period when address was/is in use","definition":"Time period when address was/is in use.","requirements":"Allows addresses to be placed in historical context.","min":0,"max":"0","base":{"path":"Address.period","min":0,"max":"1"},"type":[{"code":"Period"}],"example":[{"label":"General","valuePeriod":{"start":"2010-03-23","end":"2010-07-01"}}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.12 / XAD.13 + XAD.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.maritalStatus","path":"Patient.maritalStatus","short":"Marital (civil) status of a patient","definition":"This field contains a patient's most recent marital (civil) status.","requirements":"Most, if not all systems capture it.","min":0,"max":"1","base":{"path":"Patient.maritalStatus","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MaritalStatus"}],"strength":"extensible","description":"The domestic partnership status of a person.","valueSet":"http://hl7.org/fhir/ValueSet/marital-status"},"mapping":[{"identity":"v2","map":"PID-16"},{"identity":"rim","map":"player[classCode=PSN]/maritalStatusCode"},{"identity":"cda","map":".patient.maritalStatusCode"}]},{"id":"Patient.maritalStatus.id","path":"Patient.maritalStatus.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.maritalStatus.extension","path":"Patient.maritalStatus.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.maritalStatus.coding","path":"Patient.maritalStatus.coding","short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":0,"max":"*","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Patient.maritalStatus.coding.id","path":"Patient.maritalStatus.coding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.maritalStatus.coding.extension","path":"Patient.maritalStatus.coding.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.maritalStatus.coding.system","path":"Patient.maritalStatus.coding.system","short":"Identity of the terminology system","definition":"The identification of the code system that defines the meaning of the symbol in the code.","comment":"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","requirements":"Need to be unambiguous about the source of the definition of the symbol.","min":0,"max":"1","base":{"path":"Coding.system","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.maritalStatusCode.codeSystem"},{"identity":"v2","map":"C*E.3"},{"identity":"rim","map":"./codeSystem"},{"identity":"orim","map":"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}]},{"id":"Patient.maritalStatus.coding.version","path":"Patient.maritalStatus.coding.version","short":"Version of the system - if relevant","definition":"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.","comment":"Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","min":0,"max":"1","base":{"path":"Coding.version","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.7"},{"identity":"rim","map":"./codeSystemVersion"},{"identity":"orim","map":"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}]},{"id":"Patient.maritalStatus.coding.code","path":"Patient.maritalStatus.coding.code","short":"Symbol in syntax defined by the system","definition":"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).","requirements":"Need to refer to a particular code in the system.","min":0,"max":"1","base":{"path":"Coding.code","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.maritalStatusCode.code"},{"identity":"v2","map":"C*E.1"},{"identity":"rim","map":"./code"},{"identity":"orim","map":"fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}]},{"id":"Patient.maritalStatus.coding.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.maritalStatus.coding.display","short":"Representation defined by the system","definition":"A representation of the meaning of the code in the system, following the rules of the system.","requirements":"Need to be able to carry a human-readable meaning of the code for readers that do not know the system.","min":0,"max":"1","base":{"path":"Coding.display","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.maritalStatusCode.displayName"},{"identity":"v2","map":"C*E.2 - but note this is not well followed"},{"identity":"rim","map":"CV.displayName"},{"identity":"orim","map":"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}]},{"id":"Patient.maritalStatus.coding.userSelected","path":"Patient.maritalStatus.coding.userSelected","short":"If this coding was chosen directly by the user","definition":"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","comment":"Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","requirements":"This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","min":0,"max":"1","base":{"path":"Coding.userSelected","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Sometimes implied by being first"},{"identity":"rim","map":"CD.codingRationale"},{"identity":"orim","map":"fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"}]},{"id":"Patient.maritalStatus.text","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.maritalStatus.text","short":"Plain text representation of the concept","definition":"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.","comment":"Very often the text is the same as a displayName of one of the codings.","requirements":"The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","min":0,"max":"1","base":{"path":"CodeableConcept.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.9. But note many systems use C*E.2 for this"},{"identity":"rim","map":"./originalText[mediaType/code=\"text/plain\"]/data"},{"identity":"orim","map":"fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"}]},{"id":"Patient.multipleBirth[x]","path":"Patient.multipleBirth[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"closed"},"short":"Whether patient is part of a multiple birth","definition":"Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).","comment":"Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).","requirements":"For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.","min":0,"max":"1","base":{"path":"Patient.multipleBirth[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"integer"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"PID-24 (bool), PID-25 (integer)"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.multipleBirth[x]:multipleBirthBoolean","path":"Patient.multipleBirth[x]","sliceName":"multipleBirthBoolean","short":"Whether patient is part of a multiple birth","definition":"Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).","comment":"Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).","requirements":"For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.","min":0,"max":"1","base":{"path":"Patient.multipleBirth[x]","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"n/a"},{"identity":"v2","map":"PID-24 (bool), PID-25 (integer)"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.multipleBirth[x]:multipleBirthInteger","path":"Patient.multipleBirth[x]","sliceName":"multipleBirthInteger","short":"Whether patient is part of a multiple birth","definition":"Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).","comment":"Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).","requirements":"For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.","min":0,"max":"1","base":{"path":"Patient.multipleBirth[x]","min":0,"max":"1"},"type":[{"code":"integer"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"n/a"},{"identity":"v2","map":"PID-24 (bool), PID-25 (integer)"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.photo","path":"Patient.photo","short":"Image of the patient","definition":"Image of the patient.","comment":"Guidelines:\n* Use id photos, not clinical photos.\n* Limit dimensions to thumbnail.\n* Keep byte count low to ease resource updates.","requirements":"Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.","min":0,"max":"*","base":{"path":"Patient.photo","min":0,"max":"*"},"type":[{"code":"Attachment"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"n/a"},{"identity":"v2","map":"OBX-5 - needs a profile"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact","path":"Patient.contact","short":"A contact party (e.g. guardian, partner, friend) for the patient","definition":"A contact party (e.g. guardian, partner, friend) for the patient.","comment":"Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.","requirements":"Need to track people you can contact about the patient.","min":0,"max":"*","base":{"path":"Patient.contact","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"pat-1","severity":"error","human":"SHALL at least contain a contact's details or a reference to an organization","expression":"name.exists() or telecom.exists() or address.exists() or organization.exists()","xpath":"exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)","source":"http://hl7.org/fhir/StructureDefinition/Patient"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.id","path":"Patient.contact.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.extension","path":"Patient.contact.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.modifierExtension","path":"Patient.contact.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.contact.relationship","path":"Patient.contact.relationship","short":"The kind of relationship","definition":"The nature of the relationship between the patient and the contact person.","requirements":"Used to determine which contact person is the most relevant to approach, depending on circumstances.","min":0,"max":"*","base":{"path":"Patient.contact.relationship","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContactRelationship"}],"strength":"extensible","description":"The nature of the relationship between a patient and a contact person for that patient.","valueSet":"http://hl7.org/fhir/ValueSet/patient-contactrelationship"},"mapping":[{"identity":"v2","map":"NK1-7, NK1-3"},{"identity":"rim","map":"code"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.relationship.id","path":"Patient.contact.relationship.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.relationship.extension","path":"Patient.contact.relationship.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.relationship.coding","path":"Patient.contact.relationship.coding","short":"Code defined by a terminology system","definition":"A reference to a code defined by a terminology system.","comment":"Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","requirements":"Allows for alternative encodings within a code system, and translations to other code systems.","min":0,"max":"*","base":{"path":"CodeableConcept.coding","min":0,"max":"*"},"type":[{"code":"Coding"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.1-8, C*E.10-22"},{"identity":"rim","map":"union(., ./translation)"},{"identity":"orim","map":"fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"}]},{"id":"Patient.contact.relationship.coding.id","path":"Patient.contact.relationship.coding.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.relationship.coding.extension","path":"Patient.contact.relationship.coding.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.relationship.coding.system","path":"Patient.contact.relationship.coding.system","short":"Identity of the terminology system","definition":"The identification of the code system that defines the meaning of the symbol in the code.","comment":"The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","requirements":"Need to be unambiguous about the source of the definition of the symbol.","min":0,"max":"1","base":{"path":"Coding.system","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.code.codeSystem"},{"identity":"v2","map":"C*E.3"},{"identity":"rim","map":"./codeSystem"},{"identity":"orim","map":"fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"}]},{"id":"Patient.contact.relationship.coding.version","path":"Patient.contact.relationship.coding.version","short":"Version of the system - if relevant","definition":"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.","comment":"Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","min":0,"max":"1","base":{"path":"Coding.version","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.7"},{"identity":"rim","map":"./codeSystemVersion"},{"identity":"orim","map":"fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"}]},{"id":"Patient.contact.relationship.coding.code","path":"Patient.contact.relationship.coding.code","short":"Symbol in syntax defined by the system","definition":"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).","requirements":"Need to refer to a particular code in the system.","min":0,"max":"1","base":{"path":"Coding.code","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.code.code"},{"identity":"v2","map":"C*E.1"},{"identity":"rim","map":"./code"},{"identity":"orim","map":"fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"}]},{"id":"Patient.contact.relationship.coding.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.contact.relationship.coding.display","short":"Representation defined by the system","definition":"A representation of the meaning of the code in the system, following the rules of the system.","requirements":"Need to be able to carry a human-readable meaning of the code for readers that do not know the system.","min":0,"max":"1","base":{"path":"Coding.display","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.code.displayName"},{"identity":"v2","map":"C*E.2 - but note this is not well followed"},{"identity":"rim","map":"CV.displayName"},{"identity":"orim","map":"fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"}]},{"id":"Patient.contact.relationship.coding.userSelected","path":"Patient.contact.relationship.coding.userSelected","short":"If this coding was chosen directly by the user","definition":"Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","comment":"Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","requirements":"This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","min":0,"max":"1","base":{"path":"Coding.userSelected","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"Sometimes implied by being first"},{"identity":"rim","map":"CD.codingRationale"},{"identity":"orim","map":"fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"}]},{"id":"Patient.contact.relationship.text","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Patient.contact.relationship.text","short":"Plain text representation of the concept","definition":"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.","comment":"Very often the text is the same as a displayName of one of the codings.","requirements":"The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","min":0,"max":"1","base":{"path":"CodeableConcept.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"C*E.9. But note many systems use C*E.2 for this"},{"identity":"rim","map":"./originalText[mediaType/code=\"text/plain\"]/data"},{"identity":"orim","map":"fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"}]},{"id":"Patient.contact.name","path":"Patient.contact.name","short":"A name associated with the contact person","definition":"A name associated with the contact person.","requirements":"Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.","min":0,"max":"1","base":{"path":"Patient.contact.name","min":0,"max":"1"},"type":[{"code":"HumanName"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NK1-2"},{"identity":"rim","map":"name"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.name.id","path":"Patient.contact.name.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.name.extension","path":"Patient.contact.name.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.name.use","path":"Patient.contact.name.use","short":"usual | official | temp | nickname | anonymous | old | maiden","definition":"Identifies the purpose for this name.","comment":"Applications can assume that a name is current unless it explicitly says that it is temporary or old.","requirements":"Allows the appropriate name for a particular context of use to be selected from among a set of names.","min":0,"max":"1","base":{"path":"HumanName.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"NameUse"}],"strength":"required","description":"The use of a human name.","valueSet":"http://hl7.org/fhir/ValueSet/name-use|4.0.1"},"mapping":[{"identity":"v2","map":"XPN.7, but often indicated by which field contains the name"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./NamePurpose"}]},{"id":"Patient.contact.name.text","path":"Patient.contact.name.text","short":"Text representation of the full name","definition":"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.","comment":"Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.","requirements":"A renderable, unencoded form.","min":0,"max":"1","base":{"path":"HumanName.text","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"implied by XPN.11"},{"identity":"rim","map":"./formatted"}]},{"id":"Patient.contact.name.family","path":"Patient.contact.name.family","short":"Family name (often called 'Surname')","definition":"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.","comment":"Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).","alias":["surname"],"min":0,"max":"1","base":{"path":"HumanName.family","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.associatedPerson.name.family"},{"identity":"v2","map":"XPN.1/FN.1"},{"identity":"rim","map":"./part[partType = FAM]"},{"identity":"servd","map":"./FamilyName"}]},{"id":"Patient.contact.name.given","path":"Patient.contact.name.given","short":"Given names (not always 'first'). Includes middle names","definition":"Given name.","comment":"If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called \"first name\" since given names do not always come first.","alias":["first name","middle name"],"min":0,"max":"*","base":{"path":"HumanName.given","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Given Names appear in the correct order for presenting the name","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.associatedPerson.name.given"},{"identity":"v2","map":"XPN.2 + XPN.3"},{"identity":"rim","map":"./part[partType = GIV]"},{"identity":"servd","map":"./GivenNames"}]},{"id":"Patient.contact.name.prefix","path":"Patient.contact.name.prefix","short":"Parts that come before the name","definition":"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.","min":0,"max":"*","base":{"path":"HumanName.prefix","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Prefixes appear in the correct order for presenting the name","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.5"},{"identity":"rim","map":"./part[partType = PFX]"},{"identity":"servd","map":"./TitleCode"}]},{"id":"Patient.contact.name.suffix","path":"Patient.contact.name.suffix","short":"Parts that come after the name","definition":"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.","min":0,"max":"*","base":{"path":"HumanName.suffix","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Suffixes appear in the correct order for presenting the name","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN/4"},{"identity":"rim","map":"./part[partType = SFX]"}]},{"id":"Patient.contact.name.period","path":"Patient.contact.name.period","short":"Time period when name was/is in use","definition":"Indicates the period of time when this name was valid for the named person.","requirements":"Allows names to be placed in historical context.","min":0,"max":"1","base":{"path":"HumanName.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.13 + XPN.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.contact.telecom","path":"Patient.contact.telecom","short":"A contact detail for the person","definition":"A contact detail for the person, e.g. a telephone number or an email address.","comment":"Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.","requirements":"People have (primary) ways to contact them in some way such as phone, email.","min":0,"max":"*","base":{"path":"Patient.contact.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NK1-5, NK1-6, NK1-40"},{"identity":"rim","map":"telecom"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.telecom.id","path":"Patient.contact.telecom.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.telecom.extension","path":"Patient.contact.telecom.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.telecom.system","path":"Patient.contact.telecom.system","short":"phone | fax | email | pager | url | sms | other","definition":"Telecommunications form for contact point - what communications system is required to make use of the contact.","min":0,"max":"1","base":{"path":"ContactPoint.system","min":0,"max":"1"},"type":[{"code":"code"}],"condition":["cpt-2"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContactPointSystem"}],"strength":"required","description":"Telecommunications form for contact point.","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1"},"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.telecom.system"},{"identity":"v2","map":"XTN.3"},{"identity":"rim","map":"./scheme"},{"identity":"servd","map":"./ContactPointType"}]},{"id":"Patient.contact.telecom.value","path":"Patient.contact.telecom.value","short":"The actual contact point details","definition":"The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).","comment":"Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.","requirements":"Need to support legacy numbers that are not in a tightly controlled format.","min":0,"max":"1","base":{"path":"ContactPoint.value","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.telecom.value"},{"identity":"v2","map":"XTN.1 (or XTN.12)"},{"identity":"rim","map":"./url"},{"identity":"servd","map":"./Value"}]},{"id":"Patient.contact.telecom.use","path":"Patient.contact.telecom.use","short":"home | work | temp | old | mobile - purpose of this contact point","definition":"Identifies the purpose for the contact point.","comment":"Applications can assume that a contact is current unless it explicitly says that it is temporary or old.","requirements":"Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.","min":0,"max":"1","base":{"path":"ContactPoint.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old contact etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContactPointUse"}],"strength":"required","description":"Use of contact point.","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1"},"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.telecom.use"},{"identity":"v2","map":"XTN.2 - but often indicated by field"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./ContactPointPurpose"}]},{"id":"Patient.contact.telecom.rank","path":"Patient.contact.telecom.rank","short":"Specify preferred order of use (1 = highest)","definition":"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.","comment":"Note that rank does not necessarily follow the order in which the contacts are represented in the instance.","min":0,"max":"1","base":{"path":"ContactPoint.rank","min":0,"max":"1"},"type":[{"code":"positiveInt"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"n/a"},{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.telecom.period","path":"Patient.contact.telecom.period","short":"Time period when the contact point was/is in use","definition":"Time period when the contact point was/is in use.","min":0,"max":"1","base":{"path":"ContactPoint.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"./usablePeriod[type=\"IVL\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.contact.address","path":"Patient.contact.address","short":"Address for the contact person","definition":"Address for the contact person.","requirements":"Need to keep track where the contact person can be contacted per postal mail or visited.","min":0,"max":"1","base":{"path":"Patient.contact.address","min":0,"max":"1"},"type":[{"code":"Address","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-address"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"NK1-4"},{"identity":"rim","map":"addr"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.address.id","path":"Patient.contact.address.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.address.extension","path":"Patient.contact.address.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.contact.address.extension:municipalityCode","path":"Patient.contact.address.extension","sliceName":"municipalityCode","short":"Address Municipality Code","definition":"HL7® Austria FHIR® Core Extension for the municipality code part of the Austrian address","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-address-municipalityCode"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.contact.address.use","path":"Patient.contact.address.use","short":"home | work | temp | old | billing - purpose of this address","definition":"The purpose of this address.","comment":"Applications can assume that an address is current unless it explicitly says that it is temporary or old.","requirements":"Allows an appropriate address to be chosen from a list of many.","min":0,"max":"1","base":{"path":"Address.use","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"home"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AddressUse"}],"strength":"required","description":"The use of an address.","valueSet":"http://hl7.org/fhir/ValueSet/address-use|4.0.1"},"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.addr.use"},{"identity":"v2","map":"XAD.7"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./AddressPurpose"}]},{"id":"Patient.contact.address.type","path":"Patient.contact.address.type","short":"postal | physical | both","definition":"Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.","comment":"The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource).","min":0,"max":"1","base":{"path":"Address.type","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"both"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AddressType"}],"strength":"required","description":"The type of an address (physical / postal).","valueSet":"http://hl7.org/fhir/ValueSet/address-type|4.0.1"},"mapping":[{"identity":"v2","map":"XAD.18"},{"identity":"rim","map":"unique(./use)"},{"identity":"vcard","map":"address type parameter"}]},{"id":"Patient.contact.address.text","path":"Patient.contact.address.text","short":"Text representation of the address","definition":"Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.","comment":"Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.","requirements":"A renderable, unencoded form.","min":0,"max":"1","base":{"path":"Address.text","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"137 Nowhere Street, Erewhon 9132"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.addr.select(streetAddressLine.dataString + ' ' + postalCode.dataString + ' ' + city.dataString + ' ' + country.dataString)"},{"identity":"v2","map":"XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"},{"identity":"rim","map":"./formatted"},{"identity":"vcard","map":"address label parameter"}]},{"id":"Patient.contact.address.line","path":"Patient.contact.address.line","short":"Street name, number, direction & P.O. Box etc.","definition":"This component contains the street name, street number, floor and/or door number or additonal information (e.g. street direction, P.O. Box number, delivery hints, and similar address information). This information can be split into structured values in the line-components each defined by international ISO extensions. If these extensions are used then the information they contain has to be written in a concatenated way in the line element itself as well. This makes the usage easier for systems which don't use address data in a structured way.","min":0,"max":"*","base":{"path":"Address.line","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"The order in which lines should appear in an address label","example":[{"label":"General","valueString":"137 Nowhere Street"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.addr.streetAddressLine"},{"identity":"v2","map":"XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"},{"identity":"rim","map":"AD.part[parttype = AL]"},{"identity":"vcard","map":"street"},{"identity":"servd","map":"./StreetAddress (newline delimitted)"}]},{"id":"Patient.contact.address.line.id","path":"Patient.contact.address.line.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references)","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false},{"id":"Patient.contact.address.line.extension","path":"Patient.contact.address.line.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"ordered":false,"rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.contact.address.line.extension:street","path":"Patient.contact.address.line.extension","sliceName":"street","short":"Name of the street","definition":"Name of the street without the street number","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"mapping":[{"identity":"rim","map":"ADXP[partType=STR]"}]},{"id":"Patient.contact.address.line.extension:streetNumber","path":"Patient.contact.address.line.extension","sliceName":"streetNumber","short":"Number of the street","definition":"Number of the street without the street name","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"mapping":[{"identity":"rim","map":"ADXP[partType=BNR]"}]},{"id":"Patient.contact.address.line.extension:floorDoorNumber","path":"Patient.contact.address.line.extension","sliceName":"floorDoorNumber","short":"Floor and/or door number","definition":"Floor and/or door number","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"mapping":[{"identity":"rim","map":"ADXP[partType=ADL]"}]},{"id":"Patient.contact.address.line.extension:additionalInformation","path":"Patient.contact.address.line.extension","sliceName":"additionalInformation","short":"Additional Information","definition":"Additional information about the street address","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-address-additionalInformation"]}],"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false},{"id":"Patient.contact.address.line.value","path":"Patient.contact.address.line.value","representation":["xmlAttr"],"short":"Primitive value for string","definition":"The actual value","min":0,"max":"1","base":{"path":"string.value","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"},{"url":"http://hl7.org/fhir/StructureDefinition/regex","valueString":"[ \\r\\n\\t\\S]+"}],"code":"http://hl7.org/fhirpath/System.String"}],"maxLength":1048576,"isModifier":false,"isSummary":false},{"id":"Patient.contact.address.city","path":"Patient.contact.address.city","short":"Name of city, town etc.","definition":"The name of the city, town, suburb, village or other community or delivery center.","alias":["Municpality"],"min":0,"max":"1","base":{"path":"Address.city","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Erewhon"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.addr.city.dataString"},{"identity":"v2","map":"XAD.3"},{"identity":"rim","map":"AD.part[parttype = CTY]"},{"identity":"vcard","map":"locality"},{"identity":"servd","map":"./Jurisdiction"}]},{"id":"Patient.contact.address.district","path":"Patient.contact.address.district","short":"District name (aka county)","definition":"The name of the administrative area (county).","comment":"District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.","alias":["County"],"min":0,"max":"0","base":{"path":"Address.district","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Madison"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.9"},{"identity":"rim","map":"AD.part[parttype = CNT | CPA]"}]},{"id":"Patient.contact.address.state","path":"Patient.contact.address.state","short":"Sub-unit of country (abbreviations ok)","definition":"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).","alias":["Province","Territory"],"min":0,"max":"1","base":{"path":"Address.state","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.addr.state.dataString"},{"identity":"v2","map":"XAD.4"},{"identity":"rim","map":"AD.part[parttype = STA]"},{"identity":"vcard","map":"region"},{"identity":"servd","map":"./Region"}]},{"id":"Patient.contact.address.postalCode","path":"Patient.contact.address.postalCode","short":"Postal code for area","definition":"A postal code designating a region defined by the postal service.","alias":["Zip"],"min":0,"max":"1","base":{"path":"Address.postalCode","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"9132"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.addr.postalCode.dataString"},{"identity":"v2","map":"XAD.5"},{"identity":"rim","map":"AD.part[parttype = ZIP]"},{"identity":"vcard","map":"code"},{"identity":"servd","map":"./PostalIdentificationCode"}]},{"id":"Patient.contact.address.country","path":"Patient.contact.address.country","short":"Country (e.g. can be ISO 3166 2 or 3 letter code)","definition":"Country - a nation as commonly understood or generally accepted.","comment":"ISO 3166 3 letter codes can be used in place of a human readable country name.","min":0,"max":"1","base":{"path":"Address.country","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.addr.country.dataString"},{"identity":"v2","map":"XAD.6"},{"identity":"rim","map":"AD.part[parttype = CNT]"},{"identity":"vcard","map":"country"},{"identity":"servd","map":"./Country"}]},{"id":"Patient.contact.address.period","path":"Patient.contact.address.period","short":"Time period when address was/is in use","definition":"Time period when address was/is in use.","requirements":"Allows addresses to be placed in historical context.","min":0,"max":"0","base":{"path":"Address.period","min":0,"max":"1"},"type":[{"code":"Period"}],"example":[{"label":"General","valuePeriod":{"start":"2010-03-23","end":"2010-07-01"}}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.12 / XAD.13 + XAD.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Patient.contact.gender","path":"Patient.contact.gender","short":"male | female | other | unknown","definition":"Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.","requirements":"Needed to address the person correctly.","min":0,"max":"1","base":{"path":"Patient.contact.gender","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AdministrativeGender"}],"strength":"required","description":"The gender of a person used for administrative purposes.","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1"},"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"n/a"},{"identity":"v2","map":"NK1-15"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.gender.id","path":"Patient.contact.gender.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references)","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false},{"id":"Patient.contact.gender.extension","path":"Patient.contact.gender.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"ordered":false,"rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Patient.contact.gender.extension:AdministrativeGenderAddition","path":"Patient.contact.gender.extension","sliceName":"AdministrativeGenderAddition","short":"Administrative Gender Addition","definition":"HL7® Austria FHIR® Core Extension for the administrative gender of a person (Patient, Practitioner, ...). \r\nThe extension is used to add the missing codes and is applied in case the code for administrative gender itself is set to 'other'.","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-gender-administrativeGenderAddition"]}],"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false},{"id":"Patient.contact.gender.value","path":"Patient.contact.gender.value","representation":["xmlAttr"],"short":"Primitive value for code","definition":"Primitive value for code","min":0,"max":"1","base":{"path":"string.value","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"},{"url":"http://hl7.org/fhir/StructureDefinition/regex","valueString":"[^\\s]+(\\s[^\\s]+)*"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false},{"id":"Patient.contact.organization","path":"Patient.contact.organization","short":"Organization that is associated with the contact","definition":"Organization on behalf of which the contact is acting or for which the contact is working.","requirements":"For guardians or business related contacts, the organization is relevant.","min":0,"max":"1","base":{"path":"Patient.contact.organization","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"condition":["pat-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(associatedEntity.classCode='ECON').associatedEntity.scopingOrganization.id[0]"},{"identity":"v2","map":"NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"},{"identity":"rim","map":"scoper"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.contact.period","path":"Patient.contact.period","short":"The period during which this contact person or organization is valid to be contacted relating to this patient","definition":"The period during which this contact person or organization is valid to be contacted relating to this patient.","min":0,"max":"1","base":{"path":"Patient.contact.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"n/a"},{"identity":"rim","map":"effectiveTime"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.communication","path":"Patient.communication","short":"A language which may be used to communicate with the patient about his or her health","definition":"A language which may be used to communicate with the patient about his or her health.","comment":"If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.","requirements":"If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.","min":0,"max":"*","base":{"path":"Patient.communication","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"LanguageCommunication"},{"identity":"cda","map":"patient.languageCommunication"}]},{"id":"Patient.communication.id","path":"Patient.communication.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.communication.extension","path":"Patient.communication.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.communication.modifierExtension","path":"Patient.communication.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.communication.language","path":"Patient.communication.language","short":"The language which can be used to communicate with the patient about his or her health","definition":"The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.","comment":"The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.","requirements":"Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.","min":1,"max":"1","base":{"path":"Patient.communication.language","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"},"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.languageCommunication.languageCode.code"},{"identity":"v2","map":"PID-15, LAN-2"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"},{"identity":"cda","map":".languageCode"}]},{"id":"Patient.communication.preferred","path":"Patient.communication.preferred","short":"Language preference indicator","definition":"Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).","comment":"This language is specifically identified for communicating healthcare information.","requirements":"People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.","min":0,"max":"1","base":{"path":"Patient.communication.preferred","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":".patient.languageCommunication.preferenceInd.value"},{"identity":"v2","map":"PID-15"},{"identity":"rim","map":"preferenceInd"},{"identity":"cda","map":".preferenceInd"}]},{"id":"Patient.generalPractitioner","path":"Patient.generalPractitioner","short":"Patient's nominated primary care provider","definition":"Patient's nominated care provider.","comment":"This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.\nMultiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a \"fly-in/fly-out\" worker that has the onsite GP also included with his home GP to remain aware of medical issues.\n\nJurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.","alias":["careProvider"],"min":0,"max":"*","base":{"path":"Patient.generalPractitioner","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.participant.where(functionCode='PCP').associatedEntity.id"},{"identity":"v2","map":"PD1-4"},{"identity":"rim","map":"subjectOf.CareEvent.performer.AssignedEntity"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.managingOrganization","path":"Patient.managingOrganization","short":"Organization that is the custodian of the patient record","definition":"Organization that is the custodian of the patient record.","comment":"There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).","requirements":"Need to know who recognizes this patient record, manages and updates it.","min":0,"max":"1","base":{"path":"Patient.managingOrganization","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"ClinicalDocument.custodian.assignedCustodian.representedCustodianOrganization.id"},{"identity":"rim","map":"scoper"},{"identity":"cda","map":".providerOrganization"}]},{"id":"Patient.link","path":"Patient.link","short":"Link to another patient resource that concerns the same actual person","definition":"Link to another patient resource that concerns the same actual patient.","comment":"There is no assumption that linked patient records have mutual links.","requirements":"There are multiple use cases: \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and \n* Distribution of patient information across multiple servers.","min":0,"max":"*","base":{"path":"Patient.link","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'","isSummary":true,"mapping":[{"identity":"rim","map":"outboundLink"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.link.id","path":"Patient.link.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.link.extension","path":"Patient.link.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Patient.link.modifierExtension","path":"Patient.link.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Patient.link.other","path":"Patient.link.other","short":"The other patient or related person resource that the link refers to","definition":"The other patient resource that the link refers to.","comment":"Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.","min":1,"max":"1","base":{"path":"Patient.link.other","min":1,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":false}],"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"n/a"},{"identity":"v2","map":"PID-3, MRG-1"},{"identity":"rim","map":"id"},{"identity":"cda","map":"n/a"}]},{"id":"Patient.link.type","path":"Patient.link.type","short":"replaced-by | replaces | refer | seealso","definition":"The type of link between this patient resource and another patient resource.","min":1,"max":"1","base":{"path":"Patient.link.type","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"LinkType"}],"strength":"required","description":"The type of link between this patient resource and another patient resource.","valueSet":"http://hl7.org/fhir/ValueSet/link-type|4.0.1"},"mapping":[{"identity":"at-core-mapping-patient2cdaatv3","map":"n/a"},{"identity":"rim","map":"typeCode"},{"identity":"cda","map":"n/a"}]}]},"differential":{"element":[{"id":"Patient","path":"Patient","short":"AT APS Patient"},{"id":"Patient.identifier","path":"Patient.identifier","min":1},{"id":"Patient.identifier:localPatientId","path":"Patient.identifier","sliceName":"localPatientId","min":1},{"id":"Patient.name.family","path":"Patient.name.family","min":1},{"id":"Patient.name.given","path":"Patient.name.given","min":1},{"id":"Patient.birthDate","path":"Patient.birthDate","min":1}]}} package/StructureDefinition-at-aps-practitioner.json 0100644 0000000 0000000 00000346135 15112310074 021776 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-practitioner","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner","version":"0.2.0","name":"AtApsPractitioner","title":"AT APS Practitioner","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Practitioner-Ressource ist vom entsprechenden Profil aus dem HL7® Austria FHIR® Core IG abgeleitet und stellt zusätzlich die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"servd","uri":"http://www.omg.org/spec/ServD/1.0/","name":"ServD"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"Practitioner","baseDefinition":"http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-practitioner","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"2.0.0"}],"element":[{"id":"Practitioner","path":"Practitioner","short":"AT APS Practitioner","definition":"A person who is directly or indirectly involved in the provisioning of healthcare.","min":0,"max":"*","base":{"path":"Practitioner","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"PRD (as one example)"},{"identity":"rim","map":"Role"},{"identity":"servd","map":"Provider"}]},{"id":"Practitioner.id","path":"Practitioner.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Practitioner.meta","path":"Practitioner.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Practitioner.implicitRules","path":"Practitioner.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Practitioner.language","path":"Practitioner.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Practitioner.text","path":"Practitioner.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Practitioner.contained","path":"Practitioner.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.extension","path":"Practitioner.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.modifierExtension","path":"Practitioner.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.identifier","path":"Practitioner.identifier","slicing":{"discriminator":[{"type":"value","path":"system"}],"ordered":false,"rules":"open"},"short":"An identifier for the person as this agent","definition":"An identifier that applies to this person in this role.","requirements":"Often, specific identities are assigned for the agent.","min":0,"max":"*","base":{"path":"Practitioner.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PRD-7 (or XCN.1)"},{"identity":"rim","map":"./id"},{"identity":"servd","map":"./Identifiers"}]},{"id":"Practitioner.identifier.id","path":"Practitioner.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier.extension","path":"Practitioner.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier.use","path":"Practitioner.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Practitioner.identifier.type","path":"Practitioner.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Practitioner.identifier.system","path":"Practitioner.identifier.system","short":"The namespace for the identifier value","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":0,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Practitioner.identifier.value","path":"Practitioner.identifier.value","short":"The value that is unique","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":0,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Practitioner.identifier.period","path":"Practitioner.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Practitioner.identifier.assigner","path":"Practitioner.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Practitioner.identifier:GDA-OID","path":"Practitioner.identifier","sliceName":"GDA-OID","short":"An identifier for the person as this agent","definition":"An identifier that applies to this person in this role.","requirements":"Often, specific identities are assigned for the agent.","min":0,"max":"1","base":{"path":"Practitioner.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PRD-7 (or XCN.1)"},{"identity":"rim","map":"./id"},{"identity":"servd","map":"./Identifiers"}]},{"id":"Practitioner.identifier:GDA-OID.id","path":"Practitioner.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:GDA-OID.extension","path":"Practitioner.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:GDA-OID.use","path":"Practitioner.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Practitioner.identifier:GDA-OID.type","path":"Practitioner.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"}],"strength":"extensible","description":"A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","valueSet":"http://hl7.org/fhir/ValueSet/identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Practitioner.identifier:GDA-OID.system","path":"Practitioner.identifier.system","short":"A GDA in Austria is represented via an URI (OID)","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"urn:ietf:rfc:3986","example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Practitioner.identifier:GDA-OID.value","path":"Practitioner.identifier.value","short":"OID for the GDA in Austria","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":1,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Practitioner.identifier:GDA-OID.period","path":"Practitioner.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Practitioner.identifier:GDA-OID.assigner","path":"Practitioner.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Practitioner.identifier:GDA-OID.assigner.id","path":"Practitioner.identifier.assigner.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:GDA-OID.assigner.extension","path":"Practitioner.identifier.assigner.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:GDA-OID.assigner.reference","path":"Practitioner.identifier.assigner.reference","short":"Literal reference, Relative, internal or absolute URL","definition":"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.","comment":"Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.","min":0,"max":"1","base":{"path":"Reference.reference","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["ref-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.identifier:GDA-OID.assigner.type","path":"Practitioner.identifier.assigner.type","short":"Type the reference refers to (e.g. \"Patient\")","definition":"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.\n\nThe 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).","comment":"This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","min":0,"max":"1","base":{"path":"Reference.type","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRResourceTypeExt"}],"strength":"extensible","description":"Aa resource (or, for logical models, the URI of the logical model).","valueSet":"http://hl7.org/fhir/ValueSet/resource-types"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.identifier:GDA-OID.assigner.identifier","path":"Practitioner.identifier.assigner.identifier","short":"Logical reference, when literal reference is not known","definition":"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.","comment":"When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","min":0,"max":"1","base":{"path":"Reference.identifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".identifier"}]},{"id":"Practitioner.identifier:GDA-OID.assigner.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Practitioner.identifier.assigner.display","short":"Text alternative for the resource","definition":"Plain text narrative that identifies the resource in addition to the resource reference.","comment":"This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.","min":0,"max":"1","base":{"path":"Reference.display","min":0,"max":"1"},"type":[{"code":"string"}],"fixedString":"Bundesministerium für Gesundheit","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.identifier:VPNR","path":"Practitioner.identifier","sliceName":"VPNR","short":"An identifier for the person as this agent","definition":"An identifier that applies to this person in this role.","requirements":"Often, specific identities are assigned for the agent.","min":0,"max":"*","base":{"path":"Practitioner.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PRD-7 (or XCN.1)"},{"identity":"rim","map":"./id"},{"identity":"servd","map":"./Identifiers"}]},{"id":"Practitioner.identifier:VPNR.id","path":"Practitioner.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:VPNR.extension","path":"Practitioner.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:VPNR.use","path":"Practitioner.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Practitioner.identifier:VPNR.type","path":"Practitioner.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"}],"strength":"extensible","description":"A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","valueSet":"http://hl7.org/fhir/ValueSet/identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Practitioner.identifier:VPNR.system","path":"Practitioner.identifier.system","short":"OID for the Vertragspartnernummer (VPNR) in Austria","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"urn:oid:1.2.40.0.10.1.4.3.2","example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Practitioner.identifier:VPNR.value","path":"Practitioner.identifier.value","short":"The value that is unique","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":1,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Practitioner.identifier:VPNR.period","path":"Practitioner.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Practitioner.identifier:VPNR.assigner","path":"Practitioner.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Practitioner.identifier:VPNR.assigner.id","path":"Practitioner.identifier.assigner.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:VPNR.assigner.extension","path":"Practitioner.identifier.assigner.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:VPNR.assigner.reference","path":"Practitioner.identifier.assigner.reference","short":"Literal reference, Relative, internal or absolute URL","definition":"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.","comment":"Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.","min":0,"max":"1","base":{"path":"Reference.reference","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["ref-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.identifier:VPNR.assigner.type","path":"Practitioner.identifier.assigner.type","short":"Type the reference refers to (e.g. \"Patient\")","definition":"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.\n\nThe 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).","comment":"This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","min":0,"max":"1","base":{"path":"Reference.type","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRResourceTypeExt"}],"strength":"extensible","description":"Aa resource (or, for logical models, the URI of the logical model).","valueSet":"http://hl7.org/fhir/ValueSet/resource-types"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.identifier:VPNR.assigner.identifier","path":"Practitioner.identifier.assigner.identifier","short":"Logical reference, when literal reference is not known","definition":"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.","comment":"When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","min":0,"max":"1","base":{"path":"Reference.identifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".identifier"}]},{"id":"Practitioner.identifier:VPNR.assigner.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Practitioner.identifier.assigner.display","short":"Text alternative for the resource","definition":"Plain text narrative that identifies the resource in addition to the resource reference.","comment":"This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.","min":0,"max":"1","base":{"path":"Reference.display","min":0,"max":"1"},"type":[{"code":"string"}],"fixedString":"Dachverband der österreichischen Sozialversicherungsträger","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.identifier:vbPK","path":"Practitioner.identifier","sliceName":"vbPK","short":"An identifier for the person as this agent","definition":"An identifier that applies to this person in this role.","requirements":"Often, specific identities are assigned for the agent.","min":0,"max":"1","base":{"path":"Practitioner.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PRD-7 (or XCN.1)"},{"identity":"rim","map":"./id"},{"identity":"servd","map":"./Identifiers"}]},{"id":"Practitioner.identifier:vbPK.id","path":"Practitioner.identifier.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:vbPK.extension","path":"Practitioner.identifier.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:vbPK.use","path":"Practitioner.identifier.use","short":"usual | official | temp | secondary | old (If known)","definition":"The purpose of this identifier.","comment":"Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","requirements":"Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","min":0,"max":"1","base":{"path":"Identifier.use","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierUse"}],"strength":"required","description":"Identifies the purpose for this identifier, if known .","valueSet":"http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Practitioner.identifier:vbPK.type","path":"Practitioner.identifier.type","short":"Description of identifier","definition":"A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","comment":"This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","requirements":"Allows users to make use of identifiers when the identifier system is not known.","min":0,"max":"1","base":{"path":"Identifier.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"}],"strength":"extensible","description":"A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","valueSet":"http://hl7.org/fhir/ValueSet/identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Practitioner.identifier:vbPK.system","path":"Practitioner.identifier.system","short":"OID for the vbPK in Austria","definition":"Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","comment":"Identifier.system is always case sensitive.","requirements":"There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","min":1,"max":"1","base":{"path":"Identifier.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"urn:oid:1.2.40.0.34.4.22","example":[{"label":"General","valueUri":"http://www.acme.com/identifiers/patient"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / EI-2-4"},{"identity":"rim","map":"II.root or Role.id.root"},{"identity":"servd","map":"./IdentifierType"}]},{"id":"Practitioner.identifier:vbPK.value","path":"Practitioner.identifier.value","short":"The value that is unique","definition":"The portion of the identifier typically relevant to the user and which is unique within the context of the system.","comment":"If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","min":1,"max":"1","base":{"path":"Identifier.value","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"123456"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.1 / EI.1"},{"identity":"rim","map":"II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"},{"identity":"servd","map":"./Value"}]},{"id":"Practitioner.identifier:vbPK.period","path":"Practitioner.identifier.period","short":"Time period when id is/was valid for use","definition":"Time period during which identifier is/was valid for use.","min":0,"max":"1","base":{"path":"Identifier.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.7 + CX.8"},{"identity":"rim","map":"Role.effectiveTime or implied by context"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Practitioner.identifier:vbPK.assigner","path":"Practitioner.identifier.assigner","short":"Organization that issued id (may be just text)","definition":"Organization that issued/manages the identifier.","comment":"The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","min":0,"max":"1","base":{"path":"Identifier.assigner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"CX.4 / (CX.4,CX.9,CX.10)"},{"identity":"rim","map":"II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"},{"identity":"servd","map":"./IdentifierIssuingAuthority"}]},{"id":"Practitioner.identifier:vbPK.assigner.id","path":"Practitioner.identifier.assigner.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:vbPK.assigner.extension","path":"Practitioner.identifier.assigner.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"description":"Extensions are always sliced by (at least) url","rules":"open"},"short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.identifier:vbPK.assigner.reference","path":"Practitioner.identifier.assigner.reference","short":"Literal reference, Relative, internal or absolute URL","definition":"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.","comment":"Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.","min":0,"max":"1","base":{"path":"Reference.reference","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["ref-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.identifier:vbPK.assigner.type","path":"Practitioner.identifier.assigner.type","short":"Type the reference refers to (e.g. \"Patient\")","definition":"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.\n\nThe 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).","comment":"This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","min":0,"max":"1","base":{"path":"Reference.type","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FHIRResourceTypeExt"}],"strength":"extensible","description":"Aa resource (or, for logical models, the URI of the logical model).","valueSet":"http://hl7.org/fhir/ValueSet/resource-types"},"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.identifier:vbPK.assigner.identifier","path":"Practitioner.identifier.assigner.identifier","short":"Logical reference, when literal reference is not known","definition":"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.","comment":"When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","min":0,"max":"1","base":{"path":"Reference.identifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".identifier"}]},{"id":"Practitioner.identifier:vbPK.assigner.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Practitioner.identifier.assigner.display","short":"Text alternative for the resource","definition":"Plain text narrative that identifies the resource in addition to the resource reference.","comment":"This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.","min":0,"max":"1","base":{"path":"Reference.display","min":0,"max":"1"},"type":[{"code":"string"}],"fixedString":"Bundesministerium für Inneres","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.active","path":"Practitioner.active","short":"Whether this practitioner's record is in active use","definition":"Whether this practitioner's record is in active use.","comment":"If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.","requirements":"Need to be able to mark a practitioner record as not to be used because it was created in error.","min":0,"max":"1","base":{"path":"Practitioner.active","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"This resource is generally assumed to be active if no value is provided for the active element","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"./statusCode"}]},{"id":"Practitioner.name","path":"Practitioner.name","short":"The name(s) associated with the practitioner","definition":"The name(s) associated with the practitioner.","comment":"The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate. \r\rIn general, select the value to be used in the ResourceReference.display based on this:\r\r1. There is more than 1 name\r2. Use = usual\r3. Period is current to the date of the usage\r4. Use = official\r5. Other order as decided by internal business rules.","requirements":"The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.","min":0,"max":"*","base":{"path":"Practitioner.name","min":0,"max":"*"},"type":[{"code":"HumanName"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XCN Components"},{"identity":"rim","map":"./name"},{"identity":"servd","map":"./PreferredName (GivenNames, FamilyName, TitleCode)"}]},{"id":"Practitioner.telecom","path":"Practitioner.telecom","short":"A contact detail for the practitioner (that apply to all roles)","definition":"A contact detail for the practitioner, e.g. a telephone number or an email address.","comment":"Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.","requirements":"Need to know how to reach a practitioner independent to any roles the practitioner may have.","min":0,"max":"*","base":{"path":"Practitioner.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PRT-15, STF-10, ROL-12"},{"identity":"rim","map":"./telecom"},{"identity":"servd","map":"./ContactPoints"}]},{"id":"Practitioner.address","path":"Practitioner.address","short":"Address(es) of the practitioner that are not role specific (typically home address)","definition":"Address(es) of the practitioner that are not role specific (typically home address). \rWork addresses are not typically entered in this property as they are usually role dependent.","comment":"The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).","requirements":"The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.","min":0,"max":"*","base":{"path":"Practitioner.address","min":0,"max":"*"},"type":[{"code":"Address","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-address"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"ORC-24, STF-11, ROL-11, PRT-14"},{"identity":"rim","map":"./addr"},{"identity":"servd","map":"./Addresses"}]},{"id":"Practitioner.gender","path":"Practitioner.gender","short":"male | female | other | unknown","definition":"Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.","requirements":"Needed to address the person correctly.","min":0,"max":"1","base":{"path":"Practitioner.gender","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"AdministrativeGender"}],"strength":"required","description":"The gender of a person used for administrative purposes.","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1"},"mapping":[{"identity":"v2","map":"STF-5"},{"identity":"rim","map":"./administrativeGender"},{"identity":"servd","map":"./GenderCode"}]},{"id":"Practitioner.gender.id","path":"Practitioner.gender.id","representation":["xmlAttr"],"short":"xml:id (or equivalent in JSON)","definition":"unique id for the element within a resource (for internal references)","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false},{"id":"Practitioner.gender.extension","path":"Practitioner.gender.extension","slicing":{"discriminator":[{"type":"value","path":"url"}],"ordered":false,"rules":"open"},"short":"Extension","definition":"An Extension","min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false},{"id":"Practitioner.gender.extension:AdministrativeGenderAddition","path":"Practitioner.gender.extension","sliceName":"AdministrativeGenderAddition","short":"Administrative Gender Addition","definition":"HL7® Austria FHIR® Core Extension for the administrative gender of a person (Patient, Practitioner, ...). \r\nThe extension is used to add the missing codes and is applied in case the code for administrative gender itself is set to 'other'.","min":0,"max":"1","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-gender-administrativeGenderAddition"]}],"condition":["ele-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false},{"id":"Practitioner.gender.value","path":"Practitioner.gender.value","representation":["xmlAttr"],"short":"Primitive value for code","definition":"Primitive value for code","min":0,"max":"1","base":{"path":"string.value","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"},{"url":"http://hl7.org/fhir/StructureDefinition/regex","valueString":"[^\\s]+(\\s[^\\s]+)*"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false},{"id":"Practitioner.birthDate","path":"Practitioner.birthDate","short":"The date on which the practitioner was born","definition":"The date of birth for the practitioner.","requirements":"Needed for identification.","min":0,"max":"1","base":{"path":"Practitioner.birthDate","min":0,"max":"1"},"type":[{"code":"date"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"STF-6"},{"identity":"rim","map":"./birthTime"},{"identity":"servd","map":"(not represented in ServD)"}]},{"id":"Practitioner.photo","path":"Practitioner.photo","short":"Image of the person","definition":"Image of the person.","requirements":"Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.","min":0,"max":"*","base":{"path":"Practitioner.photo","min":0,"max":"*"},"type":[{"code":"Attachment"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"./subjectOf/ObservationEvent[code=\"photo\"]/value"},{"identity":"servd","map":"./ImageURI (only supports the URI reference)"}]},{"id":"Practitioner.qualification","path":"Practitioner.qualification","short":"Certification, licenses, or training pertaining to the provision of care","definition":"The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.","min":0,"max":"*","base":{"path":"Practitioner.qualification","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"CER?"},{"identity":"rim","map":".playingEntity.playingRole[classCode=QUAL].code"},{"identity":"servd","map":"./Qualifications"}]},{"id":"Practitioner.qualification.id","path":"Practitioner.qualification.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.qualification.extension","path":"Practitioner.qualification.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Practitioner.qualification.modifierExtension","path":"Practitioner.qualification.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Practitioner.qualification.identifier","path":"Practitioner.qualification.identifier","short":"An identifier for this qualification for the practitioner","definition":"An identifier that applies to this person's qualification in this role.","requirements":"Often, specific identities are assigned for the qualification.","min":0,"max":"*","base":{"path":"Practitioner.qualification.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".playingEntity.playingRole[classCode=QUAL].id"}]},{"id":"Practitioner.qualification.code","path":"Practitioner.qualification.code","short":"Coded representation of the qualification","definition":"Coded representation of the qualification.","min":1,"max":"1","base":{"path":"Practitioner.qualification.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Qualification"}],"strength":"example","description":"Specific qualification the practitioner has to provide a service.","valueSet":"http://terminology.hl7.org/ValueSet/v2-2.7-0360"},"mapping":[{"identity":"rim","map":".playingEntity.playingRole[classCode=QUAL].code"},{"identity":"servd","map":"./Qualifications.Value"}]},{"id":"Practitioner.qualification.period","path":"Practitioner.qualification.period","short":"Period during which the qualification is valid","definition":"Period during which the qualification is valid.","requirements":"Qualifications are often for a limited period of time, and can be revoked.","min":0,"max":"1","base":{"path":"Practitioner.qualification.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".playingEntity.playingRole[classCode=QUAL].effectiveTime"},{"identity":"servd","map":"./Qualifications.StartDate and ./Qualifications.EndDate"}]},{"id":"Practitioner.qualification.issuer","path":"Practitioner.qualification.issuer","short":"Organization that regulates and issues the qualification","definition":"Organization that regulates and issues the qualification.","min":0,"max":"1","base":{"path":"Practitioner.qualification.issuer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".playingEntity.playingRole[classCode=QUAL].scoper"}]},{"id":"Practitioner.communication","path":"Practitioner.communication","short":"A language the practitioner can use in patient communication","definition":"A language the practitioner can use in patient communication.","comment":"The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.","requirements":"Knowing which language a practitioner speaks can help in facilitating communication with patients.","min":0,"max":"*","base":{"path":"Practitioner.communication","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"},"mapping":[{"identity":"v2","map":"PID-15, NK1-20, LAN-2"},{"identity":"rim","map":"./languageCommunication"},{"identity":"servd","map":"./Languages.LanguageSpokenCode"}]}]},"differential":{"element":[{"id":"Practitioner","path":"Practitioner","short":"AT APS Practitioner"}]}} package/StructureDefinition-at-aps-practitionerrole.json 0100644 0000000 0000000 00000154124 15112310074 022653 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-practitionerrole","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole","version":"0.2.0","name":"AtApsPractitionerRole","title":"AT APS PractitionerRole","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die PractitionerRole-Ressource ist vom entsprechenden Profil aus dem HL7® Austria FHIR® Core IG abgeleitet und stellt zusätzlich die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"servd","uri":"http://www.omg.org/spec/ServD/1.0/","name":"ServD"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"}],"kind":"resource","abstract":false,"type":"PractitionerRole","baseDefinition":"http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-practitionerRole","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"2.0.0"}],"element":[{"id":"PractitionerRole","path":"PractitionerRole","short":"At APS PractitionerRole","definition":"A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.","min":0,"max":"*","base":{"path":"PractitionerRole","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"PRD (as one example)"},{"identity":"rim","map":"Role"},{"identity":"servd","map":"ServiceSiteProvider"}]},{"id":"PractitionerRole.id","path":"PractitionerRole.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"PractitionerRole.meta","path":"PractitionerRole.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"PractitionerRole.implicitRules","path":"PractitionerRole.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"PractitionerRole.language","path":"PractitionerRole.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"PractitionerRole.text","path":"PractitionerRole.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"PractitionerRole.contained","path":"PractitionerRole.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"PractitionerRole.extension","path":"PractitionerRole.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"PractitionerRole.modifierExtension","path":"PractitionerRole.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"PractitionerRole.identifier","path":"PractitionerRole.identifier","short":"Business Identifiers that are specific to a role/location","definition":"Business Identifiers that are specific to a role/location.","requirements":"Often, specific identities are assigned for the agent.","min":0,"max":"*","base":{"path":"PractitionerRole.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PRD-7 (or XCN.1)"},{"identity":"rim","map":".id"},{"identity":"servd","map":"./Identifiers"}]},{"id":"PractitionerRole.active","path":"PractitionerRole.active","short":"Whether this practitioner role record is in active use","definition":"Whether this practitioner role record is in active use.","comment":"If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.","requirements":"Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.","min":0,"max":"1","base":{"path":"PractitionerRole.active","min":0,"max":"1"},"type":[{"code":"boolean"}],"meaningWhenMissing":"This resource is generally assumed to be active if no value is provided for the active element","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"STF-7"},{"identity":"rim","map":".statusCode"}]},{"id":"PractitionerRole.period","path":"PractitionerRole.period","short":"The period during which the practitioner is authorized to perform in these role(s)","definition":"The period during which the person is authorized to act as a practitioner in these role(s) for the organization.","requirements":"Even after the agencies is revoked, the fact that it existed must still be recorded.","min":0,"max":"1","base":{"path":"PractitionerRole.period","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"PRD-8/9 / PRA-5.4"},{"identity":"rim","map":".performance[@typeCode <= 'PPRF'].ActDefinitionOrEvent.effectiveTime"},{"identity":"servd","map":"(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"}]},{"id":"PractitionerRole.practitioner","path":"PractitionerRole.practitioner","short":"Practitioner that is able to provide the defined services for the organization","definition":"Practitioner that is able to provide the defined services for the organization.","min":0,"max":"1","base":{"path":"PractitionerRole.practitioner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".player"}]},{"id":"PractitionerRole.organization","path":"PractitionerRole.organization","short":"Organization where the roles are available","definition":"The organization where the Practitioner performs the roles associated.","min":0,"max":"1","base":{"path":"PractitionerRole.organization","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".scoper"}]},{"id":"PractitionerRole.code","path":"PractitionerRole.code","short":"Roles which this practitioner may perform","definition":"Roles which this practitioner is authorized to perform for the organization.","comment":"A person may have more than one role.","requirements":"Need to know what authority the practitioner has - what can they do?","min":0,"max":"*","base":{"path":"PractitionerRole.code","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/hl7-at-practitionerrole"},"mapping":[{"identity":"v2","map":"PRD-1 / STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17"},{"identity":"rim","map":".code"},{"identity":"servd","map":"(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"}]},{"id":"PractitionerRole.specialty","path":"PractitionerRole.specialty","short":"Specific specialty of the practitioner","definition":"Specific specialty of the practitioner.","min":0,"max":"*","base":{"path":"PractitionerRole.specialty","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PractitionerSpecialty"}],"strength":"preferred","description":"Specific specialty associated with the agency.","valueSet":"http://hl7.org/fhir/ValueSet/c80-practice-codes"},"mapping":[{"identity":"v2","map":"PRA-5"},{"identity":"rim","map":".player.HealthCareProvider[@classCode = 'PROV'].code"},{"identity":"servd","map":"./Specialty"}]},{"id":"PractitionerRole.location","path":"PractitionerRole.location","short":"The location(s) at which this practitioner provides care","definition":"The location(s) at which this practitioner provides care.","min":0,"max":"*","base":{"path":"PractitionerRole.location","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"rim","map":".performance.ActDefinitionOrEvent.ServiceDeliveryLocation[@classCode = 'SDLOC']"},{"identity":"servd","map":"(ServD maps Practitioners and Organizations via another entity, so this concept is not available)
However these are accessed via the Site.ServiceSite.ServiceSiteProvider record. (The Site has the location)"}]},{"id":"PractitionerRole.healthcareService","path":"PractitionerRole.healthcareService","short":"The list of healthcare services that this worker provides for this role's Organization/Location(s)","definition":"The list of healthcare services that this worker provides for this role's Organization/Location(s).","min":0,"max":"*","base":{"path":"PractitionerRole.healthcareService","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/HealthcareService"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"EDU-2 / AFF-3"},{"identity":"rim","map":".player.QualifiedEntity[@classCode = 'QUAL'].code"}]},{"id":"PractitionerRole.telecom","path":"PractitionerRole.telecom","short":"Contact details that are specific to the role/location/service","definition":"Contact details that are specific to the role/location/service.","requirements":"Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.","min":0,"max":"*","base":{"path":"PractitionerRole.telecom","min":0,"max":"*"},"type":[{"code":"ContactPoint"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".telecom"}]},{"id":"PractitionerRole.availableTime","path":"PractitionerRole.availableTime","short":"Times the Service Site is available","definition":"A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.","comment":"More detailed availability information may be provided in associated Schedule/Slot resources.","min":0,"max":"*","base":{"path":"PractitionerRole.availableTime","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.availableTime.id","path":"PractitionerRole.availableTime.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.availableTime.extension","path":"PractitionerRole.availableTime.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.availableTime.modifierExtension","path":"PractitionerRole.availableTime.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"PractitionerRole.availableTime.daysOfWeek","path":"PractitionerRole.availableTime.daysOfWeek","short":"mon | tue | wed | thu | fri | sat | sun","definition":"Indicates which days of the week are available between the start and end Times.","min":0,"max":"*","base":{"path":"PractitionerRole.availableTime.daysOfWeek","min":0,"max":"*"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DaysOfWeek"}],"strength":"required","description":"The days of the week.","valueSet":"http://hl7.org/fhir/ValueSet/days-of-week|4.0.1"},"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.availableTime.allDay","path":"PractitionerRole.availableTime.allDay","short":"Always available? e.g. 24 hour service","definition":"Is this always available? (hence times are irrelevant) e.g. 24 hour service.","min":0,"max":"1","base":{"path":"PractitionerRole.availableTime.allDay","min":0,"max":"1"},"type":[{"code":"boolean"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.availableTime.availableStartTime","path":"PractitionerRole.availableTime.availableStartTime","short":"Opening time of day (ignored if allDay = true)","definition":"The opening time of day. Note: If the AllDay flag is set, then this time is ignored.","comment":"The timezone is expected to be for where this HealthcareService is provided at.","min":0,"max":"1","base":{"path":"PractitionerRole.availableTime.availableStartTime","min":0,"max":"1"},"type":[{"code":"time"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.availableTime.availableEndTime","path":"PractitionerRole.availableTime.availableEndTime","short":"Closing time of day (ignored if allDay = true)","definition":"The closing time of day. Note: If the AllDay flag is set, then this time is ignored.","comment":"The timezone is expected to be for where this HealthcareService is provided at.","min":0,"max":"1","base":{"path":"PractitionerRole.availableTime.availableEndTime","min":0,"max":"1"},"type":[{"code":"time"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.notAvailable","path":"PractitionerRole.notAvailable","short":"Not available during this time due to provided reason","definition":"The practitioner is not available or performing this role during this period of time due to the provided reason.","min":0,"max":"*","base":{"path":"PractitionerRole.notAvailable","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.notAvailable.id","path":"PractitionerRole.notAvailable.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.notAvailable.extension","path":"PractitionerRole.notAvailable.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.notAvailable.modifierExtension","path":"PractitionerRole.notAvailable.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"PractitionerRole.notAvailable.description","path":"PractitionerRole.notAvailable.description","short":"Reason presented to the user explaining why time not available","definition":"The reason that can be presented to the user as to why this time is not available.","min":1,"max":"1","base":{"path":"PractitionerRole.notAvailable.description","min":1,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"PractitionerRole.notAvailable.during","path":"PractitionerRole.notAvailable.during","short":"Service not available from this date","definition":"Service is not available (seasonally or for a public holiday) from this date.","min":0,"max":"1","base":{"path":"PractitionerRole.notAvailable.during","min":0,"max":"1"},"type":[{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.availabilityExceptions","path":"PractitionerRole.availabilityExceptions","short":"Description of availability exceptions","definition":"A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.","min":0,"max":"1","base":{"path":"PractitionerRole.availabilityExceptions","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"PractitionerRole.endpoint","path":"PractitionerRole.endpoint","short":"Technical endpoints providing access to services operated for the practitioner with this role","definition":"Technical endpoints providing access to services operated for the practitioner with this role.","requirements":"Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.\r\rSo the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.","min":0,"max":"*","base":{"path":"PractitionerRole.endpoint","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Endpoint"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]}]},"differential":{"element":[{"id":"PractitionerRole","path":"PractitionerRole","short":"At APS PractitionerRole"},{"id":"PractitionerRole.practitioner","path":"PractitionerRole.practitioner","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner"]}]},{"id":"PractitionerRole.organization","path":"PractitionerRole.organization","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization"]}]}]}} package/StructureDefinition-at-aps-procedure.json 0100644 0000000 0000000 00000246153 15112310074 021262 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-procedure","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure","version":"0.2.0","name":"AtApsProcedure","title":"AT APS Procedure","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Procedure-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"Procedure","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Procedure","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Procedure","path":"Procedure","short":"AT APS Procedure","definition":"An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.","min":0,"max":"*","base":{"path":"Procedure","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"Procedure[moodCode=EVN]"}]},{"id":"Procedure.id","path":"Procedure.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Procedure.meta","path":"Procedure.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Procedure.implicitRules","path":"Procedure.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Procedure.language","path":"Procedure.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Procedure.text","path":"Procedure.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Procedure.contained","path":"Procedure.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Procedure.extension","path":"Procedure.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Procedure.modifierExtension","path":"Procedure.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Procedure.identifier","path":"Procedure.identifier","short":"External Identifiers for this procedure","definition":"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.","comment":"This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and Person resource instances might share the same social insurance number.","requirements":"Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"Procedure.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"},{"identity":"rim","map":".id"}]},{"id":"Procedure.instantiatesCanonical","path":"Procedure.instantiatesCanonical","short":"Instantiates FHIR protocol or definition","definition":"The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.","min":0,"max":"*","base":{"path":"Procedure.instantiatesCanonical","min":0,"max":"*"},"type":[{"code":"canonical","targetProfile":["http://hl7.org/fhir/StructureDefinition/PlanDefinition|4.0.1","http://hl7.org/fhir/StructureDefinition/ActivityDefinition|4.0.1","http://hl7.org/fhir/StructureDefinition/Measure|4.0.1","http://hl7.org/fhir/StructureDefinition/OperationDefinition|4.0.1","http://hl7.org/fhir/StructureDefinition/Questionnaire|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.instantiatesCanonical"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"Procedure.instantiatesUri","path":"Procedure.instantiatesUri","short":"Instantiates external protocol or definition","definition":"The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.","comment":"This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.","min":0,"max":"*","base":{"path":"Procedure.instantiatesUri","min":0,"max":"*"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.instantiatesUri"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}]},{"id":"Procedure.basedOn","path":"Procedure.basedOn","short":"A request for this procedure","definition":"A reference to a resource that contains details of the request for this procedure.","alias":["fulfills"],"min":0,"max":"*","base":{"path":"Procedure.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1","http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.basedOn"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code"}]},{"id":"Procedure.partOf","path":"Procedure.partOf","short":"Part of referenced event","definition":"A larger event of which this particular procedure is a component or step.","comment":"The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference. For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure). For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).","alias":["container"],"min":0,"max":"*","base":{"path":"Procedure.partOf","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"}]},{"id":"Procedure.status","path":"Procedure.status","short":"preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown","definition":"A code specifying the state of the procedure. Generally, this will be the in-progress or completed state.","comment":"The \"unknown\" code is not to be used to convey other statuses. The \"unknown\" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","min":1,"max":"1","base":{"path":"Procedure.status","min":1,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureStatus"}],"strength":"required","description":"A code specifying the state of the procedure.","valueSet":"http://hl7.org/fhir/ValueSet/event-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"statusCode"}]},{"id":"Procedure.statusReason","path":"Procedure.statusReason","short":"Reason for current status","definition":"Captures the reason for the current state of the procedure.","comment":"This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here.","alias":["Suspended Reason","Cancelled Reason"],"min":0,"max":"1","base":{"path":"Procedure.statusReason","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureNegationReason"}],"strength":"example","description":"A code that identifies the reason a procedure was not performed.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-not-performed-reason|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.statusReason"},{"identity":"rim","map":".reason.Observation.value"}]},{"id":"Procedure.category","path":"Procedure.category","short":"Classification of the procedure","definition":"A code that classifies the procedure for searching, sorting and display purposes (e.g. \"Surgical Procedure\").","min":0,"max":"1","base":{"path":"Procedure.category","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureCategory"}],"strength":"example","description":"A code that classifies a procedure for searching, sorting and display purposes.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-category|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"}]},{"id":"Procedure.code","path":"Procedure.code","short":"Identification of the procedure","definition":"The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. \"Laparoscopic Appendectomy\").","requirements":"0..1 to account for primarily narrative only resources.","alias":["type"],"min":0,"max":"1","base":{"path":"Procedure.code","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"OBR-44/OBR-45"},{"identity":"rim","map":".code"}]},{"id":"Procedure.subject","path":"Procedure.subject","short":"Who the procedure was performed on","definition":"The person, animal or group on which the procedure was performed.","alias":["patient"],"min":1,"max":"1","base":{"path":"Procedure.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":".participation[typeCode=SBJ].role"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Procedure.encounter","path":"Procedure.encounter","short":"Encounter created as part of","definition":"The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated.","comment":"This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.","min":0,"max":"1","base":{"path":"Procedure.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.context"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1-19"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"}]},{"id":"Procedure.performed[x]","path":"Procedure.performed[x]","short":"When the procedure was performed","definition":"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.","comment":"Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old. dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.","min":0,"max":"1","base":{"path":"Procedure.performed[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"},{"code":"string"},{"code":"Age"},{"code":"Range"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"OBR-7"},{"identity":"rim","map":".effectiveTime"}]},{"id":"Procedure.recorder","path":"Procedure.recorder","short":"Who recorded the procedure","definition":"Individual who recorded the record and takes responsibility for its content.","min":0,"max":"1","base":{"path":"Procedure.recorder","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"}]},{"id":"Procedure.asserter","path":"Procedure.asserter","short":"Person who asserts this procedure","definition":"Individual who is making the procedure statement.","min":0,"max":"1","base":{"path":"Procedure.asserter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient|4.0.1","http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1","http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"rim","map":".participation[typeCode=INF].role"}]},{"id":"Procedure.performer","path":"Procedure.performer","short":"The people who performed the procedure","definition":"Limited to \"real\" people rather than equipment.","min":0,"max":"*","base":{"path":"Procedure.performer","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"rim","map":".participation[typeCode=PRF]"}]},{"id":"Procedure.performer.id","path":"Procedure.performer.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Procedure.performer.extension","path":"Procedure.performer.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Procedure.performer.modifierExtension","path":"Procedure.performer.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Procedure.performer.function","path":"Procedure.performer.function","short":"Type of performance","definition":"Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopist.","requirements":"Allows disambiguation of the types of involvement of different performers.","min":0,"max":"1","base":{"path":"Procedure.performer.function","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedurePerformerRole"}],"strength":"example","description":"A code that identifies the role of a performer of the procedure.","valueSet":"http://hl7.org/fhir/ValueSet/performer-role|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"v2","map":"Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25"},{"identity":"rim","map":".functionCode"}]},{"id":"Procedure.performer.actor","path":"Procedure.performer.actor","short":"The reference to the practitioner","definition":"The practitioner who was involved in the procedure.","requirements":"A reference to Device supports use cases, such as pacemakers.","min":1,"max":"1","base":{"path":"Procedure.performer.actor","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"ORC-19/PRT-5"},{"identity":"rim","map":".role"}]},{"id":"Procedure.performer.onBehalfOf","path":"Procedure.performer.onBehalfOf","short":"Organization the device or practitioner was acting for","definition":"The organization the device or practitioner was acting on behalf of.","requirements":"Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action.","min":0,"max":"1","base":{"path":"Procedure.performer.onBehalfOf","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".scoper"}]},{"id":"Procedure.location","path":"Procedure.location","short":"Where the procedure happened","definition":"The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant.","requirements":"Ties a procedure to where the records are likely kept.","min":0,"max":"1","base":{"path":"Procedure.location","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"rim","map":".participation[typeCode=LOC].role[classCode=SDLOC]"}]},{"id":"Procedure.reasonCode","path":"Procedure.reasonCode","short":"Coded reason procedure performed","definition":"The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text.","comment":"Use Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.","min":0,"max":"*","base":{"path":"Procedure.reasonCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureReason"}],"strength":"example","description":"A code that identifies the reason a procedure is required.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".reasonCode"}]},{"id":"Procedure.reasonReference","path":"Procedure.reasonReference","short":"The justification that the procedure was performed","definition":"The justification of why the procedure was performed.","comment":"It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). \nUse Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.","min":0,"max":"*","base":{"path":"Procedure.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1","http://hl7.org/fhir/StructureDefinition/Observation|4.0.1","http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1","http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1","http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.reasonReference"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".reasonCode"}]},{"id":"Procedure.bodySite","path":"Procedure.bodySite","short":"Target body sites","definition":"Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.","comment":"If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](http://hl7.org/fhir/R4/extension-procedure-targetbodystructure.html).","min":0,"max":"*","base":{"path":"Procedure.bodySite","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"extensible","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"mapping":[{"identity":"v2","map":"OBX-20"},{"identity":"rim","map":".targetSiteCode"}]},{"id":"Procedure.outcome","path":"Procedure.outcome","short":"The result of procedure","definition":"The outcome of the procedure - did it resolve the reasons for the procedure being performed?","comment":"If outcome contains narrative text only, it can be captured using the CodeableConcept.text.","min":0,"max":"1","base":{"path":"Procedure.outcome","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureOutcome"}],"strength":"example","description":"An outcome of a procedure - whether it was resolved or otherwise.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-outcome|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=OUT].target.text"}]},{"id":"Procedure.report","path":"Procedure.report","short":"Any report resulting from the procedure","definition":"This could be a histology result, pathology report, surgical report, etc.","comment":"There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.","min":0,"max":"*","base":{"path":"Procedure.report","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1","http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1","http://hl7.org/fhir/StructureDefinition/Composition|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"}]},{"id":"Procedure.complication","path":"Procedure.complication","short":"Complication following the procedure","definition":"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.","comment":"If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.","min":0,"max":"*","base":{"path":"Procedure.complication","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureComplication"}],"strength":"example","description":"Codes describing complications that resulted from a procedure.","valueSet":"http://hl7.org/fhir/ValueSet/condition-code|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"}]},{"id":"Procedure.complicationDetail","path":"Procedure.complicationDetail","short":"A condition that is a result of the procedure","definition":"Any complications that occurred during the procedure, or in the immediate post-performance period.","requirements":"This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.","min":0,"max":"*","base":{"path":"Procedure.complicationDetail","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"}]},{"id":"Procedure.followUp","path":"Procedure.followUp","short":"Instructions for follow up","definition":"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.","min":0,"max":"*","base":{"path":"Procedure.followUp","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureFollowUp"}],"strength":"example","description":"Specific follow up required for a procedure e.g. removal of sutures.","valueSet":"http://hl7.org/fhir/ValueSet/procedure-followup|4.0.1"},"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code"}]},{"id":"Procedure.note","path":"Procedure.note","short":"Additional information about the procedure","definition":"Any other notes and comments about the procedure.","min":0,"max":"*","base":{"path":"Procedure.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"v2","map":"NTE"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]},{"id":"Procedure.focalDevice","path":"Procedure.focalDevice","short":"Manipulated, implanted, or removed device","definition":"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.","min":0,"max":"*","base":{"path":"Procedure.focalDevice","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=DEV].role[classCode=MANU]"}]},{"id":"Procedure.focalDevice.id","path":"Procedure.focalDevice.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Procedure.focalDevice.extension","path":"Procedure.focalDevice.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Procedure.focalDevice.modifierExtension","path":"Procedure.focalDevice.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Procedure.focalDevice.action","path":"Procedure.focalDevice.action","short":"Kind of change to device","definition":"The kind of change that happened to the device during the procedure.","min":0,"max":"1","base":{"path":"Procedure.focalDevice.action","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceActionKind"}],"strength":"preferred","description":"A kind of change that happened to the device during the procedure.","valueSet":"http://hl7.org/fhir/ValueSet/device-action|4.0.1"},"mapping":[{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"procedure device action\"].value=:procedure device action codes"}]},{"id":"Procedure.focalDevice.manipulated","path":"Procedure.focalDevice.manipulated","short":"Device that was changed","definition":"The device that was manipulated (changed) during the procedure.","min":1,"max":"1","base":{"path":"Procedure.focalDevice.manipulated","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=DEV].role[classCode=SDLOC]"}]},{"id":"Procedure.usedReference","path":"Procedure.usedReference","short":"Items used during procedure","definition":"Identifies medications, devices and any other substance used as part of the procedure.","comment":"For devices actually implanted or removed, use Procedure.device.","requirements":"Used for tracking contamination, etc.","min":0,"max":"*","base":{"path":"Procedure.usedReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device|4.0.1","http://hl7.org/fhir/StructureDefinition/Medication|4.0.1","http://hl7.org/fhir/StructureDefinition/Substance|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=DEV].role[classCode=MANU] or\n.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"}]},{"id":"Procedure.usedCode","path":"Procedure.usedCode","short":"Coded items used during the procedure","definition":"Identifies coded items that were used as part of the procedure.","comment":"For devices actually implanted or removed, use Procedure.device.","min":0,"max":"*","base":{"path":"Procedure.usedCode","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureUsed"}],"strength":"example","description":"Codes describing items used during a procedure.","valueSet":"http://hl7.org/fhir/ValueSet/device-kind|4.0.1"},"mapping":[{"identity":"rim","map":"participation[typeCode=Dev].role[classCode=MANU]"}]}]},"differential":{"element":[{"id":"Procedure","path":"Procedure","short":"AT APS Procedure"},{"id":"Procedure.code","path":"Procedure.code","binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips"}},{"id":"Procedure.subject","path":"Procedure.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]},{"id":"Procedure.performer.actor","path":"Procedure.performer.actor","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole","https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization"]}]},{"id":"Procedure.performer.onBehalfOf","path":"Procedure.performer.onBehalfOf","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization"]}]},{"id":"Procedure.bodySite","path":"Procedure.bodySite","binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"extensible","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"}}]}} package/StructureDefinition-at-aps-specimen.json 0100644 0000000 0000000 00000255676 15112310075 021110 0 ustar 00 0000000 0000000 {"resourceType":"StructureDefinition","id":"at-aps-specimen","text":{"status":"extensions","div":""},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile","valueCanonical":"http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips"}],"url":"https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-specimen","version":"0.2.0","name":"AtApsSpecimen","title":"AT APS Specimen","status":"active","date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Das AT APS-Profil für die Specimen-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte [`imposeProfile`](http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile)-Erweiterung verwendet wird.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"}],"kind":"resource","abstract":false,"type":"Specimen","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Specimen","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Specimen","path":"Specimen","short":"AT APS Specimen","definition":"A sample to be used for analysis.","min":0,"max":"*","base":{"path":"Specimen","min":0,"max":"*"},"constraint":[{"key":"dom-2","severity":"error","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","expression":"contained.contained.empty()","xpath":"not(parent::f:contained and f:contained)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-3","severity":"error","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","xpath":"not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-4","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"key":"dom-5","severity":"error","human":"If a resource is contained in another resource, it SHALL NOT have a security label","expression":"contained.meta.security.empty()","xpath":"not(exists(f:contained/*/f:meta/f:security))","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"key":"dom-6","severity":"warning","human":"A resource should have narrative for robust management","expression":"text.`div`.exists()","xpath":"exists(f:text/h:div)","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Role[classCode=SPEC]"}]},{"id":"Specimen.id","path":"Specimen.id","short":"Logical id of this artifact","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","min":0,"max":"1","base":{"path":"Resource.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Specimen.meta","path":"Specimen.meta","short":"Metadata about the resource","definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","min":0,"max":"1","base":{"path":"Resource.meta","min":0,"max":"1"},"type":[{"code":"Meta"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"Specimen.implicitRules","path":"Specimen.implicitRules","short":"A set of rules under which this content was created","definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","min":0,"max":"1","base":{"path":"Resource.implicitRules","min":0,"max":"1"},"type":[{"code":"uri"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true},{"id":"Specimen.language","path":"Specimen.language","short":"Language of the resource content","definition":"The base language in which the resource is written.","comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","min":0,"max":"1","base":{"path":"Resource.language","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages|4.0.1"}},{"id":"Specimen.text","path":"Specimen.text","short":"Text summary of the resource, for human interpretation","definition":"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.","comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","alias":["narrative","html","xhtml","display"],"min":0,"max":"1","base":{"path":"DomainResource.text","min":0,"max":"1"},"type":[{"code":"Narrative"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}]},{"id":"Specimen.contained","path":"Specimen.contained","short":"Contained, inline Resources","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","alias":["inline resources","anonymous resources","contained resources"],"min":0,"max":"*","base":{"path":"DomainResource.contained","min":0,"max":"*"},"type":[{"code":"Resource"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Specimen.extension","path":"Specimen.extension","short":"Additional content defined by implementations","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Specimen.modifierExtension","path":"Specimen.modifierExtension","short":"Extensions that cannot be ignored","definition":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"DomainResource.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Specimen.identifier","path":"Specimen.identifier","short":"External Identifier","definition":"Id for specimen.","min":0,"max":"*","base":{"path":"Specimen.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"SPM-2"},{"identity":"rim","map":".id"}]},{"id":"Specimen.accessionIdentifier","path":"Specimen.accessionIdentifier","short":"Identifier assigned by the lab","definition":"The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.","min":0,"max":"1","base":{"path":"Specimen.accessionIdentifier","min":0,"max":"1"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"SPM-30 (v2.7+)"},{"identity":"rim","map":".participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id"}]},{"id":"Specimen.status","path":"Specimen.status","short":"available | unavailable | unsatisfactory | entered-in-error","definition":"The availability of the specimen.","comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","min":0,"max":"1","base":{"path":"Specimen.status","min":0,"max":"1"},"type":[{"code":"code"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SpecimenStatus"}],"strength":"required","description":"Codes providing the status/availability of a specimen.","valueSet":"http://hl7.org/fhir/ValueSet/specimen-status|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"SPM-20"},{"identity":"rim","map":"status"}]},{"id":"Specimen.type","path":"Specimen.type","short":"Kind of material that forms the specimen","definition":"The kind of material that forms the specimen.","comment":"The type can change the way that a specimen is handled and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems.","min":0,"max":"1","base":{"path":"Specimen.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"extension":[{"url":"key","valueId":"BackwardCompatibilitySpecimenType"},{"url":"purpose","valueCode":"candidate"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-specimentype"},{"url":"documentation","valueMarkdown":"An additional binding to the ELGA Valueset \"Specimentype\" - retained for backward compatibility."}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-probenmaterial"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"SPM-4 and possibly SPM-5"},{"identity":"rim","map":".code"}]},{"id":"Specimen.subject","path":"Specimen.subject","short":"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 or a device","definition":"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 or a device.","requirements":"Must know the subject context.","min":0,"max":"1","base":{"path":"Specimen.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"rim","map":".scoper or .scoper.playsRole"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Specimen.receivedTime","path":"Specimen.receivedTime","short":"The time when specimen was received for processing","definition":"Time when specimen was received for processing or testing.","min":0,"max":"1","base":{"path":"Specimen.receivedTime","min":0,"max":"1"},"type":[{"code":"dateTime"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"SPM-18"},{"identity":"rim","map":".participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime"}]},{"id":"Specimen.parent","path":"Specimen.parent","short":"Specimen from which this specimen originated","definition":"Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.","comment":"The parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample.","min":0,"max":"*","base":{"path":"Specimen.parent","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)"}]},{"id":"Specimen.request","path":"Specimen.request","short":"Why the specimen was collected","definition":"Details concerning a service request that required a specimen to be collected.","comment":"The request may be explicit or implied such with a ServiceRequest that requires a blood draw.","min":0,"max":"*","base":{"path":"Specimen.request","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"ORC? OBR-2/3?"},{"identity":"rim","map":"outboundRelationship[typeCode=FLFS].target"}]},{"id":"Specimen.collection","path":"Specimen.collection","short":"Collection details","definition":"Details concerning the specimen collection.","min":0,"max":"1","base":{"path":"Specimen.collection","min":0,"max":"1"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"SPM-14"},{"identity":"rim","map":".participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]"}]},{"id":"Specimen.collection.id","path":"Specimen.collection.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Specimen.collection.extension","path":"Specimen.collection.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Specimen.collection.modifierExtension","path":"Specimen.collection.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Specimen.collection.collector","path":"Specimen.collection.collector","short":"Who collected the specimen","definition":"Person who collected the specimen.","min":0,"max":"1","base":{"path":"Specimen.collection.collector","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1","http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"PRT"},{"identity":"rim","map":".participation[typeCode=PFM].role"}]},{"id":"Specimen.collection.collected[x]","path":"Specimen.collection.collected[x]","short":"Collection time","definition":"Time when specimen was collected from subject - the physiologically relevant time.","min":0,"max":"1","base":{"path":"Specimen.collection.collected[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.init"},{"identity":"v2","map":"SPM-17"},{"identity":"rim","map":".effectiveTime"}]},{"id":"Specimen.collection.duration","path":"Specimen.collection.duration","short":"How long it took to collect specimen","definition":"The span of time over which the collection of a specimen occurred.","min":0,"max":"1","base":{"path":"Specimen.collection.duration","min":0,"max":"1"},"type":[{"code":"Duration"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.init"}]},{"id":"Specimen.collection.quantity","path":"Specimen.collection.quantity","short":"The quantity of specimen collected","definition":"The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.","min":0,"max":"1","base":{"path":"Specimen.collection.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"SPM-12"},{"identity":"rim","map":".participation[typeCode=SBJ].role[classCode=SPEC].player.quantity"}]},{"id":"Specimen.collection.method","path":"Specimen.collection.method","short":"Technique used to perform collection","definition":"A coded value specifying the technique that is used to perform the procedure.","min":0,"max":"1","base":{"path":"Specimen.collection.method","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SpecimenCollectionMethod"}],"strength":"example","description":"The technique that is used to perform the procedure.","valueSet":"http://hl7.org/fhir/ValueSet/specimen-collection-method|4.0.1"},"mapping":[{"identity":"v2","map":"SPM-7"},{"identity":"rim","map":".methodCode"}]},{"id":"Specimen.collection.bodySite","path":"Specimen.collection.bodySite","short":"Anatomical collection site","definition":"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.","comment":"If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).","min":0,"max":"1","base":{"path":"Specimen.collection.bodySite","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"extensible","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"mapping":[{"identity":"v2","map":"SPM-8 and SPM-9"},{"identity":"rim","map":".targetSiteCode"}]},{"id":"Specimen.collection.fastingStatus[x]","path":"Specimen.collection.fastingStatus[x]","short":"Whether or how long patient abstained from food and/or drink","definition":"Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection.","comment":"Representing fasting status using this element is preferred to representing it with an observation using a 'pre-coordinated code' such as LOINC 2005-7 (Calcium [Moles/time] in 2 hour Urine --12 hours fasting), or using a component observation ` such as `Observation.component code` = LOINC 49541-6 (Fasting status - Reported).","requirements":"Many diagnostic tests require fasting to facilitate accurate interpretation.","min":0,"max":"1","base":{"path":"Specimen.collection.fastingStatus[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Duration"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FastingStatus"}],"strength":"extensible","description":"Codes describing the fasting status of the patient.","valueSet":"http://terminology.hl7.org/ValueSet/v2-0916"},"mapping":[{"identity":"v2","map":"OBR-"}]},{"id":"Specimen.processing","path":"Specimen.processing","short":"Processing and processing step details","definition":"Details concerning processing and processing steps for the specimen.","min":0,"max":"*","base":{"path":"Specimen.processing","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]"}]},{"id":"Specimen.processing.id","path":"Specimen.processing.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Specimen.processing.extension","path":"Specimen.processing.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Specimen.processing.modifierExtension","path":"Specimen.processing.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Specimen.processing.description","path":"Specimen.processing.description","short":"Textual description of procedure","definition":"Textual description of procedure.","min":0,"max":"1","base":{"path":"Specimen.processing.description","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".text"}]},{"id":"Specimen.processing.procedure","path":"Specimen.processing.procedure","short":"Indicates the treatment step applied to the specimen","definition":"A coded value specifying the procedure used to process the specimen.","min":0,"max":"1","base":{"path":"Specimen.processing.procedure","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SpecimenProcessingProcedure"}],"strength":"example","description":"Type indicating the technique used to process the specimen.","valueSet":"http://hl7.org/fhir/ValueSet/specimen-processing-procedure|4.0.1"},"mapping":[{"identity":"rim","map":".code"}]},{"id":"Specimen.processing.additive","path":"Specimen.processing.additive","short":"Material used in the processing step","definition":"Material used in the processing step.","min":0,"max":"*","base":{"path":"Specimen.processing.additive","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Substance|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"SPM-6"},{"identity":"rim","map":".participation[typeCode=CSM].role[classCode=ADTV].code"}]},{"id":"Specimen.processing.time[x]","path":"Specimen.processing.time[x]","short":"Date and time of specimen processing","definition":"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.","min":0,"max":"1","base":{"path":"Specimen.processing.time[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".effectiveTime"}]},{"id":"Specimen.container","path":"Specimen.container","short":"Direct container of specimen (tube/slide, etc.)","definition":"The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.","min":0,"max":"*","base":{"path":"Specimen.container","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".player.scopingRole[classCode=CONT].scoper"}]},{"id":"Specimen.container.id","path":"Specimen.container.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","min":0,"max":"1","base":{"path":"Element.id","min":0,"max":"1"},"type":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Specimen.container.extension","path":"Specimen.container.extension","short":"Additional content defined by implementations","definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","alias":["extensions","user content"],"min":0,"max":"*","base":{"path":"Element.extension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Specimen.container.modifierExtension","path":"Specimen.container.modifierExtension","short":"Extensions that cannot be ignored even if unrecognized","definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","alias":["extensions","user content","modifiers"],"min":0,"max":"*","base":{"path":"BackboneElement.modifierExtension","min":0,"max":"*"},"type":[{"code":"Extension"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"ext-1","severity":"error","human":"Must have either extensions or value[x], not both","expression":"extension.exists() != value.exists()","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Specimen.container.identifier","path":"Specimen.container.identifier","short":"Id for the container","definition":"Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier, etc. The container ID may differ from the specimen id in some circumstances.","min":0,"max":"*","base":{"path":"Specimen.container.identifier","min":0,"max":"*"},"type":[{"code":"Identifier"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"SAC-3"},{"identity":"rim","map":".id"}]},{"id":"Specimen.container.description","path":"Specimen.container.description","short":"Textual description of the container","definition":"Textual description of the container.","min":0,"max":"1","base":{"path":"Specimen.container.description","min":0,"max":"1"},"type":[{"code":"string"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".desc"}]},{"id":"Specimen.container.type","path":"Specimen.container.type","short":"Kind of container directly associated with specimen","definition":"The type of container associated with the specimen (e.g. slide, aliquot, etc.).","min":0,"max":"1","base":{"path":"Specimen.container.type","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SpecimenContainerType"}],"strength":"example","description":"Type of specimen container.","valueSet":"http://hl7.org/fhir/ValueSet/specimen-container-type|4.0.1"},"mapping":[{"identity":"v2","map":"SPM-27"},{"identity":"rim","map":".code"}]},{"id":"Specimen.container.capacity","path":"Specimen.container.capacity","short":"Container volume or size","definition":"The capacity (volume or other measure) the container may contain.","min":0,"max":"1","base":{"path":"Specimen.container.capacity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20"},{"identity":"rim","map":".quantity"}]},{"id":"Specimen.container.specimenQuantity","path":"Specimen.container.specimenQuantity","short":"Quantity of specimen within container","definition":"The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.","min":0,"max":"1","base":{"path":"Specimen.container.specimenQuantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"SAC-23 (value) SAC-24 (units"},{"identity":"rim","map":".playedRole[classCode=CONT].quantity"}]},{"id":"Specimen.container.additive[x]","path":"Specimen.container.additive[x]","short":"Additive associated with container","definition":"Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.","min":0,"max":"1","base":{"path":"Specimen.container.additive[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Substance|4.0.1"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SpecimenContainerAdditive"}],"strength":"example","description":"Substance added to specimen container.","valueSet":"http://terminology.hl7.org/ValueSet/v2-0371"},"mapping":[{"identity":"v2","map":"SAC-27"},{"identity":"rim","map":".scopesRole[classCode=ADTV].player"}]},{"id":"Specimen.condition","path":"Specimen.condition","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"short":"State of the specimen","definition":"A mode or state of being that describes the nature of the specimen.","comment":"Specimen condition is an observation made about the specimen. It's a point-in-time assessment. It can be used to assess its quality or appropriateness for a specific test.","requirements":"The specimen condition can be used to assess its quality or appropriateness for a specific test.","min":0,"max":"*","base":{"path":"Specimen.condition","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SpecimenCondition"}],"strength":"extensible","description":"Codes describing the state of the specimen.","valueSet":"http://terminology.hl7.org/ValueSet/v2-0493"},"mapping":[{"identity":"v2","map":"SPM-24"}]},{"id":"Specimen.condition:insufficientsample","path":"Specimen.condition","sliceName":"insufficientsample","short":"State of the specimen","definition":"A mode or state of being that describes the nature of the specimen.","comment":"Specimen condition is an observation made about the specimen. It's a point-in-time assessment. It can be used to assess its quality or appropriateness for a specific test.","requirements":"The specimen condition can be used to assess its quality or appropriateness for a specific test.","min":0,"max":"1","base":{"path":"Specimen.condition","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"281268007","display":"Insufficient sample (finding)"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"SpecimenCondition"}],"strength":"extensible","description":"Codes describing the state of the specimen.","valueSet":"http://terminology.hl7.org/ValueSet/v2-0493"},"mapping":[{"identity":"v2","map":"SPM-24"}]},{"id":"Specimen.note","path":"Specimen.note","short":"Comments","definition":"To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).","min":0,"max":"*","base":{"path":"Specimen.note","min":0,"max":"*"},"type":[{"code":"Annotation"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]}]},"differential":{"element":[{"id":"Specimen","path":"Specimen","short":"AT APS Specimen"},{"id":"Specimen.type","path":"Specimen.type","binding":{"extension":[{"extension":[{"url":"key","valueId":"BackwardCompatibilitySpecimenType"},{"url":"purpose","valueCode":"candidate"},{"url":"valueSet","valueCanonical":"https://termgit.elga.gv.at/ValueSet/elga-specimentype"},{"url":"documentation","valueMarkdown":"An additional binding to the ELGA Valueset \"Specimentype\" - retained for backward compatibility."}],"url":"http://hl7.org/fhir/tools/StructureDefinition/additional-binding"}],"strength":"extensible","valueSet":"https://termgit.elga.gv.at/ValueSet/elga-probenmaterial"}},{"id":"Specimen.subject","path":"Specimen.subject","type":[{"code":"Reference","targetProfile":["https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient"]}]},{"id":"Specimen.collection.bodySite","path":"Specimen.collection.bodySite","binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"extensible","description":"Codes describing anatomical locations. May include laterality.","valueSet":"http://hl7.org/fhir/ValueSet/body-site"}},{"id":"Specimen.condition","path":"Specimen.condition","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"}},{"id":"Specimen.condition:insufficientsample","path":"Specimen.condition","sliceName":"insufficientsample","min":0,"max":"1","patternCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"281268007","display":"Insufficient sample (finding)"}]}}]}} package/ValueSet-at-aps-immunization-vaccine-codes.json 0100644 0000000 0000000 00000005245 15112310075 022231 0 ustar 00 0000000 0000000 {"resourceType":"ValueSet","id":"at-aps-immunization-vaccine-codes","meta":{"profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":" This value set includes codes based on the following rules:
- Import all the codes that are contained in https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe
- Include codes from
http://snomed.info/sct version Not Stated (use latest from terminology server) where concept is-a 787482006 (No known immunizations)
"},"url":"https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-immunization-vaccine-codes","version":"0.2.0","name":"AtApsImmunizationVaccineCodes","title":"AT APS Immunization Vaccine Codes","status":"active","experimental":false,"date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Dieses Value-Set erweitert die in Österreich existierenden Impfstoffe um die Möglichkeit, angeben zu können, dass der verimpfte Impfstoff unbekannt ist.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"immutable":false,"copyright":"Enthält durch SNOMED International urheberrechtlich geschützte Information. Jede Verwendung von SNOMED CT in Österreich erfordert eine aufrechte Affiliate Lizenz oder eine Sublizenz. Die entsprechende Lizenz ist kostenlos, vorausgesetzt die Verwendung findet nur in Österreich statt und erfüllt die Bedingungen des Affiliate License Agreements. Affiliate Lizenzen können über das [Mitglieder-Lizenzierungs- und Distributions-Service](https://mlds.ihtsdotools.org/#/landing/AT?lang=de) (MLDS) direkt beim jeweiligen NRC beantragt werden.","compose":{"include":[{"valueSet":["https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe"]},{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"787482006"}]}]}} package/ValueSet-at-aps-observationinterpretation.json 0100644 0000000 0000000 00000004552 15112310075 022330 0 ustar 00 0000000 0000000 {"resourceType":"ValueSet","id":"at-aps-observationinterpretation","meta":{"profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"text":{"status":"generated","div":" This value set includes codes based on the following rules:
- Import all the codes that are contained in Observation Interpretation Codes
- Include all codes defined in
https://termgit.elga.gv.at/CodeSystem/elga-ergaenzungsliste version Not Stated (use latest from terminology server) - Include all codes defined in
https://termgit.elga.gv.at/CodeSystem/rast-klassen version Not Stated (use latest from terminology server)
"},"url":"https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-observationinterpretation","version":"0.2.0","name":"AtApsObservationInterpretation","title":"AT APS ObservationInterpretation","status":"active","experimental":false,"date":"2025-11-28T12:03:31+00:00","publisher":"ELGA GmbH","contact":[{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at"}]},{"name":"ELGA GmbH","telecom":[{"system":"url","value":"https://elga.gv.at","use":"work"}]}],"description":"Dieses Value-Set bildet die in Österreich gebräuchlichen Interpretationen von Untersuchungsergebnissen ab.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"AT"}]}],"immutable":false,"compose":{"include":[{"valueSet":["http://hl7.org/fhir/ValueSet/observation-interpretation"]},{"system":"https://termgit.elga.gv.at/CodeSystem/elga-ergaenzungsliste"},{"system":"https://termgit.elga.gv.at/CodeSystem/rast-klassen"}]}} package/openapi/at-aps-capabilitystatement-server.openapi.json 0100644 0000000 0000000 00000011372 15112310101 023702 0 ustar 00 0000000 0000000 {
"openapi": "3.0.2",
"info": {
"title": "AT APS CapabilityStatement (Server)",
"description": "Dieser Abschnitt beschreibt die erwarteten Fähigkeiten eines FHIR®-Servers, der die Austrian Patient Summary (APS) unterstützt. Die Liste gibt relevante FHIR®-Profile und -Operationen für diesen Zweck wieder.",
"license": {
"name": "Creative Commons Zero v1.0 Universal",
"url": "http://spdx.org/licenses/CC0-1.0.html"
},
"version": "0.2.0",
"contact": {
"name": "ELGA GmbH",
"url": "https://elga.gv.at"
}
},
"externalDocs": {
"url": "https://fhir.hl7.at/elga/aps/r4/CapabilityStatement/at-aps-capabilitystatement-server",
"description": "FHIR CapabilityStatement"
},
"paths": {
"/metadata": {
"summary": "Access to the Server\u0027s Capability Statement",
"description": "All FHIR Servers return a CapabilityStatement that describes what services they perform",
"get": {
"summary": "Return the server\u0027s capability statement",
"operationId": "metadata",
"responses": {
"default": {
"description": "Error, with details",
"content": {
"application/fhir+json": {
"schema": {
"$ref": "https://hl7.org/fhir/R4/fhir.schema.json#/definitions/OperationOutcome"
}
},
"application/fhir+xml": {
"schema": {
"$ref": "https://hl7.org/fhir/R4/OperationOutcome.xsd"
}
}
}
},
"200": {
"description": "the capbility statement",
"content": {
"application/fhir+json": {
"schema": {
"$ref": "https://hl7.org/fhir/R4/fhir.schema.json#/definitions/CapabilityStatement"
}
},
"application/fhir+xml": {
"schema": {
"$ref": "https://hl7.org/fhir/R4/CapabilityStatement.xsd"
}
}
}
}
},
"parameters": [
{
"$ref": "#/components/parameters/format"
},
{
"$ref": "#/components/parameters/pretty"
},
{
"$ref": "#/components/parameters/summary"
},
{
"$ref": "#/components/parameters/elements"
}
]
}
}
},
"components": {
"parameters": {
"rid": {
"name": "rid",
"in": "path",
"description": "id of the resource (\u003dResource.id)",
"required": true,
"allowEmptyValue": false,
"style": "simple",
"schema": {
"type": "string"
}
},
"hid": {
"name": "hid",
"in": "path",
"description": "id of the history entry (\u003dResource.meta.versionId)",
"required": true,
"allowEmptyValue": false,
"style": "simple",
"schema": {
"type": "string"
}
},
"summary": {
"name": "_summary",
"in": "query",
"description": "Requests the server to return a designated subset of the resource",
"allowEmptyValue": true,
"style": "form",
"schema": {
"type": "string",
"enum": [
"true",
"text",
"data",
"count",
"false"
]
}
},
"format": {
"name": "_format",
"in": "query",
"description": "Specify alternative response formats by their MIME-types (when a client is unable acccess accept: header)",
"allowEmptyValue": true,
"style": "form",
"schema": {
"type": "string",
"format": "mime-type"
}
},
"pretty": {
"name": "_pretty",
"in": "query",
"description": "Ask for a pretty printed response for human convenience",
"allowEmptyValue": true,
"style": "form",
"schema": {
"type": "boolean"
}
},
"elements": {
"name": "_elements",
"in": "query",
"description": "Requests the server to return a collection of elements from the resource",
"allowEmptyValue": true,
"style": "form",
"explode": false,
"schema": {
"type": "array",
"format": "string",
"items": {
"format": "string"
}
}
},
"count": {
"name": "_count",
"in": "query",
"description": "The maximum number of search results on a page. The server is not bound to return the number requested, but cannot return more",
"schema": {
"type": "number"
}
}
}
}
} package/xml/StructureDefinition-at-aps-allergyintolerance.sch 0100644 0000000 0000000 00000001144 15112310127 023545 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-bundle.sch 0100644 0000000 0000000 00000010100 15112310132 021117 0 ustar 00 0000000 0000000
f:Bundle/f:entry
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
resource: minimum cardinality of 'resource' is 1
package/xml/StructureDefinition-at-aps-careplan.sch 0100644 0000000 0000000 00000001132 15112310133 021441 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-clinicalimpression.sch 0100644 0000000 0000000 00000001144 15112310133 023546 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-composition.sch 0100644 0000000 0000000 00000005122 15112310133 022222 0 ustar 00 0000000 0000000
f:Composition
custodian: minimum cardinality of 'custodian' is 1
f:Composition/f:section
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
code: minimum cardinality of 'code' is 1
package/xml/StructureDefinition-at-aps-condition.sch 0100644 0000000 0000000 00000001133 15112310133 021643 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-consent.sch 0100644 0000000 0000000 00000001131 15112310133 021324 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-device.sch 0100644 0000000 0000000 00000001673 15112310133 021125 0 ustar 00 0000000 0000000
f:Device
deviceName: minimum cardinality of 'deviceName' is 1
version: minimum cardinality of 'version' is 1
package/xml/StructureDefinition-at-aps-deviceusestatement.sch 0100644 0000000 0000000 00000001144 15112310133 023560 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-diagnosticreport.sch 0100644 0000000 0000000 00000001142 15112310133 023235 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-documentreference.sch 0100644 0000000 0000000 00000001143 15112310134 023354 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-flagalert.sch 0100644 0000000 0000000 00000001126 15112310134 021621 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-imagingstudy.sch 0100644 0000000 0000000 00000001136 15112310134 022365 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-immunization.sch 0100644 0000000 0000000 00000003504 15112310134 022405 0 ustar 00 0000000 0000000
f:Immunization
protocolApplied: minimum cardinality of 'protocolApplied' is 1
f:Immunization/f:extension
id: maximum cardinality of 'id' is 1
url: minimum cardinality of 'url' is 1
url: maximum cardinality of 'url' is 1
value[x]: minimum cardinality of 'value[x]' is 1
value[x]: maximum cardinality of 'value[x]' is 1
f:Immunization/f:protocolApplied
targetDisease: minimum cardinality of 'targetDisease' is 1
package/xml/StructureDefinition-at-aps-medication.sch 0100644 0000000 0000000 00000001134 15112310134 021773 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-medicationadministration.sch 0100644 0000000 0000000 00000001152 15112310134 024741 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-medicationdispense.sch 0100644 0000000 0000000 00000001144 15112310134 023527 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-medicationrequest.sch 0100644 0000000 0000000 00000001143 15112310134 023404 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-medicationstatement.sch 0100644 0000000 0000000 00000001145 15112310134 023722 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-observation.sch 0100644 0000000 0000000 00000001135 15112310134 022213 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-observationalcoholuse.sch 0100644 0000000 0000000 00000001142 15112310134 024270 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-observationpregnancyedd.sch 0100644 0000000 0000000 00000001142 15112310134 024575 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-observationpregnancyoutcome.sch 0100644 0000000 0000000 00000001142 15112310134 025514 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-observationpregnancystatus.sch 0100644 0000000 0000000 00000001142 15112310134 025364 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-observationresultslaboratorypathology.sch 0100644 0000000 0000000 00000001142 15112310135 027662 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-observationresultsradiology.sch 0100644 0000000 0000000 00000001142 15112310135 025546 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-observationtobaccouse.sch 0100644 0000000 0000000 00000001142 15112310135 024262 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-observationvitalsigns.sch 0100644 0000000 0000000 00000004076 15112310135 024327 0 ustar 00 0000000 0000000
f:Observation/f:category
id: maximum cardinality of 'id' is 1
coding: minimum cardinality of 'coding' is 1
text: maximum cardinality of 'text' is 1
f:Observation/f:category/f:coding
id: maximum cardinality of 'id' is 1
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
version: maximum cardinality of 'version' is 1
code: minimum cardinality of 'code' is 1
code: maximum cardinality of 'code' is 1
display: maximum cardinality of 'display' is 1
userSelected: maximum cardinality of 'userSelected' is 1
package/xml/StructureDefinition-at-aps-organization.sch 0100644 0000000 0000000 00000001147 15112310135 022370 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-patient.sch 0100644 0000000 0000000 00000017362 15112310135 021336 0 ustar 00 0000000 0000000
f:Patient
extension with URL = 'http://hl7.org/fhir/StructureDefinition/patient-citizenship': maximum cardinality of 'extension' is 1
extension with URL = 'http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-patient-religion': maximum cardinality of 'extension' is 1
extension with URL = 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace': maximum cardinality of 'extension' is 1
birthDate: minimum cardinality of 'birthDate' is 1
f:Patient/f:extension
extension with URL = 'code': maximum cardinality of 'extension' is 1
extension with URL = 'period': maximum cardinality of 'extension' is 1
value[x]: minimum cardinality of 'value[x]' is 1
value[x]: maximum cardinality of 'value[x]' is 1
f:Patient/f:identifier
system: minimum cardinality of 'system' is 1
system: minimum cardinality of 'system' is 1
system: minimum cardinality of 'system' is 1
f:Patient/f:name
family: minimum cardinality of 'family' is 1
given: minimum cardinality of 'given' is 1
f:Patient/f:gender
extension with URL = 'http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-gender-administrativeGenderAddition': maximum cardinality of 'extension' is 1
f:Patient/f:address
extension with URL = 'http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-address-municipalityCode': maximum cardinality of 'extension' is 1
f:Patient/f:address/f:line
extension with URL = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName': maximum cardinality of 'extension' is 1
extension with URL = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber': maximum cardinality of 'extension' is 1
extension with URL = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator': maximum cardinality of 'extension' is 1
extension with URL = 'http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-address-additionalInformation': maximum cardinality of 'extension' is 1
f:Patient/f:contact/f:address
extension with URL = 'http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-address-municipalityCode': maximum cardinality of 'extension' is 1
f:Patient/f:contact/f:address/f:line
extension with URL = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName': maximum cardinality of 'extension' is 1
extension with URL = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber': maximum cardinality of 'extension' is 1
extension with URL = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator': maximum cardinality of 'extension' is 1
extension with URL = 'http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-address-additionalInformation': maximum cardinality of 'extension' is 1
f:Patient/f:contact/f:gender
extension with URL = 'http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-gender-administrativeGenderAddition': maximum cardinality of 'extension' is 1
package/xml/StructureDefinition-at-aps-practitioner.sch 0100644 0000000 0000000 00000003614 15112310135 022370 0 ustar 00 0000000 0000000
f:Practitioner/f:identifier
system: minimum cardinality of 'system' is 1
value: minimum cardinality of 'value' is 1
system: minimum cardinality of 'system' is 1
value: minimum cardinality of 'value' is 1
system: minimum cardinality of 'system' is 1
value: minimum cardinality of 'value' is 1
f:Practitioner/f:gender
extension with URL = 'http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/StructureDefinition/at-core-ext-gender-administrativeGenderAddition': maximum cardinality of 'extension' is 1
package/xml/StructureDefinition-at-aps-practitionerrole.sch 0100644 0000000 0000000 00000001153 15112310135 023246 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-procedure.sch 0100644 0000000 0000000 00000001133 15112310135 021647 0 ustar 00 0000000 0000000
package/xml/StructureDefinition-at-aps-specimen.sch 0100644 0000000 0000000 00000001132 15112310135 021461 0 ustar 00 0000000 0000000
package/other/spec.internals 0100644 0000000 0000000 00000116706 15112310161 015176 0 ustar 00 0000000 0000000 {
"npm-name" : "hl7.at.fhir.elga.aps.r4",
"ig-version" : "4.0.1",
"tool-version" : "5.0.0",
"tool-build" : "3",
"webUrl" : "https://fhir.hl7.at/elga/aps/r4",
"date" : "2025-11-28",
"date-time" : "20251128120331+0000",
"paths" : {
"https://fhir.hl7.at/elga/aps/r4/ImplementationGuide/hl7.at.fhir.elga.aps.r4|0.2.0" : "index.html",
"https://fhir.hl7.at/elga/aps/r4/ImplementationGuide/hl7.at.fhir.elga.aps.r4" : "index.html",
"https://fhir.hl7.at/elga/aps/r4/AllergyIntolerance/at-aps-example-allergyintolerance-01" : "AllergyIntolerance-at-aps-example-allergyintolerance-01.html",
"https://fhir.hl7.at/elga/aps/r4/Bundle/AtApsExample03Diabetes" : "Bundle-AtApsExample03Diabetes.html",
"https://fhir.hl7.at/elga/aps/r4/Bundle/AtApsExampleBundle-Journey-1" : "Bundle-AtApsExampleBundle-Journey-1.html",
"https://fhir.hl7.at/elga/aps/r4/Bundle/AtApsExampleBundle-Journey-2" : "Bundle-AtApsExampleBundle-Journey-2.html",
"https://fhir.hl7.at/elga/aps/r4/Bundle/AtApsExampleBundle-Journey-3" : "Bundle-AtApsExampleBundle-Journey-3.html",
"https://fhir.hl7.at/elga/aps/r4/Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies" : "Bundle-AtApsExampleBundle01NoProblemsMedicationAllergies.html",
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Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":132},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":178},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Relevante diagnostische Tests und/oder Labordaten' for http://loinc.org#30954-2. Valid display is 'Relevante diagnostische Tests/Labordaten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource.section[5].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":200},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Vitalparameter' for http://loinc.org#8716-3. Valid display is 'Vitalparameter - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource.section[6].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":222},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Vergangene Gesundheitsprobleme und Risiken' for http://loinc.org#11348-0. Valid display is 'Anamnese früherer Krankheiten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource.section[7].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":266},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Sozialanamnese' for http://loinc.org#29762-2. Valid display is 'Sozialanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource.section[9].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Medikationsanamnese' for http://loinc.org#10160-0. Valid display is 'Medikationsanamnese - Freitext' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource/*Composition/AtApsExample03Diabetes-composition*/.section[0].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":64},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allergien und unerwünschte Wirkungen' for http://loinc.org#48765-2. Valid display is 'Allergien und unerwünschte Wirkungen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource/*Composition/AtApsExample03Diabetes-composition*/.section[1].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":110},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Problemliste' for http://loinc.org#11450-4. Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource/*Composition/AtApsExample03Diabetes-composition*/.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":132},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource/*Composition/AtApsExample03Diabetes-composition*/.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":178},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Relevante diagnostische Tests und/oder Labordaten' for http://loinc.org#30954-2. Valid display is 'Relevante diagnostische Tests/Labordaten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource/*Composition/AtApsExample03Diabetes-composition*/.section[5].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":200},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Vitalparameter' for http://loinc.org#8716-3. Valid display is 'Vitalparameter - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource/*Composition/AtApsExample03Diabetes-composition*/.section[6].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":222},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Vergangene Gesundheitsprobleme und Risiken' for http://loinc.org#11348-0. Valid display is 'Anamnese früherer Krankheiten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource/*Composition/AtApsExample03Diabetes-composition*/.section[7].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":266},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Sozialanamnese' for http://loinc.org#29762-2. Valid display is 'Sozialanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[0].resource/*Composition/AtApsExample03Diabetes-composition*/.section[9].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":316},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#SS)"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[1].resource/*Patient/001*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":315},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":52},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.40.0.10.1.4.3.1' löst nicht auf"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[1].resource/*Patient/001*/.identifier[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":316},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[1].resource/*Patient/001*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":331},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#PI)"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[1].resource/*Patient/001*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":340},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.3.4.5' löst nicht auf"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[1].resource/*Patient/001*/.identifier[1].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":331},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[1].resource/*Patient/001*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":451},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'CKD - Chronische Niereninsuffizienz Grad 3B' for http://snomed.info/sct#700379002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Chronic kidney disease stage 3B'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[4].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":451},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'CKD - Chronische Niereninsuffizienz Grad 3B' for http://snomed.info/sct#700379002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Chronic kidney disease stage 3B'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[4].resource/*Condition/AtApsExample03Diabetes-problem-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":505},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Langfristige Einnahme von Antikoagulantien' for http://snomed.info/sct#711150003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Long-term current use of anticoagulant (situation)'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[5].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":505},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Langfristige Einnahme von Antikoagulantien' for http://snomed.info/sct#711150003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Long-term current use of anticoagulant (situation)'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[5].resource/*Condition/AtApsExample03Diabetes-problem-2*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":559},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mellitus aufgrund einer Verletzung der Bauchspeicheldrüse' for http://snomed.info/sct#105401000119101. There are no valid display names found for language(s) 'de-AT'. Default display is 'Diabetes mellitus due to pancreatic injury (disorder)'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[6].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":559},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mellitus aufgrund einer Verletzung der Bauchspeicheldrüse' for http://snomed.info/sct#105401000119101. There are no valid display names found for language(s) 'de-AT'. Default display is 'Diabetes mellitus due to pancreatic injury (disorder)'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[6].resource/*Condition/AtApsExample03Diabetes-problem-3*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":614},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetischer Fuß' for http://snomed.info/sct#280137006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Diabetic foot'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[7].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":614},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetischer Fuß' for http://snomed.info/sct#280137006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Diabetic foot'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[7].resource/*Condition/AtApsExample03Diabetes-problem-6*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":669},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Arterielle Hypertonie' for http://snomed.info/sct#38341003. There are no valid display names found for language(s) 'de-AT'. Default display is 'High blood pressure'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[8].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":669},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Arterielle Hypertonie' for http://snomed.info/sct#38341003. There are no valid display names found for language(s) 'de-AT'. Default display is 'High blood pressure'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[8].resource/*Condition/AtApsExample03Diabetes-problem-5*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":723},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Familienanamnese: Kolonkarzinom' for http://snomed.info/sct#312824007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Family history of cancer of colon'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[9].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":723},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Familienanamnese: Kolonkarzinom' for http://snomed.info/sct#312824007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Family history of cancer of colon'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[9].resource/*Condition/AtApsExample03Diabetes-problem-14*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":787},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Parodontalerkrankung' for http://snomed.info/sct#2556008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Periodontal disease'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[10].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":787},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Parodontalerkrankung' for http://snomed.info/sct#2556008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Periodontal disease'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[10].resource/*Condition/AtApsExample03Diabetes-problem-17*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":825},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Bewertung der Risikofaktoren für Parodontalerkrankungen' for http://snomed.info/sct#1237049003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Evaluation of risk factors for periodontal disease (procedure)'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[11].resource/*Observation/AtApsExample03Diabetes-problem-17-assessment-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":839},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hohes Risiko' for http://snomed.info/sct#723509005. There are no valid display names found for language(s) 'de-AT'. Default display is 'High risk (qualifier value)'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[11].resource/*Observation/AtApsExample03Diabetes-problem-17-assessment-1*/.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":899},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allgemeines Verfahren' for http://snomed.info/sct#408443003. There are no valid display names found for language(s) 'de-AT'. Default display is 'General medical practice (qualifier value)'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[12].resource.activity[0].outcomeCodeableConcept[0].coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":910},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Beratung' for http://snomed.info/sct#409063005. There are no valid display names found for language(s) 'de-AT'. Default display is 'Counselling'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[12].resource.activity[0].detail.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":910},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Dienst für Gesundheitsförderung' for http://snomed.info/sct#1293061000168108. There are no valid display names found for language(s) 'de-AT'. Default display is 'Health promotion service'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[12].resource.activity[0].detail.code.coding[1].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1011},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[13].resource.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":999},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Oraler Verabreichungsweg' for http://snomed.info/sct#26643006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Oral route'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[13].resource.dosage[0].route.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":993},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":91},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'https://termgit.elga.gv.at/ValueSet/elga-medikationmengenart' löst nicht auf"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[13].resource.dosage[0].doseAndRate[0].dose.ofType(Quantity).system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1011},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[13].resource/*MedicationStatement/AtApsExample03Diabetes-medication-summary-1*/.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":999},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Oraler Verabreichungsweg' for http://snomed.info/sct#26643006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Oral route'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[13].resource/*MedicationStatement/AtApsExample03Diabetes-medication-summary-1*/.dosage[0].route.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":993},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":91},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'https://termgit.elga.gv.at/ValueSet/elga-medikationmengenart' löst nicht auf"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[13].resource/*MedicationStatement/AtApsExample03Diabetes-medication-summary-1*/.dosage[0].doseAndRate[0].dose.ofType(Quantity).system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1045},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-allergyorintoleranceagent vom Validator nicht gefunden"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[14].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1045},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Benzylpenicillin-Natrium' for http://snomed.info/sct#89055006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Penicillin G sodium'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[14].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1045},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Benzylpenicillin-Natrium' for http://snomed.info/sct#89055006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Penicillin G sodium'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[14].resource/*AllergyIntolerance/AtApsExample03Diabetes-allergy-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1075},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Totalersatz des linken Hüftgelenks' for http://snomed.info/sct#770606008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Total replacement of left hip joint (procedure)'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[15].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1075},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Totalersatz des linken Hüftgelenks' for http://snomed.info/sct#770606008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Total replacement of left hip joint (procedure)'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[15].resource/*Procedure/AtApsExample03Diabetes-procedure-history-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1102},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[16].resource.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1111},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[16].resource.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1111},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[16].resource.category[1].coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1128},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[16].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1128},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[16].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1142},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blutgruppe A Rh(D) positiv' for http://snomed.info/sct#278149003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Blood group A Rh(D) positive'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[16].resource.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1111},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[16].resource.category[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1111},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[16].resource/*Observation/AtApsExample03Diabetes-diagnostic-result-1*/.category[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1142},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blutgruppe A Rh(D) positiv' for http://snomed.info/sct#278149003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Blood group A Rh(D) positive'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[16].resource/*Observation/AtApsExample03Diabetes-diagnostic-result-1*/.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1222},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-probenmaterial vom Validator nicht gefunden"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[18].resource/*Specimen/AtApsExample03Diabetes-diagnostic-specimen-1*/.type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1222},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blutprobe' for http://snomed.info/sct#119297000. There are no valid display names found for language(s) 'de-AT'. Default display is 'Blood specimen'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[18].resource/*Specimen/AtApsExample03Diabetes-diagnostic-specimen-1*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1323},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Zustand nach Masern' for http://snomed.info/sct#161419000. There are no valid display names found for language(s) 'de-AT'. Default display is 'H/O: measles'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[20].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1323},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Zustand nach Masern' for http://snomed.info/sct#161419000. There are no valid display names found for language(s) 'de-AT'. Default display is 'H/O: measles'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[20].resource/*Condition/AtApsExample03Diabetes-illness-history-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1369},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-currentsmokingstatus vom Validator nicht gefunden"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[21].resource.value.ofType(CodeableConcept)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1369},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Ehemalig rauchende Person' for http://snomed.info/sct#8517006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Former smoker'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[21].resource.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1369},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Ehemalig rauchende Person' for http://snomed.info/sct#8517006. Valid display is 'Ex-smoker (finding)' (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[21].resource.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1369},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Ehemalig rauchende Person' for http://snomed.info/sct#8517006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Former smoker'"},"expression":["Bundle/AtApsExample03Diabetes: Bundle.entry[21].resource/*Observation/AtApsExample03Diabetes-social-history-1*/.value.ofType(CodeableConcept).coding[0].display"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Bundle-AtApsExampleBundle-Journey-1","resource":{"resourceType":"OperationOutcome","id":"Bundle-AtApsExampleBundle-Journey-1","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":48},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'http://system-to-be-defined.com' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.identifier.system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Medikationsanamnese' for http://loinc.org#10160-0. Valid display is 'Medikationsanamnese - Freitext' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource.section[0].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":64},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allergien und unerwünschte Wirkungen' for http://loinc.org#48765-2. Valid display is 'Allergien und unerwünschte Wirkungen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource.section[1].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":90},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Problemliste' for http://loinc.org#11450-4. Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":120},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":164},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Impfungen' for http://loinc.org#11369-6. Valid display is 'Immunisierungsstatus' (de-AT) or 'Impfanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource.section[5].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":180},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Relevante diagnostische Tests oder Labordaten' for http://loinc.org#30954-2. Valid display is 'Relevante diagnostische Tests/Labordaten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource.section[6].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":210},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese früherer Krankheiten' for http://loinc.org#11348-0. Valid display is 'Anamnese früherer Krankheiten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource.section[7].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Medikationsanamnese' for http://loinc.org#10160-0. Valid display is 'Medikationsanamnese - Freitext' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-1-composition*/.section[0].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":64},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allergien und unerwünschte Wirkungen' for http://loinc.org#48765-2. Valid display is 'Allergien und unerwünschte Wirkungen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-1-composition*/.section[1].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":90},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Problemliste' for http://loinc.org#11450-4. Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-1-composition*/.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":120},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-1-composition*/.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":164},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Impfungen' for http://loinc.org#11369-6. Valid display is 'Immunisierungsstatus' (de-AT) or 'Impfanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-1-composition*/.section[5].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":180},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Relevante diagnostische Tests oder Labordaten' for http://loinc.org#30954-2. Valid display is 'Relevante diagnostische Tests/Labordaten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-1-composition*/.section[6].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":210},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese früherer Krankheiten' for http://loinc.org#11348-0. Valid display is 'Anamnese früherer Krankheiten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-1-composition*/.section[7].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":260},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#SS)"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-1-patient*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":259},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":52},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.40.0.10.1.4.3.1' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-1-patient*/.identifier[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":260},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-1-patient*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":275},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#PI)"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-1-patient*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":284},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.3.4.5' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-1-patient*/.identifier[1].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":275},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-1-patient*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":330},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Gerät' for http://snomed.info/sct#49062001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Device'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[2].resource/*Device/AtApsExampleBundle-Journey-1-author-device*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":373},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[4].resource.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":373},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[4].resource.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":373},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[4].resource/*MedicationStatement/AtApsExampleBundle-Journey-1-medication-summary-7*/.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":407},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-allergyorintoleranceagent vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[5].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":407},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hausstaub' for http://snomed.info/sct#128488006. There are no valid display names found for language(s) 'de-AT'. Default display is 'House dust'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[5].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":407},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hausstaub' for http://snomed.info/sct#128488006. There are no valid display names found for language(s) 'de-AT'. Default display is 'House dust'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[5].resource/*AllergyIntolerance/AtApsExampleBundle-Journey-1-allergy-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":471},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Arterielle Hypertonie' for http://snomed.info/sct#38341003. There are no valid display names found for language(s) 'de-AT'. Default display is 'High blood pressure'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[6].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":471},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Arterielle Hypertonie' for http://snomed.info/sct#38341003. There are no valid display names found for language(s) 'de-AT'. Default display is 'High blood pressure'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[6].resource/*Condition/AtApsExampleBundle-Journey-1-problem-5*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":526},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mellitus in der Familienanamnese' for http://snomed.info/sct#160303001. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: Diabetes mellitus'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[7].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":526},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mellitus in der Familienanamnese' for http://snomed.info/sct#160303001. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: Diabetes mellitus'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[7].resource/*Condition/AtApsExampleBundle-Journey-1-problem-13*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":556},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Entlassungsbrief' for http://loinc.org#11490-0. Valid display is one of 2 choices: 'Entlassungsbrief Ärztlich' (de-AT) or 'Physician Discharge summary' (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[8].resource.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":556},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Entlassungsbrief' for http://loinc.org#11490-0. Valid display is one of 2 choices: 'Entlassungsbrief Ärztlich' (de-AT) or 'Physician Discharge summary' (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[8].resource/*DocumentReference/AtApsExampleBundle-Journey-1-Entlassungsbrief-2024-12*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":583},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Totalersatz des linken Hüftgelenks' for http://snomed.info/sct#770606008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Total replacement of left hip joint (procedure)'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[9].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":583},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Totalersatz des linken Hüftgelenks' for http://snomed.info/sct#770606008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Total replacement of left hip joint (procedure)'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[9].resource/*Procedure/AtApsExampleBundle-Journey-1-procedure-history-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":610},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Appendektomie' for http://snomed.info/sct#80146002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Appendectomy'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[10].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":610},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Appendektomie' for http://snomed.info/sct#80146002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Appendectomy'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[10].resource/*Procedure/AtApsExampleBundle-Journey-1-procedure-history-2*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":637},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Koloskopie' for http://snomed.info/sct#73761001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Colonoscopy'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[11].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":637},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Koloskopie' for http://snomed.info/sct#73761001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Colonoscopy'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[11].resource/*Procedure/AtApsExampleBundle-Journey-1-procedure-history-3*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":670},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Gesamtes linkes Hüftgelenk' for http://snomed.info/sct#362905007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Entire left hip joint'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[12].resource.bodySite.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":670},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Gesamtes linkes Hüftgelenk' for http://snomed.info/sct#362905007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Entire left hip joint'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[12].resource/*DeviceUseStatement/AtApsExampleBundle-Journey-1-deviceUse-Hueftprothese*/.bodySite.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":707},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hüftprothese' for http://snomed.info/sct#67270000. There are no valid display names found for language(s) 'de-AT'. Default display is 'Hip prosthesis'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[13].resource/*Device/AtApsExampleBundle-Journey-1-device-Hueftprothese*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":707},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-medicaldevices vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[13].resource/*Device/AtApsExampleBundle-Journey-1-device-Hueftprothese*/.type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":732},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Unable_to_resolve_value_Set_"}],"severity":"warning","code":"not-found","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe kann nicht gefunden werden"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.vaccineCode"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":732},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.vaccineCode.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":732},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'AT APS Immunization Vaccine Codes' (https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-immunization-vaccine-codes|0.2.0), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe#2457324)"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.vaccineCode"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":791},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.route"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":791},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.route.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":745},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.protocolApplied[0].targetDisease[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":745},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.protocolApplied[0].targetDisease[0].coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":754},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.protocolApplied[0].targetDisease[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":754},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.protocolApplied[0].targetDisease[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":763},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.protocolApplied[0].targetDisease[2]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":763},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.protocolApplied[0].targetDisease[2].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":772},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.protocolApplied[0].targetDisease[3]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":772},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-1: 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Bundle.entry[14].resource.vaccineCode.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":791},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.route.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":745},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource.protocolApplied[0].targetDisease[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":732},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-1: 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Bundle.entry[14].resource/*Immunization/AtApsExampleBundle-Journey-1-Immunization-1*/.route.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":745},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[14].resource/*Immunization/AtApsExampleBundle-Journey-1-Immunization-1*/.protocolApplied[0].targetDisease[0].coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":754},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-1: 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There are no valid display names found for language(s) 'de-AT'. Default display is 'Varicella'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[15].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":841},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Windpocken' for http://snomed.info/sct#38907003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Varicella'"},"expression":["Bundle/AtApsExampleBundle-Journey-1: Bundle.entry[15].resource/*Condition/AtApsExampleBundle-Journey-1-illness-history-2*/.code.coding[0].display"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Bundle-AtApsExampleBundle-Journey-2","resource":{"resourceType":"OperationOutcome","id":"Bundle-AtApsExampleBundle-Journey-2","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":48},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'http://system-to-be-defined.com' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.identifier.system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Medikationsanamnese' for http://loinc.org#10160-0. Valid display is 'Medikationsanamnese - Freitext' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource.section[0].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":64},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allergien und unerwünschte Wirkungen' for http://loinc.org#48765-2. Valid display is 'Allergien und unerwünschte Wirkungen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource.section[1].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":94},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Problemliste' for http://loinc.org#11450-4. Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":124},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":168},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Impfungen' for http://loinc.org#11369-6. Valid display is 'Immunisierungsstatus' (de-AT) or 'Impfanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource.section[5].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":184},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Relevante diagnostische Tests oder Labordaten' for http://loinc.org#30954-2. Valid display is 'Relevante diagnostische Tests/Labordaten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource.section[6].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":230},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Vitalparameter' for http://loinc.org#8716-3. Valid display is 'Vitalparameter - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource.section[7].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":256},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese früherer Krankheiten' for http://loinc.org#11348-0. Valid display is 'Anamnese früherer Krankheiten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource.section[8].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":286},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Sozialanamnese' for http://loinc.org#29762-2. Valid display is 'Sozialanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource.section[9].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Medikationsanamnese' for http://loinc.org#10160-0. Valid display is 'Medikationsanamnese - Freitext' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-2-composition*/.section[0].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":64},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allergien und unerwünschte Wirkungen' for http://loinc.org#48765-2. Valid display is 'Allergien und unerwünschte Wirkungen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-2-composition*/.section[1].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":94},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Problemliste' for http://loinc.org#11450-4. Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-2-composition*/.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":124},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-2-composition*/.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":168},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Impfungen' for http://loinc.org#11369-6. Valid display is 'Immunisierungsstatus' (de-AT) or 'Impfanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-2-composition*/.section[5].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":184},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Relevante diagnostische Tests oder Labordaten' for http://loinc.org#30954-2. Valid display is 'Relevante diagnostische Tests/Labordaten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-2-composition*/.section[6].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":230},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Vitalparameter' for http://loinc.org#8716-3. Valid display is 'Vitalparameter - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-2-composition*/.section[7].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":256},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese früherer Krankheiten' for http://loinc.org#11348-0. Valid display is 'Anamnese früherer Krankheiten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-2-composition*/.section[8].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":286},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Sozialanamnese' for http://loinc.org#29762-2. Valid display is 'Sozialanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-2-composition*/.section[9].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":336},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#SS)"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-2-patient*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":335},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":52},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.40.0.10.1.4.3.1' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-2-patient*/.identifier[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":336},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-2-patient*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":351},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#PI)"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-2-patient*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":360},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.3.4.5' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-2-patient*/.identifier[1].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":351},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-2-patient*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":406},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Gerät' for http://snomed.info/sct#49062001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Device'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[2].resource/*Device/AtApsExampleBundle-Journey-2-author-device*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":481},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[5].resource.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":481},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[5].resource.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":481},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[5].resource/*MedicationStatement/AtApsExampleBundle-Journey-2-medication-summary-7*/.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":515},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-allergyorintoleranceagent vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[6].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":515},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hausstaub' for http://snomed.info/sct#128488006. There are no valid display names found for language(s) 'de-AT'. Default display is 'House dust'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[6].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":515},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hausstaub' for http://snomed.info/sct#128488006. There are no valid display names found for language(s) 'de-AT'. Default display is 'House dust'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[6].resource/*AllergyIntolerance/AtApsExampleBundle-Journey-2-allergy-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":579},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Arterielle Hypertonie' for http://snomed.info/sct#38341003. There are no valid display names found for language(s) 'de-AT'. Default display is 'High blood pressure'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[7].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":579},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Arterielle Hypertonie' for http://snomed.info/sct#38341003. There are no valid display names found for language(s) 'de-AT'. Default display is 'High blood pressure'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[7].resource/*Condition/AtApsExampleBundle-Journey-2-problem-5*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":644},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Parodontalerkrankung' for http://snomed.info/sct#2556008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Periodontal disease'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[8].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":644},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Parodontalerkrankung' for http://snomed.info/sct#2556008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Periodontal disease'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[8].resource/*Condition/AtApsExampleBundle-Journey-2-problem-17*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":687},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Bewertung der Risikofaktoren für Parodontalerkrankungen' for http://snomed.info/sct#1237049003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Evaluation of risk factors for periodontal disease (procedure)'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[9].resource/*Observation/AtApsExampleBundle-Journey-2-problem-17-assessment-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":701},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hohes Risiko' for http://snomed.info/sct#723509005. There are no valid display names found for language(s) 'de-AT'. Default display is 'High risk (qualifier value)'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[9].resource/*Observation/AtApsExampleBundle-Journey-2-problem-17-assessment-1*/.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":751},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mellitus in der Familienanamnese' for http://snomed.info/sct#160303001. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: Diabetes mellitus'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[10].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":751},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mellitus in der Familienanamnese' for http://snomed.info/sct#160303001. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: Diabetes mellitus'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[10].resource/*Condition/AtApsExampleBundle-Journey-2-problem-13*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":781},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Entlassungsbrief' for http://loinc.org#11490-0. Valid display is one of 2 choices: 'Entlassungsbrief Ärztlich' (de-AT) or 'Physician Discharge summary' (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[11].resource.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":781},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Entlassungsbrief' for http://loinc.org#11490-0. Valid display is one of 2 choices: 'Entlassungsbrief Ärztlich' (de-AT) or 'Physician Discharge summary' (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[11].resource/*DocumentReference/AtApsExampleBundle-Journey-2-Entlassungsbrief-2024-12*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":808},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Totalersatz des linken Hüftgelenks' for http://snomed.info/sct#770606008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Total replacement of left hip joint (procedure)'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[12].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":808},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Totalersatz des linken Hüftgelenks' for http://snomed.info/sct#770606008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Total replacement of left hip joint (procedure)'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[12].resource/*Procedure/AtApsExampleBundle-Journey-2-procedure-history-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":835},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Appendektomie' for http://snomed.info/sct#80146002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Appendectomy'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[13].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":835},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Appendektomie' for http://snomed.info/sct#80146002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Appendectomy'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[13].resource/*Procedure/AtApsExampleBundle-Journey-2-procedure-history-2*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":862},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Koloskopie' for http://snomed.info/sct#73761001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Colonoscopy'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[14].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":862},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Koloskopie' for http://snomed.info/sct#73761001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Colonoscopy'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[14].resource/*Procedure/AtApsExampleBundle-Journey-2-procedure-history-3*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":895},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Gesamtes linkes Hüftgelenk' for http://snomed.info/sct#362905007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Entire left hip joint'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[15].resource.bodySite.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":895},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Gesamtes linkes Hüftgelenk' for http://snomed.info/sct#362905007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Entire left hip joint'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[15].resource/*DeviceUseStatement/AtApsExampleBundle-Journey-2-deviceUse-Hueftprothese*/.bodySite.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":932},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hüftprothese' for http://snomed.info/sct#67270000. There are no valid display names found for language(s) 'de-AT'. Default display is 'Hip prosthesis'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[16].resource/*Device/AtApsExampleBundle-Journey-2-device-Hueftprothese*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":932},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-medicaldevices vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[16].resource/*Device/AtApsExampleBundle-Journey-2-device-Hueftprothese*/.type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":957},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Unable_to_resolve_value_Set_"}],"severity":"warning","code":"not-found","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe kann nicht gefunden werden"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.vaccineCode"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":957},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.vaccineCode.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":957},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'AT APS Immunization Vaccine Codes' (https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-immunization-vaccine-codes|0.2.0), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe#2457324)"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.vaccineCode"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1016},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.route"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1016},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.route.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":970},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.protocolApplied[0].targetDisease[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":970},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.protocolApplied[0].targetDisease[0].coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":979},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.protocolApplied[0].targetDisease[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":979},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.protocolApplied[0].targetDisease[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":988},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.protocolApplied[0].targetDisease[2]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":988},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.protocolApplied[0].targetDisease[2].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":997},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.protocolApplied[0].targetDisease[3]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":997},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.protocolApplied[0].targetDisease[3].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":957},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.vaccineCode.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1016},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.route.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":970},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource.protocolApplied[0].targetDisease[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":957},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-2-Immunization-1*/.vaccineCode.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1016},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-2-Immunization-1*/.route.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":970},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-2-Immunization-1*/.protocolApplied[0].targetDisease[0].coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":979},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-2-Immunization-1*/.protocolApplied[0].targetDisease[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":988},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-2-Immunization-1*/.protocolApplied[0].targetDisease[2].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":997},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-2-Immunization-1*/.protocolApplied[0].targetDisease[3].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1252},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blood pressure panel with all children optional' for http://loinc.org#85354-9. Valid display is 'Blutdruck (Liste) optional mit allen Unterbegriffen' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[21].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1252},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blood pressure panel with all children optional' for http://loinc.org#85354-9. Valid display is 'Blutdruck (Liste) optional mit allen Unterbegriffen' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[21].resource/*Observation/AtApsExampleBundle-Journey-2-vital-sign-4*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1357},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Masern' for http://snomed.info/sct#14189004. There are no valid display names found for language(s) 'de-AT'. Default display is 'Measles'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[23].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1357},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Masern' for http://snomed.info/sct#14189004. There are no valid display names found for language(s) 'de-AT'. Default display is 'Measles'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[23].resource/*Condition/AtApsExampleBundle-Journey-2-illness-history-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1412},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Windpocken' for http://snomed.info/sct#38907003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Varicella'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[24].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1412},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Windpocken' for http://snomed.info/sct#38907003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Varicella'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[24].resource/*Condition/AtApsExampleBundle-Journey-2-illness-history-2*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1459},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-currentsmokingstatus vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[25].resource.value.ofType(CodeableConcept)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1459},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Nie Tabak geraucht' for http://snomed.info/sct#266919005. There are no valid display names found for language(s) 'de-AT'. Default display is 'Never smoked'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[25].resource.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1459},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Nie Tabak geraucht' for http://snomed.info/sct#266919005. Valid display is 'Never smoked tobacco (finding)' (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[25].resource.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1459},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Nie Tabak geraucht' for http://snomed.info/sct#266919005. There are no valid display names found for language(s) 'de-AT'. Default display is 'Never smoked'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[25].resource/*Observation/AtApsExampleBundle-Journey-2-social-history-1*/.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1502},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Körperliche Aktivität' for http://snomed.info/sct#61686008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Physical exercise'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[26].resource/*Observation/AtApsExampleBundle-Journey-2-social-history-2*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1502},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Körperliche Aktivität' for http://snomed.info/sct#61686008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Physical exercise'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[26].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1528},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Alkoholische Getränke pro Tag, 1-2 Gläser Wein/Bier' for http://loinc.org#74013-4. There are no valid display names found for language(s) 'de-AT'. Default display is 'Alcoholic drinks per day'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[27].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1528},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Alkoholische Getränke pro Tag, 1-2 Gläser Wein/Bier' for http://loinc.org#74013-4. There are no valid display names found for language(s) 'de-AT'. Default display is 'Alcoholic drinks per day'"},"expression":["Bundle/AtApsExampleBundle-Journey-2: Bundle.entry[27].resource/*Observation/AtApsExampleBundle-Journey-2-social-history-3*/.code.coding[0].display"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Bundle-AtApsExampleBundle-Journey-3","resource":{"resourceType":"OperationOutcome","id":"Bundle-AtApsExampleBundle-Journey-3","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":48},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'http://system-to-be-defined.com' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.identifier.system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Medikationsanamnese' for http://loinc.org#10160-0. Valid display is 'Medikationsanamnese - Freitext' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource.section[0].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":64},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allergien und unerwünschte Wirkungen' for http://loinc.org#48765-2. Valid display is 'Allergien und unerwünschte Wirkungen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource.section[1].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":94},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Problemliste' for http://loinc.org#11450-4. Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":124},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":168},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Impfungen' for http://loinc.org#11369-6. Valid display is 'Immunisierungsstatus' (de-AT) or 'Impfanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource.section[5].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":214},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Relevante diagnostische Tests oder Labordaten' for http://loinc.org#30954-2. Valid display is 'Relevante diagnostische Tests/Labordaten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource.section[6].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":252},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Vitalparameter' for http://loinc.org#8716-3. Valid display is 'Vitalparameter - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource.section[7].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":278},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese früherer Krankheiten' for http://loinc.org#11348-0. Valid display is 'Anamnese früherer Krankheiten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource.section[8].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":308},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Sozialanamnese' for http://loinc.org#29762-2. Valid display is 'Sozialanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource.section[9].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Medikationsanamnese' for http://loinc.org#10160-0. Valid display is 'Medikationsanamnese - Freitext' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-3-composition*/.section[0].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":64},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allergien und unerwünschte Wirkungen' for http://loinc.org#48765-2. Valid display is 'Allergien und unerwünschte Wirkungen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-3-composition*/.section[1].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":94},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Problemliste' for http://loinc.org#11450-4. Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-3-composition*/.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":124},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-3-composition*/.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":168},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Impfungen' for http://loinc.org#11369-6. Valid display is 'Immunisierungsstatus' (de-AT) or 'Impfanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-3-composition*/.section[5].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":214},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Relevante diagnostische Tests oder Labordaten' for http://loinc.org#30954-2. Valid display is 'Relevante diagnostische Tests/Labordaten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-3-composition*/.section[6].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":252},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Vitalparameter' for http://loinc.org#8716-3. Valid display is 'Vitalparameter - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-3-composition*/.section[7].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":278},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese früherer Krankheiten' for http://loinc.org#11348-0. Valid display is 'Anamnese früherer Krankheiten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-3-composition*/.section[8].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":308},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Sozialanamnese' for http://loinc.org#29762-2. Valid display is 'Sozialanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[0].resource/*Composition/AtApsExampleBundle-Journey-3-composition*/.section[9].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":358},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#SS)"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-3-patient*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":357},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":52},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.40.0.10.1.4.3.1' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-3-patient*/.identifier[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":358},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-3-patient*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":373},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#PI)"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-3-patient*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":382},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.3.4.5' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-3-patient*/.identifier[1].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":373},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[1].resource/*Patient/AtApsExampleBundle-Journey-3-patient*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":428},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Gerät' for http://snomed.info/sct#49062001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Device'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[2].resource/*Device/AtApsExampleBundle-Journey-3-author-device*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":503},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[5].resource.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":503},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[5].resource.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":503},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[5].resource/*MedicationStatement/AtApsExampleBundle-Journey-3-medication-summary-7*/.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":537},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-allergyorintoleranceagent vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[6].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":537},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hausstaub' for http://snomed.info/sct#128488006. There are no valid display names found for language(s) 'de-AT'. Default display is 'House dust'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[6].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":537},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hausstaub' for http://snomed.info/sct#128488006. There are no valid display names found for language(s) 'de-AT'. Default display is 'House dust'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[6].resource/*AllergyIntolerance/AtApsExampleBundle-Journey-3-allergy-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":601},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Arterielle Hypertonie' for http://snomed.info/sct#38341003. There are no valid display names found for language(s) 'de-AT'. Default display is 'High blood pressure'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[7].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":601},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Arterielle Hypertonie' for http://snomed.info/sct#38341003. There are no valid display names found for language(s) 'de-AT'. Default display is 'High blood pressure'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[7].resource/*Condition/AtApsExampleBundle-Journey-3-problem-5*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":666},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Parodontalerkrankung' for http://snomed.info/sct#2556008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Periodontal disease'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[8].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":666},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Parodontalerkrankung' for http://snomed.info/sct#2556008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Periodontal disease'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[8].resource/*Condition/AtApsExampleBundle-Journey-3-problem-17*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":709},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Bewertung der Risikofaktoren für Parodontalerkrankungen' for http://snomed.info/sct#1237049003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Evaluation of risk factors for periodontal disease (procedure)'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[9].resource/*Observation/AtApsExampleBundle-Journey-3-problem-17-assessment-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":723},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hohes Risiko' for http://snomed.info/sct#723509005. There are no valid display names found for language(s) 'de-AT'. Default display is 'High risk (qualifier value)'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[9].resource/*Observation/AtApsExampleBundle-Journey-3-problem-17-assessment-1*/.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":773},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mellitus in der Familienanamnese' for http://snomed.info/sct#160303001. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: Diabetes mellitus'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[10].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":773},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mellitus in der Familienanamnese' for http://snomed.info/sct#160303001. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: Diabetes mellitus'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[10].resource/*Condition/AtApsExampleBundle-Journey-3-problem-13*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":803},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Entlassungsbrief' for http://loinc.org#11490-0. Valid display is one of 2 choices: 'Entlassungsbrief Ärztlich' (de-AT) or 'Physician Discharge summary' (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[11].resource.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":803},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Entlassungsbrief' for http://loinc.org#11490-0. Valid display is one of 2 choices: 'Entlassungsbrief Ärztlich' (de-AT) or 'Physician Discharge summary' (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[11].resource/*DocumentReference/AtApsExampleBundle-Journey-3-Entlassungsbrief-2024-12*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":830},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Totalersatz des linken Hüftgelenks' for http://snomed.info/sct#770606008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Total replacement of left hip joint (procedure)'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[12].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":830},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Totalersatz des linken Hüftgelenks' for http://snomed.info/sct#770606008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Total replacement of left hip joint (procedure)'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[12].resource/*Procedure/AtApsExampleBundle-Journey-3-procedure-history-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":857},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Appendektomie' for http://snomed.info/sct#80146002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Appendectomy'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[13].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":857},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Appendektomie' for http://snomed.info/sct#80146002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Appendectomy'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[13].resource/*Procedure/AtApsExampleBundle-Journey-3-procedure-history-2*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":884},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Koloskopie' for http://snomed.info/sct#73761001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Colonoscopy'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[14].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":884},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Koloskopie' for http://snomed.info/sct#73761001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Colonoscopy'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[14].resource/*Procedure/AtApsExampleBundle-Journey-3-procedure-history-3*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":917},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Gesamtes linkes Hüftgelenk' for http://snomed.info/sct#362905007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Entire left hip joint'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[15].resource.bodySite.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":917},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Gesamtes linkes Hüftgelenk' for http://snomed.info/sct#362905007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Entire left hip joint'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[15].resource/*DeviceUseStatement/AtApsExampleBundle-Journey-3-deviceUse-Hueftprothese*/.bodySite.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":954},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hüftprothese' for http://snomed.info/sct#67270000. There are no valid display names found for language(s) 'de-AT'. Default display is 'Hip prosthesis'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[16].resource/*Device/AtApsExampleBundle-Journey-3-device-Hueftprothese*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":954},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-medicaldevices vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[16].resource/*Device/AtApsExampleBundle-Journey-3-device-Hueftprothese*/.type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":979},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Unable_to_resolve_value_Set_"}],"severity":"warning","code":"not-found","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe kann nicht gefunden werden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.vaccineCode"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":979},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.vaccineCode.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":979},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'AT APS Immunization Vaccine Codes' (https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-immunization-vaccine-codes|0.2.0), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe#2457324)"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.vaccineCode"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1038},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.route"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1038},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.route.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":992},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.protocolApplied[0].targetDisease[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":992},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.protocolApplied[0].targetDisease[0].coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1001},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.protocolApplied[0].targetDisease[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1001},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.protocolApplied[0].targetDisease[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1010},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.protocolApplied[0].targetDisease[2]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1010},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.protocolApplied[0].targetDisease[2].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1019},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.protocolApplied[0].targetDisease[3]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1019},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.protocolApplied[0].targetDisease[3].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":979},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.vaccineCode.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1038},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.route.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":992},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource.protocolApplied[0].targetDisease[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":979},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-3-Immunization-1*/.vaccineCode.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1038},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-3-Immunization-1*/.route.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":992},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-3-Immunization-1*/.protocolApplied[0].targetDisease[0].coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1001},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-3-Immunization-1*/.protocolApplied[0].targetDisease[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1010},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-3-Immunization-1*/.protocolApplied[0].targetDisease[2].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1019},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[17].resource/*Immunization/AtApsExampleBundle-Journey-3-Immunization-1*/.protocolApplied[0].targetDisease[3].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1064},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-probenmaterial vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[18].resource/*Specimen/AtApsExampleBundle-Journey-3-diagnostic-specimen-1*/.type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1064},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blutprobe' for http://snomed.info/sct#119297000. There are no valid display names found for language(s) 'de-AT'. Default display is 'Blood specimen'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[18].resource/*Specimen/AtApsExampleBundle-Journey-3-diagnostic-specimen-1*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1086},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[19].resource.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1086},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[19].resource.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1095},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[19].resource.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1095},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[19].resource.category[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1104},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[19].resource.category[2]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1121},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[19].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1121},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[19].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1135},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blutgruppe A Rh(D) positiv' for http://snomed.info/sct#278149003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Blood group A Rh(D) positive'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[19].resource.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1086},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[19].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-1*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1095},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[19].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-1*/.category[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1135},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blutgruppe A Rh(D) positiv' for http://snomed.info/sct#278149003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Blood group A Rh(D) positive'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[19].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-1*/.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1161},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: 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Bundle.entry[20].resource.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1213},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[20].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1213},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[20].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1213},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[20].resource.code.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1213},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle-Journey-3: 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Bundle.entry[20].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-2*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1213},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[20].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-2*/.code.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1244},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[21].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-3*/.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1244},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[21].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-3*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1253},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[21].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-3*/.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1271},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[21].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-3*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1271},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[21].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-3*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1308},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[22].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-4*/.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1308},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[22].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-4*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1317},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[22].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-4*/.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1335},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[22].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-4*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1335},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[22].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-4*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1372},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[23].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-5*/.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1372},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[23].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-5*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1381},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[23].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-5*/.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1398},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[23].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-5*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1398},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[23].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-5*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1412},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS"}],"severity":"warning","code":"business-rule","details":{"text":"UCUM Codes that contain human readable annotations like {ratio} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[23].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-5*/.value.ofType(Quantity)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1435},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[24].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-6*/.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1435},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[24].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-6*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1444},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[24].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-6*/.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1462},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[24].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-6*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1462},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[24].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-6*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1499},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[25].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-7*/.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1499},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[25].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-7*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1508},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[25].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-7*/.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1526},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[25].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-7*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1526},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[25].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-7*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1563},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[26].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-15*/.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1563},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[26].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-15*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1572},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[26].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-15*/.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1589},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[26].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-15*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1589},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[26].resource/*Observation/AtApsExampleBundle-Journey-3-diagnostic-result-15*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1890},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blood pressure panel with all children optional' for http://loinc.org#85354-9. Valid display is 'Blutdruck (Liste) optional mit allen Unterbegriffen' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[31].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1890},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blood pressure panel with all children optional' for http://loinc.org#85354-9. Valid display is 'Blutdruck (Liste) optional mit allen Unterbegriffen' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[31].resource/*Observation/AtApsExampleBundle-Journey-3-vital-sign-4*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1995},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Masern' for http://snomed.info/sct#14189004. There are no valid display names found for language(s) 'de-AT'. Default display is 'Measles'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[33].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1995},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Masern' for http://snomed.info/sct#14189004. There are no valid display names found for language(s) 'de-AT'. Default display is 'Measles'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[33].resource/*Condition/AtApsExampleBundle-Journey-3-illness-history-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2050},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Windpocken' for http://snomed.info/sct#38907003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Varicella'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[34].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2050},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Windpocken' for http://snomed.info/sct#38907003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Varicella'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[34].resource/*Condition/AtApsExampleBundle-Journey-3-illness-history-2*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2097},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-currentsmokingstatus vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[35].resource.value.ofType(CodeableConcept)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2097},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Nie Tabak geraucht' for http://snomed.info/sct#266919005. There are no valid display names found for language(s) 'de-AT'. Default display is 'Never smoked'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[35].resource.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2097},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Nie Tabak geraucht' for http://snomed.info/sct#266919005. Valid display is 'Never smoked tobacco (finding)' (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[35].resource.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2097},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Nie Tabak geraucht' for http://snomed.info/sct#266919005. There are no valid display names found for language(s) 'de-AT'. Default display is 'Never smoked'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[35].resource/*Observation/AtApsExampleBundle-Journey-3-social-history-1*/.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2140},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Körperliche Aktivität' for http://snomed.info/sct#61686008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Physical exercise'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[36].resource/*Observation/AtApsExampleBundle-Journey-3-social-history-2*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2140},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Körperliche Aktivität' for http://snomed.info/sct#61686008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Physical exercise'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[36].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2166},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Alkoholische Getränke pro Tag, 1-2 Gläser Wein/Bier' for http://loinc.org#74013-4. There are no valid display names found for language(s) 'de-AT'. Default display is 'Alcoholic drinks per day'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[37].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2166},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Alkoholische Getränke pro Tag, 1-2 Gläser Wein/Bier' for http://loinc.org#74013-4. There are no valid display names found for language(s) 'de-AT'. Default display is 'Alcoholic drinks per day'"},"expression":["Bundle/AtApsExampleBundle-Journey-3: Bundle.entry[37].resource/*Observation/AtApsExampleBundle-Journey-3-social-history-3*/.code.coding[0].display"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Bundle-AtApsExampleBundle01NoProblemsMedicationAllergies","resource":{"resourceType":"OperationOutcome","id":"Bundle-AtApsExampleBundle01NoProblemsMedicationAllergies","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":48},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'http://system-to-be-defined.com' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.identifier.system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":36},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Medikationsanamnese' for http://loinc.org#10160-0. Valid display is 'Medikationsanamnese - Freitext' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[0].resource.section[0].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":60},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allergien und unerwünschte Wirkungen' for http://loinc.org#48765-2. Valid display is 'Allergien und unerwünschte Wirkungen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[0].resource.section[1].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":84},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Problemliste' for http://loinc.org#11450-4. Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[0].resource.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":108},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[0].resource.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":36},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Medikationsanamnese' for http://loinc.org#10160-0. Valid display is 'Medikationsanamnese - Freitext' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[0].resource/*Composition/AtApsExampleBundle01-composition*/.section[0].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":60},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allergien und unerwünschte Wirkungen' for http://loinc.org#48765-2. Valid display is 'Allergien und unerwünschte Wirkungen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[0].resource/*Composition/AtApsExampleBundle01-composition*/.section[1].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":84},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Problemliste' for http://loinc.org#11450-4. Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[0].resource/*Composition/AtApsExampleBundle01-composition*/.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":108},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[0].resource/*Composition/AtApsExampleBundle01-composition*/.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":190},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#SS)"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[1].resource/*Patient/AtApsExampleBundle01-patient*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":189},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":52},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.40.0.10.1.4.3.1' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[1].resource/*Patient/AtApsExampleBundle01-patient*/.identifier[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":190},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[1].resource/*Patient/AtApsExampleBundle01-patient*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":205},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#PI)"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[1].resource/*Patient/AtApsExampleBundle01-patient*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":214},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.3.4.5' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[1].resource/*Patient/AtApsExampleBundle01-patient*/.identifier[1].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":205},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[1].resource/*Patient/AtApsExampleBundle01-patient*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":260},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Verheiratet' for http://terminology.hl7.org/CodeSystem/v3-MaritalStatus#M. There are no valid display names found for language(s) 'de-AT'. Default display is 'Married'"},"expression":["Bundle/AtApsExampleBundle01NoProblemsMedicationAllergies: Bundle.entry[1].resource/*Patient/AtApsExampleBundle01-patient*/.maritalStatus.coding[0].display"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Bundle-AtApsExampleBundle02PreventiveMedicalCheckup","resource":{"resourceType":"OperationOutcome","id":"Bundle-AtApsExampleBundle02PreventiveMedicalCheckup","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":48},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'http://system-to-be-defined.com' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.identifier.system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":74},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Medikationsanamnese' for http://loinc.org#10160-0. Valid display is 'Medikationsanamnese - Freitext' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource.section[0].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":96},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allergien und unerwünschte Wirkungen' for http://loinc.org#48765-2. Valid display is 'Allergien und unerwünschte Wirkungen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource.section[1].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":182},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Problemliste' for http://loinc.org#11450-4. Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":212},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":286},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Relevante diagnostische Tests und/oder Labordaten' for http://loinc.org#30954-2. Valid display is 'Relevante diagnostische Tests/Labordaten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource.section[5].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":328},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Vitalparameter' for http://loinc.org#8716-3. Valid display is 'Vitalparameter - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource.section[6].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":354},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese früherer Krankheiten' for http://loinc.org#11348-0. Valid display is 'Anamnese früherer Krankheiten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource.section[7].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":380},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Sozialanamnese' for http://loinc.org#29762-2. Valid display is 'Sozialanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource.section[8].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":74},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Medikationsanamnese' for http://loinc.org#10160-0. Valid display is 'Medikationsanamnese - Freitext' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource/*Composition/AtApsExampleBundle02-composition*/.section[0].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":96},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Allergien und unerwünschte Wirkungen' for http://loinc.org#48765-2. Valid display is 'Allergien und unerwünschte Wirkungen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource/*Composition/AtApsExampleBundle02-composition*/.section[1].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":182},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Problemliste' for http://loinc.org#11450-4. Valid display is 'Problemliste - Berichtet' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource/*Composition/AtApsExampleBundle02-composition*/.section[2].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":212},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese der Prozeduren oder Maßnahmen' for http://loinc.org#47519-4. Valid display is 'Anamnese der Maßnahmen - Dokument' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource/*Composition/AtApsExampleBundle02-composition*/.section[3].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":286},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Relevante diagnostische Tests und/oder Labordaten' for http://loinc.org#30954-2. Valid display is 'Relevante diagnostische Tests/Labordaten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource/*Composition/AtApsExampleBundle02-composition*/.section[5].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":328},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Vitalparameter' for http://loinc.org#8716-3. Valid display is 'Vitalparameter - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource/*Composition/AtApsExampleBundle02-composition*/.section[6].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":354},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Anamnese früherer Krankheiten' for http://loinc.org#11348-0. Valid display is 'Anamnese früherer Krankheiten - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource/*Composition/AtApsExampleBundle02-composition*/.section[7].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":380},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Sozialanamnese' for http://loinc.org#29762-2. Valid display is 'Sozialanamnese - Notiz' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[0].resource/*Composition/AtApsExampleBundle02-composition*/.section[8].code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":430},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#SS)"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[1].resource/*Patient/AtApsExampleBundle02-patient*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":429},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":52},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.40.0.10.1.4.3.1' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[1].resource/*Patient/AtApsExampleBundle02-patient*/.identifier[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":430},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[1].resource/*Patient/AtApsExampleBundle02-patient*/.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":445},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#PI)"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[1].resource/*Patient/AtApsExampleBundle02-patient*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":454},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":42},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.3.4.5' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[1].resource/*Patient/AtApsExampleBundle02-patient*/.identifier[1].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":445},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[1].resource/*Patient/AtApsExampleBundle02-patient*/.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":565},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'CKD - Chronische Niereninsuffizienz Grad 3B' for http://snomed.info/sct#700379002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Chronic kidney disease stage 3B'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[4].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":565},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'CKD - Chronische Niereninsuffizienz Grad 3B' for http://snomed.info/sct#700379002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Chronic kidney disease stage 3B'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[4].resource/*Condition/AtApsExampleBundle02-problem-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":619},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Langfristige Einnahme von Antikoagulantien' for http://snomed.info/sct#711150003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Long-term current use of anticoagulant (situation)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[5].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":619},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Langfristige Einnahme von Antikoagulantien' for http://snomed.info/sct#711150003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Long-term current use of anticoagulant (situation)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[5].resource/*Condition/AtApsExampleBundle02-problem-2*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":673},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mit Insulin und oraler Behandlung' for http://snomed.info/sct#314194001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Diabetic on insulin and oral treatment'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[6].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":673},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mit Insulin und oraler Behandlung' for http://snomed.info/sct#314194001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Diabetic on insulin and oral treatment'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[6].resource/*Condition/AtApsExampleBundle02-problem-3*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":727},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Langfristige Einnahme eines Immunsuppressivums' for http://snomed.info/sct#710159007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Long-term current use of immunosuppressive drug (situation)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[7].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":727},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Langfristige Einnahme eines Immunsuppressivums' for http://snomed.info/sct#710159007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Long-term current use of immunosuppressive drug (situation)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[7].resource/*Condition/AtApsExampleBundle02-problem-4*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":781},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Arterielle Hypertonie' for http://snomed.info/sct#38341003. There are no valid display names found for language(s) 'de-AT'. Default display is 'High blood pressure'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[8].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":781},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Arterielle Hypertonie' for http://snomed.info/sct#38341003. There are no valid display names found for language(s) 'de-AT'. Default display is 'High blood pressure'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[8].resource/*Condition/AtApsExampleBundle02-problem-5*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":835},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Karotis-Doppler-Sonographie normal' for http://snomed.info/sct#408570008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Doppler ultrasonography of carotid artery normal (finding)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[9].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":835},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Karotis-Doppler-Sonographie normal' for http://snomed.info/sct#408570008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Doppler ultrasonography of carotid artery normal (finding)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[9].resource/*Condition/AtApsExampleBundle02-problem-6*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":889},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Koronarangiographie normal' for http://snomed.info/sct#168938005. There are no valid display names found for language(s) 'de-AT'. Default display is 'Coronary arteriography normal'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[10].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":889},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Koronarangiographie normal' for http://snomed.info/sct#168938005. There are no valid display names found for language(s) 'de-AT'. Default display is 'Coronary arteriography normal'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[10].resource/*Condition/AtApsExampleBundle02-problem-7*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":947},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Langfristige aktuelle Anwendung von Bisphosphonaten' for http://snomed.info/sct#328941000119101. There are no valid display names found for language(s) 'de-AT'. Default display is 'Long-term current use of bisphosphonates (situation)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[11].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":947},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Langfristige aktuelle Anwendung von Bisphosphonaten' for http://snomed.info/sct#328941000119101. There are no valid display names found for language(s) 'de-AT'. Default display is 'Long-term current use of bisphosphonates (situation)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[11].resource/*Condition/AtApsExampleBundle02-problem-8*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1001},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Dauerhaftes Vorhofflimmern' for http://snomed.info/sct#440028005. There are no valid display names found for language(s) 'de-AT'. Default display is 'Permanent atrial fibrillation (disorder)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[12].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1001},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Dauerhaftes Vorhofflimmern' for http://snomed.info/sct#440028005. There are no valid display names found for language(s) 'de-AT'. Default display is 'Permanent atrial fibrillation (disorder)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[12].resource/*Condition/AtApsExampleBundle02-problem-9*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1055},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Albuminurie Grad A2' for http://snomed.info/sct#735623008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Grade A2 albuminuria'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[13].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1055},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Albuminurie Grad A2' for http://snomed.info/sct#735623008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Grade A2 albuminuria'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[13].resource/*Condition/AtApsExampleBundle02-problem-10*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1109},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Seronegative rheumatoide Arthritis' for http://snomed.info/sct#239792003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Seronegative rheumatoid arthritis'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[14].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1109},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Seronegative rheumatoide Arthritis' for http://snomed.info/sct#239792003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Seronegative rheumatoid arthritis'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[14].resource/*Condition/AtApsExampleBundle02-problem-11*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1163},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hypercholesterinämie' for http://snomed.info/sct#13644009. There are no valid display names found for language(s) 'de-AT'. Default display is 'Hypercholesterolemia'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[15].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1163},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hypercholesterinämie' for http://snomed.info/sct#13644009. There are no valid display names found for language(s) 'de-AT'. Default display is 'Hypercholesterolemia'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[15].resource/*Condition/AtApsExampleBundle02-problem-12*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1217},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mellitus in der Familienanamnese' for http://snomed.info/sct#160303001. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: Diabetes mellitus'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[16].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1217},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Diabetes mellitus in der Familienanamnese' for http://snomed.info/sct#160303001. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: Diabetes mellitus'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[16].resource/*Condition/AtApsExampleBundle02-problem-13*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1271},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Familienanamnese: Kolonkarzinom' for http://snomed.info/sct#312824007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Family history of cancer of colon'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[17].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1271},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Familienanamnese: Kolonkarzinom' for http://snomed.info/sct#312824007. There are no valid display names found for language(s) 'de-AT'. Default display is 'Family history of cancer of colon'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[17].resource/*Condition/AtApsExampleBundle02-problem-14*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1325},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Familienanamnese: vorzeitige koronare Herzkrankheit' for http://snomed.info/sct#134439009. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: premature coronary heart disease'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[18].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1325},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Familienanamnese: vorzeitige koronare Herzkrankheit' for http://snomed.info/sct#134439009. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: premature coronary heart disease'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[18].resource/*Condition/AtApsExampleBundle02-problem-15*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1379},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hypercholesterinämie in der Familienanamnese' for http://snomed.info/sct#160314003. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: Hypercholesterolemia'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[19].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1379},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hypercholesterinämie in der Familienanamnese' for http://snomed.info/sct#160314003. There are no valid display names found for language(s) 'de-AT'. Default display is 'FH: Hypercholesterolemia'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[19].resource/*Condition/AtApsExampleBundle02-problem-16*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1443},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Parodontalerkrankung' for http://snomed.info/sct#2556008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Periodontal disease'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[20].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1443},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Parodontalerkrankung' for http://snomed.info/sct#2556008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Periodontal disease'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[20].resource/*Condition/AtApsExampleBundle02-problem-17*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1481},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Bewertung der Risikofaktoren für Parodontalerkrankungen' for http://snomed.info/sct#1237049003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Evaluation of risk factors for periodontal disease (procedure)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[21].resource/*Observation/AtApsExampleBundle02-problem-17-assessment-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1495},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hohes Risiko' for http://snomed.info/sct#723509005. There are no valid display names found for language(s) 'de-AT'. Default display is 'High risk (qualifier value)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[21].resource/*Observation/AtApsExampleBundle02-problem-17-assessment-1*/.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1554},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[22].resource.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1542},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Oraler Verabreichungsweg' for http://snomed.info/sct#26643006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Oral route'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[22].resource.dosage[0].route.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1536},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":91},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'https://termgit.elga.gv.at/ValueSet/elga-medikationmengenart' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[22].resource.dosage[0].doseAndRate[0].dose.ofType(Quantity).system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1554},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[22].resource/*MedicationStatement/AtApsExampleBundle02-medication-summary-1*/.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1542},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Oraler Verabreichungsweg' for http://snomed.info/sct#26643006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Oral route'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[22].resource/*MedicationStatement/AtApsExampleBundle02-medication-summary-1*/.dosage[0].route.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1536},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":91},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'https://termgit.elga.gv.at/ValueSet/elga-medikationmengenart' löst nicht auf"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[22].resource/*MedicationStatement/AtApsExampleBundle02-medication-summary-1*/.dosage[0].doseAndRate[0].dose.ofType(Quantity).system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1588},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[23].resource.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1588},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[23].resource.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1588},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[23].resource/*MedicationStatement/AtApsExampleBundle02-medication-summary-2*/.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1622},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[24].resource.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1622},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[24].resource.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1622},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[24].resource/*MedicationStatement/AtApsExampleBundle02-medication-summary-3*/.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1656},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[25].resource.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1656},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[25].resource.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1656},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[25].resource/*MedicationStatement/AtApsExampleBundle02-medication-summary-4*/.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1690},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[26].resource.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1690},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[26].resource.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1690},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[26].resource/*MedicationStatement/AtApsExampleBundle02-medication-summary-5*/.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1724},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[27].resource.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1724},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[27].resource.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1724},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[27].resource/*MedicationStatement/AtApsExampleBundle02-medication-summary-6*/.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1758},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[28].resource.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1758},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/asp-liste' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[28].resource.medication.ofType(CodeableConcept).coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1758},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[28].resource/*MedicationStatement/AtApsExampleBundle02-medication-summary-7*/.medication.ofType(CodeableConcept).coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1787},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/asp-liste ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: 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Bundle.entry[31].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1855},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hausstaub' for http://snomed.info/sct#128488006. There are no valid display names found for language(s) 'de-AT'. Default display is 'House dust'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[31].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1855},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Hausstaub' for http://snomed.info/sct#128488006. There are no valid display names found for language(s) 'de-AT'. Default display is 'House dust'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[31].resource/*AllergyIntolerance/AtApsExampleBundle02-allergy-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1881},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Totalersatz des linken Hüftgelenks' for http://snomed.info/sct#770606008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Total replacement of left hip joint (procedure)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[32].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1881},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Totalersatz des linken Hüftgelenks' for http://snomed.info/sct#770606008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Total replacement of left hip joint (procedure)'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[32].resource/*Procedure/AtApsExampleBundle02-procedure-history-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1908},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Appendektomie' for http://snomed.info/sct#80146002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Appendectomy'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[33].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1908},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Appendektomie' for http://snomed.info/sct#80146002. There are no valid display names found for language(s) 'de-AT'. Default display is 'Appendectomy'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[33].resource/*Procedure/AtApsExampleBundle02-procedure-history-2*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1935},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Koloskopie' for http://snomed.info/sct#73761001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Colonoscopy'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[34].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1935},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Koloskopie' for http://snomed.info/sct#73761001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Colonoscopy'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[34].resource/*Procedure/AtApsExampleBundle02-procedure-history-3*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1966},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-probenmaterial vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[35].resource/*Specimen/AtApsExampleBundle02-diagnostic-specimen-1*/.type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1966},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blutprobe' for http://snomed.info/sct#119297000. There are no valid display names found for language(s) 'de-AT'. Default display is 'Blood specimen'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[35].resource/*Specimen/AtApsExampleBundle02-diagnostic-specimen-1*/.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1988},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[36].resource.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1988},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[36].resource.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1997},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[36].resource.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1997},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[36].resource.category[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2006},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[36].resource.category[2]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2023},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[36].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2023},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[36].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2037},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blutgruppe A Rh(D) positiv' for http://snomed.info/sct#278149003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Blood group A Rh(D) positive'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[36].resource.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1988},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[36].resource/*Observation/AtApsExampleBundle02-diagnostic-result-1*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1997},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[36].resource/*Observation/AtApsExampleBundle02-diagnostic-result-1*/.category[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2037},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blutgruppe A Rh(D) positiv' for http://snomed.info/sct#278149003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Blood group A Rh(D) positive'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[36].resource/*Observation/AtApsExampleBundle02-diagnostic-result-1*/.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2063},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[37].resource.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2063},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[37].resource.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2072},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[37].resource.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2115},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[37].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2115},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[37].resource.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2115},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[37].resource.code.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2115},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung' could not be found, so the code cannot be validated"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[37].resource.code.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2063},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: 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Bundle.entry[39].resource/*Observation/AtApsExampleBundle02-diagnostic-result-4*/.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2210},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: 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Bundle.entry[39].resource/*Observation/AtApsExampleBundle02-diagnostic-result-4*/.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2237},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: 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Bundle.entry[40].resource/*Observation/AtApsExampleBundle02-diagnostic-result-5*/.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2274},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: 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Bundle.entry[40].resource/*Observation/AtApsExampleBundle02-diagnostic-result-5*/.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2300},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[40].resource/*Observation/AtApsExampleBundle02-diagnostic-result-5*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2300},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[40].resource/*Observation/AtApsExampleBundle02-diagnostic-result-5*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2314},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS"}],"severity":"warning","code":"business-rule","details":{"text":"UCUM Codes that contain human readable annotations like {ratio} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[40].resource/*Observation/AtApsExampleBundle02-diagnostic-result-5*/.value.ofType(Quantity)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2337},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[41].resource/*Observation/AtApsExampleBundle02-diagnostic-result-6*/.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2337},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[41].resource/*Observation/AtApsExampleBundle02-diagnostic-result-6*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2346},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[41].resource/*Observation/AtApsExampleBundle02-diagnostic-result-6*/.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2364},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[41].resource/*Observation/AtApsExampleBundle02-diagnostic-result-6*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2364},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[41].resource/*Observation/AtApsExampleBundle02-diagnostic-result-6*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2401},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[42].resource/*Observation/AtApsExampleBundle02-diagnostic-result-7*/.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2401},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[42].resource/*Observation/AtApsExampleBundle02-diagnostic-result-7*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2410},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[42].resource/*Observation/AtApsExampleBundle02-diagnostic-result-7*/.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2428},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[42].resource/*Observation/AtApsExampleBundle02-diagnostic-result-7*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2428},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[42].resource/*Observation/AtApsExampleBundle02-diagnostic-result-7*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2465},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[43].resource/*Observation/AtApsExampleBundle02-diagnostic-result-15*/.category[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2465},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/CodeSystem/elga-laborparameterergaenzung ist unbekannt"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[43].resource/*Observation/AtApsExampleBundle02-diagnostic-result-15*/.category[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2474},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":12},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborstruktur vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[43].resource/*Observation/AtApsExampleBundle02-diagnostic-result-15*/.category[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2491},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-laborparameter vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[43].resource/*Observation/AtApsExampleBundle02-diagnostic-result-15*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2491},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-antibiogramm vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[43].resource/*Observation/AtApsExampleBundle02-diagnostic-result-15*/.code"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2792},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blood pressure panel with all children optional' for http://loinc.org#85354-9. Valid display is 'Blutdruck (Liste) optional mit allen Unterbegriffen' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[48].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2792},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Blood pressure panel with all children optional' for http://loinc.org#85354-9. Valid display is 'Blutdruck (Liste) optional mit allen Unterbegriffen' (de-DE) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[48].resource/*Observation/AtApsExampleBundle02-vital-sign-4*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2893},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Umfang der Taille' for http://snomed.info/sct#276361009. There are no valid display names found for language(s) 'de-AT'. Default display is 'Waist circumference'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[50].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2893},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Umfang der Taille' for http://snomed.info/sct#276361009. Valid display is one of choices: 'Waist circumference' (en) (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[50].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2893},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Umfang der Taille' for http://snomed.info/sct#276361009. There are no valid display names found for language(s) 'de-AT'. Default display is 'Waist circumference'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[50].resource/*Observation/AtApsExampleBundle02-vital-sign-6*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2948},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Zustand nach Masern' for http://snomed.info/sct#161419000. There are no valid display names found for language(s) 'de-AT'. Default display is 'H/O: measles'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[51].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":2948},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Zustand nach Masern' for http://snomed.info/sct#161419000. There are no valid display names found for language(s) 'de-AT'. Default display is 'H/O: measles'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[51].resource/*Condition/AtApsExampleBundle02-illness-history-1*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":3002},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Zustand nach Windpocken' for http://snomed.info/sct#161423008. There are no valid display names found for language(s) 'de-AT'. Default display is 'H/O: chickenpox'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[52].resource.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":3002},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Zustand nach Windpocken' for http://snomed.info/sct#161423008. There are no valid display names found for language(s) 'de-AT'. Default display is 'H/O: chickenpox'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[52].resource/*Condition/AtApsExampleBundle02-illness-history-2*/.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":3048},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-currentsmokingstatus vom Validator nicht gefunden"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[53].resource.value.ofType(CodeableConcept)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":3048},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Nie Tabak geraucht' for http://snomed.info/sct#266919005. There are no valid display names found for language(s) 'de-AT'. Default display is 'Never smoked'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[53].resource.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":3048},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Nie Tabak geraucht' for http://snomed.info/sct#266919005. Valid display is 'Never smoked tobacco (finding)' (for the language(s) 'de-AT')"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[53].resource.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":3048},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Nie Tabak geraucht' for http://snomed.info/sct#266919005. There are no valid display names found for language(s) 'de-AT'. Default display is 'Never smoked'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[53].resource/*Observation/AtApsExampleBundle02-social-history-1*/.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":3086},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Körperliche Aktivität' for http://snomed.info/sct#61686008. There are no valid display names found for language(s) 'de-AT'. Default display is 'Physical exercise'"},"expression":["Bundle/AtApsExampleBundle02PreventiveMedicalCheckup: Bundle.entry[54].resource/*Observation/AtApsExampleBundle02-social-history-2*/.code.coding[0].display"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/CapabilityStatement-at-aps-capabilitystatement-server","resource":{"resourceType":"OperationOutcome","id":"CapabilityStatement-at-aps-capabilitystatement-server"}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Device-at-aps-example-device-01","resource":{"resourceType":"OperationOutcome","id":"Device-at-aps-example-device-01","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":24},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-medicaldevices vom Validator nicht gefunden"},"expression":["Device/at-aps-example-device-01: Device.type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":24},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Gerät' for http://snomed.info/sct#49062001. There are no valid display names found for language(s) 'de-AT'. Default display is 'Device'"},"expression":["Device/at-aps-example-device-01: Device.type.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":24},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Gerät' for http://snomed.info/sct#49062001. Valid display is one of choices: 'Device' (en) (for the language(s) 'de-AT')"},"expression":["Device/at-aps-example-device-01: Device.type.coding[0].display"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Device-at-aps-example-device-02-software","resource":{"resourceType":"OperationOutcome","id":"Device-at-aps-example-device-02-software","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":28},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-medicaldevices vom Validator nicht gefunden"},"expression":["Device/at-aps-example-device-02-software: Device.type"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Immunization-at-aps-example-immunization-01-unknown","resource":{"resourceType":"OperationOutcome","id":"Immunization-at-aps-example-immunization-01-unknown","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":9},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"A definition for the value Set 'https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe' could not be found"},"expression":["Immunization/at-aps-example-immunization-01-unknown: Immunization.vaccineCode"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":9},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'AT APS Immunization Vaccine Codes' (https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-immunization-vaccine-codes|0.2.0), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://snomed.info/sct#787482006)"},"expression":["Immunization/at-aps-example-immunization-01-unknown: Immunization.vaccineCode"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":21},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Immunization/at-aps-example-immunization-01-unknown: Immunization.protocolApplied[0].targetDisease[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":21},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Masern-Mumps Impfstoffkombination' for http://snomed.info/sct#836499004. There are no valid display names found for language(s) 'de-AT'. Default display is 'Vaccine product containing Measles morbillivirus and Mumps orthorubulavirus antigens (medicinal product)'"},"expression":["Immunization/at-aps-example-immunization-01-unknown: Immunization.protocolApplied[0].targetDisease[0].coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":21},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"INACTIVE_CONCEPT_FOUND"}],"severity":"warning","code":"business-rule","details":{"text":"The concept '836499004' has a status of inactive and its use should be reviewed"},"expression":["Immunization/at-aps-example-immunization-01-unknown: Immunization.protocolApplied[0].targetDisease[0].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":9},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Unbekannte Immunisierungen' for http://snomed.info/sct#787482006. There are no valid display names found for language(s) 'de-AT'. Default display is 'No known immunizations'"},"expression":["Immunization/at-aps-example-immunization-01-unknown: Immunization.vaccineCode.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":21},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Masern-Mumps Impfstoffkombination' for http://snomed.info/sct#836499004. Valid display is one of choices: 'Vaccine product containing Measles morbillivirus and Mumps orthorubulavirus antigens (medicinal product)' (en) (for the language(s) 'de-AT')"},"expression":["Immunization/at-aps-example-immunization-01-unknown: Immunization.protocolApplied[0].targetDisease[0].coding[0].display"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Immunization-at-aps-example-immunization-01","resource":{"resourceType":"OperationOutcome","id":"Immunization-at-aps-example-immunization-01","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":43},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Unable_to_resolve_value_Set_"}],"severity":"warning","code":"not-found","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe kann nicht gefunden werden"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.vaccineCode"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":43},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe' could not be found, so the code cannot be validated"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.vaccineCode.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":43},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'AT APS Immunization Vaccine Codes' (https://fhir.hl7.at/elga/aps/r4/ValueSet/at-aps-immunization-vaccine-codes|0.2.0), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe#2457324)"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.vaccineCode"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":110},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung vom Validator nicht gefunden"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.route"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":110},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung' could not be found, so the code cannot be validated"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.route.coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":64},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.protocolApplied[0].targetDisease[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":64},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"UNKNOWN_CODESYSTEM"}],"severity":"warning","code":"not-found","details":{"text":"A definition for CodeSystem 'https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget' could not be found, so the code cannot be validated"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.protocolApplied[0].targetDisease[0].coding[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":73},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.protocolApplied[0].targetDisease[1]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":73},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.protocolApplied[0].targetDisease[1].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":82},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.protocolApplied[0].targetDisease[2]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":82},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.protocolApplied[0].targetDisease[2].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":91},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget vom Validator nicht gefunden"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.protocolApplied[0].targetDisease[3]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":91},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.protocolApplied[0].targetDisease[3].coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":43},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-impfstoffe ist unbekannt"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.vaccineCode.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":110},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-medikationartanwendung ist unbekannt"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.route.coding[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":64},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":10},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"not-found","details":{"text":"!!!!!!Das CodeSystem https://termgit.elga.gv.at/ValueSet/eimpf-immunizationtarget ist unbekannt"},"expression":["Immunization/at-aps-example-immunization-01: Immunization.protocolApplied[0].targetDisease[0].coding[0]"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Observation-at-aps-example-observation-01-exercise","resource":{"resourceType":"OperationOutcome","id":"Observation-at-aps-example-observation-01-exercise","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":11},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'An wie vielen Tagen pro Woche haben Sie in den letzten 30 Tagen mäßige bis anstrengende körperliche Aktivitäten ausgeübt?' for http://loinc.org#89555-7. There are no valid display names found for language(s) 'de-AT'. Default display is 'How many days per week did you engage in moderate to strenuous physical activity in the last 30 days'"},"expression":["Observation/at-aps-example-observation-01-exercise: Observation.code.coding[0].display"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Observation-at-aps-example-observationalcoholuse-01","resource":{"resourceType":"OperationOutcome","id":"Observation-at-aps-example-observationalcoholuse-01","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":16},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Alkoholische Getränke pro Tag' for http://loinc.org#74013-4. There are no valid display names found for language(s) 'de-AT'. Default display is 'Alcoholic drinks per day'"},"expression":["Observation/at-aps-example-observationalcoholuse-01: Observation.code.coding[0].display"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Observation-at-aps-example-observationtobaccouse-01","resource":{"resourceType":"OperationOutcome","id":"Observation-at-aps-example-observationtobaccouse-01","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":30},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/elga-currentsmokingstatus vom Validator nicht gefunden"},"expression":["Observation/at-aps-example-observationtobaccouse-01: Observation.value.ofType(CodeableConcept)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":30},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Ehemalig rauchende Person' for http://snomed.info/sct#8517006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Former smoker'"},"expression":["Observation/at-aps-example-observationtobaccouse-01: Observation.value.ofType(CodeableConcept).coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":30},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Display_Name_for__should_be_one_of__instead_of"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Ehemalig rauchende Person' for http://snomed.info/sct#8517006. Valid display is 'Ex-smoker (finding)' (for the language(s) 'de-AT')"},"expression":["Observation/at-aps-example-observationtobaccouse-01: Observation.value.ofType(CodeableConcept).coding[0].display"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Parameters-AtApsExpansionParametersSCT","resource":{"resourceType":"OperationOutcome","id":"Parameters-AtApsExpansionParametersSCT"}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Patient-at-aps-example-patient-01","resource":{"resourceType":"OperationOutcome","id":"Patient-at-aps-example-patient-01","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":15},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":8},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#SS)"},"expression":["Patient/at-aps-example-patient-01: Patient.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":14},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":46},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.40.0.10.1.4.3.1' löst nicht auf"},"expression":["Patient/at-aps-example-patient-01: Patient.identifier[0].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":15},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":8},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Patient/at-aps-example-patient-01: Patient.identifier[0].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":30},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":8},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_NoValid_2_CC"}],"severity":"warning","code":"code-invalid","details":{"text":"Keiner der angegebenen Codes ist im Valueset 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|4.0.1), und ein Code sollte aus diesem Valueset stammen, es sei denn, er enthält keinen geeigneten Code) (Codes = http://terminology.hl7.org/CodeSystem/v2-0203#PI)"},"expression":["Patient/at-aps-example-patient-01: Patient.identifier[1].type"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":39},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":36},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Type_Specific_Checks_DT_URL_Resolve"}],"severity":"warning","code":"invalid","details":{"text":"URL-Wert 'urn:oid:1.2.3.4.5' löst nicht auf"},"expression":["Patient/at-aps-example-patient-01: Patient.identifier[1].system"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":30},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":8},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"Terminology_TX_ValueSet_NotFound"}],"severity":"warning","code":"code-invalid","details":{"text":"ValueSet https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier vom Validator nicht gefunden"},"expression":["Patient/at-aps-example-patient-01: Patient.identifier[1].type"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Practitioner-at-aps-example-practitioner-01","resource":{"resourceType":"OperationOutcome","id":"Practitioner-at-aps-example-practitioner-01"}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/Procedure-at-aps-example-procedure-01","resource":{"resourceType":"OperationOutcome","id":"Procedure-at-aps-example-procedure-01","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":33},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Chirurgische Prozedur' for http://snomed.info/sct#387713003. There are no valid display names found for language(s) 'de-AT'. Default display is 'Surgical procedure (procedure)'"},"expression":["Procedure/at-aps-example-procedure-01: Procedure.category.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":9},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Einsetzen eines Stents in Koronararterie' for http://snomed.info/sct#36969009. There are no valid display names found for language(s) 'de-AT'. Default display is 'Placement of stent in coronary artery (procedure)'"},"expression":["Procedure/at-aps-example-procedure-01: Procedure.code.coding[0].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":9},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"NO_VALID_DISPLAY_FOUND_NONE_FOR_LANG_ERR"}],"severity":"warning","code":"invalid","details":{"text":"Wrong Display Name 'Durchleuchtungsgeführte Angioplastie einer Arterie mit Kontrastmittel' for http://snomed.info/sct#233258006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Angioplasty of artery'"},"expression":["Procedure/at-aps-example-procedure-01: Procedure.code.coding[1].display"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":9},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":4},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"TerminologyEngine"}],"severity":"warning","code":"code-invalid","details":{"text":"Wrong Display Name 'Durchleuchtungsgeführte Angioplastie einer Arterie mit Kontrastmittel' for http://snomed.info/sct#233258006. There are no valid display names found for language(s) 'de-AT'. Default display is 'Angioplasty of artery'; Wrong Display Name 'Einsetzen eines Stents in Koronararterie' for http://snomed.info/sct#36969009. There are no valid display names found for language(s) 'de-AT'. Default display is 'Placement of stent in coronary artery (procedure)'"},"expression":["Procedure/at-aps-example-procedure-01: Procedure.code"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-allergyintolerance","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-allergyintolerance","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":47530},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-allergyorintoleranceagent' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-allergyintolerance: StructureDefinition.snapshot.element[15].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":65715},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-allergyreaction' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-allergyintolerance: StructureDefinition.snapshot.element[29].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":71741},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-allergyorintoleranceagent' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-allergyintolerance: StructureDefinition.differential.element[1].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":72138},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-allergyreaction' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-allergyintolerance: StructureDefinition.differential.element[3].binding.valueSet"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-bundle","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-bundle"}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-careplan","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-careplan"}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-clinicalimpression","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-clinicalimpression","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"Publisher"}],"severity":"warning","code":"business-rule","details":{"text":"The Implementation Guide contains no examples for this profile"},"expression":["StructureDefinition.where(url = 'https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression')"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-composition","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-composition"}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-condition","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-condition","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":44513},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-problemarten' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-condition: StructureDefinition.snapshot.element[12].binding.extension[0].extension[2].value.ofType(canonical)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":45727},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-problemseverity' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-condition: 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StructureDefinition.snapshot.element[50].binding.extension[0].extension[2].value.ofType(canonical)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":134965},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-laborstruktur' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-observationresultslaboratorypathology: StructureDefinition.differential.element[1].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":135348},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-antibiogramm' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-observationresultslaboratorypathology: StructureDefinition.differential.element[2].binding.extension[0].extension[2].value.ofType(canonical)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":135625},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-laborparameter' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-observationresultslaboratorypathology: StructureDefinition.differential.element[2].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":136948},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-observationresultslaboratorypathology: StructureDefinition.differential.element[7].binding.extension[0].extension[2].value.ofType(canonical)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":138296},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-antibiogramm' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-observationresultslaboratorypathology: StructureDefinition.differential.element[11].binding.extension[0].extension[2].value.ofType(canonical)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":138573},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-laborparameter' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-observationresultslaboratorypathology: StructureDefinition.differential.element[11].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":139141},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-nachweisergebnis' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-observationresultslaboratorypathology: StructureDefinition.differential.element[13].binding.extension[0].extension[2].value.ofType(canonical)"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-observationresultsradiology","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-observationresultsradiology"}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-observationtobaccouse","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-observationtobaccouse","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":54680},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-currentsmokingstatus' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-observationtobaccouse: StructureDefinition.snapshot.element[22].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":97333},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-currentsmokingstatus' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-observationtobaccouse: StructureDefinition.differential.element[3].binding.valueSet"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-observationvitalsigns","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-observationvitalsigns"}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-organization","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-organization","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":112084},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/hl7-at-organizationtype' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-organization: StructureDefinition.snapshot.element[71].binding.valueSet"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-patient","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-patient","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":32226},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"}],"severity":"warning","code":"invalid","details":{"text":"There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-citizenship'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.1.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-citizenship' to 'http://hl7.org/fhir/StructureDefinition/patient-citizenship|5.2.0'"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[8].type[0].profile[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":38762},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-laendercodes' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[15].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":47086},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"}],"severity":"warning","code":"invalid","details":{"text":"There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.1.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace' to 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace|5.2.0'"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[24].type[0].profile[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":60179},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[35].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":94803},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[61].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":129156},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[87].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":192405},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"}],"severity":"warning","code":"invalid","details":{"text":"There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.1.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName' to 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName|5.2.0'"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[141].type[0].profile[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":193314},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"}],"severity":"warning","code":"invalid","details":{"text":"There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.1.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber' to 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber|5.2.0'"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[142].type[0].profile[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":194219},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"}],"severity":"warning","code":"invalid","details":{"text":"There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.1.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator' to 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator|5.2.0'"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[143].type[0].profile[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":276158},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"}],"severity":"warning","code":"invalid","details":{"text":"There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.1.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName' to 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName|5.2.0'"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[212].type[0].profile[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":277083},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"}],"severity":"warning","code":"invalid","details":{"text":"There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.1.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber' to 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber|5.2.0'"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[213].type[0].profile[0]"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":278004},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"}],"severity":"warning","code":"invalid","details":{"text":"There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.0.1, 5.1.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator' to 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator|5.2.0'"},"expression":["StructureDefinition/at-aps-patient: StructureDefinition.snapshot.element[214].type[0].profile[0]"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-practitioner","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-practitioner","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":28884},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-practitioner: StructureDefinition.snapshot.element[13].binding.valueSet"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-practitionerrole","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-practitionerrole","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":32470},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/hl7-at-practitionerrole' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-practitionerrole: StructureDefinition.snapshot.element[14].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"Publisher"}],"severity":"warning","code":"business-rule","details":{"text":"The Implementation Guide contains no examples for this profile"},"expression":["StructureDefinition.where(url = 'https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole')"]}]}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-procedure","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-procedure"}},{"fullUrl":"https://fhir.hl7.at/elga/aps/r4/OperationOutcome/StructureDefinition-at-aps-specimen","resource":{"resourceType":"OperationOutcome","id":"StructureDefinition-at-aps-specimen","issue":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":47327},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-specimentype' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-specimen: StructureDefinition.snapshot.element[12].binding.extension[0].extension[2].value.ofType(canonical)"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":47638},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-probenmaterial' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-specimen: StructureDefinition.snapshot.element[12].binding.valueSet"]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col","valueInteger":87773},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source","valueString":"InstanceValidator"},{"url":"http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueCode":"TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"}],"severity":"warning","code":"invalid","details":{"text":"Canonical URL 'https://termgit.elga.gv.at/ValueSet/elga-specimentype' kann nicht aufgelöst werden"},"expression":["StructureDefinition/at-aps-specimen: 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